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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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Chapter 19 – Occipital Block


Occipital nerve block is most frequently used for the diagnosis and treatment of occipital neuralgia. It is also useful when combined with other head and neck blocks to provide scalp anesthesia when infiltration alone does not suffice.

Patient Selection.

Most patients for occipital nerve block are experiencing symptoms compatible with occipital neuralgia. These patients are often at the end of a long and frustrating medical program and thus may need a detailed explanation of what to expect during the block.

Pharmacologic Choice.

The block requires only 3 to 5 mL of local anesthetic, so virtually any local anesthetic can be utilized.

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