https://wikianesthesia.org/w/api.php?action=feedcontributions&feedformat=atom&user=Govsak WikiAnesthesia - User contributions [en] 2026-05-02T06:20:59Z User contributions MediaWiki 1.37.1 https://wikianesthesia.org/w/index.php?title=Block_Guide&diff=15933 Block Guide 2023-11-21T09:16:56Z <p>Govsak: Replaced content with &quot;{{DEFAULTSORT:PracticeGroup:BWH/Block_Guide}}&quot;</p> <hr /> <div>{{DEFAULTSORT:PracticeGroup:BWH/Block_Guide}}</div> Govsak https://wikianesthesia.org/w/index.php?title=Block_Guide&diff=15932 Block Guide 2023-11-21T09:16:39Z <p>Govsak: </p> <hr /> <div>=== How do I document blocks? ===<br /> <br /> * [https://www.dropbox.com/s/vcn1cilkcwytw1y/Block%20Documentation.docx?dl=0 How to document]<br /> <br /> === What are the common blocks? ===<br /> [https://www.dropbox.com/s/zcmgy93oyhww1kb/Common%20Nerve%20Blocks%20%281%29.docx?dl=0 Quick tips] for interscalene, supraclav, pop fossa, adductor canal blocks<br /> <br /> * [https://www.dropbox.com/sh/91lo8maovgobqun/AABDUvh8UfWHksu_LR9XZfysa/Education/Syllabus/Upper%20Extremity/Handout%20ICBs%20Kamen2012.pdf?dl=0 Upper extremity blocks]<br /> * [https://www.dropbox.com/sh/91lo8maovgobqun/AAA2AmkDJaFN4di2ibUQUK3Ja/Education/Syllabus/Lower%20Extremity/Ultrasound%20Guided%20Saphenous%20Nerve%20Block%20David%20J.doc?dl=0 Lower extremity blocks]<br /> <br /> === What supplies do I need for my blocks? ===<br /> <br /> ==== SINGLE SHOT NERVE BLOCKS ====<br /> <br /> # Ultrasound <br /> # Ultrasound probe cover <br /> # Gloves <br /> # Local of choice <br /> # Adjuvants (Decadron 4 mg vs Clonidine 1mcg/kg vs Dexmedetomidine1 mcg/kg vs Epi 1;200,000 dilution vs 0.3 mg Buprenorphine) <br /> # Needle 5 cm or 10 cm , (Pajunk brand narrow small sleeve packet) <br /> # Chloroprep <br /> <br /> [[File:BWH Single Shot Blocks.png|none|thumb]]<br /> <br /> ==== NERVE BLOCKS WITH CATHETERS ====<br /> <br /> # Ultrasound<br /> # Ultrasound probe cover<br /> # Gloves<br /> # Local anesthetic of choice<br /> # Needle 5 cm or 10 cm , either Pajunk or Braun. If using Pajunk please bring Braun catheters<br /> # Chloroprep stick<br /> # Sterile Towels<br /> # Continuous Nerve Block kit<br /> #* [https://teams.microsoft.com/_?tenantId=720edb1f-5c4e-4043-8141-214a63a7ead5#/tab::37df1340-a372-489c-b844-41a3bd37f919/tab::37df1340-a372-489c-b844-41a3bd37f919?groupId=27e31a16-eb72-4771-92ad-e9b883370f03&amp;threadId=19:0f985c80ae9c4c4e963a161b4906496c@thread.tacv2&amp;ctx=channel from fellow reference]<br /> <br /> [[File:BWH Catheter Nerve Blocks.png|none|thumb]]<br /> <br /> === Should I be concerned about anticoagulation? ===<br /> Yes. Always. But check [https://www.dropbox.com/sh/vvqjx5pv1lpzfcn/AADxchmB92EagS8PAzvudprPa/GUIDELINE%20%20REGIONAL%20ANESTHESIA%20AND%20ANTICOAGULATION?dl=0&amp;preview=BWH+Regional+Anesthesia+and+Anticoagulation+Guideline+Update+6-21-2019.pdf BWH Regional Anticoagulation guide]<br /> <br /> === What Would Jose Do? ===<br /> [https://www.dropbox.com/sh/vvqjx5pv1lpzfcn/AACVEm7gh8jhZnKF7PdkCXj0a/POPS%20QUICK%20GUIDE%20TO%20BLOCKS?dl=0&amp;preview=Zeballos+Blocks+for+CA1.pdf WWJD] Block options by body part<br /> <br /> === Max volume of local? ===<br /> {| class=&quot;wikitable&quot;<br /> !Local<br /> !Max (Mg/kg<br /> !Conc<br /> !Max (ml)<br /> !<br /> |-<br /> |Lido plain<br /> |5<br /> |1% or 10mg/ml<br /> |1/2 Body Wt<br /> |1% Lido for 70kg = 350mg<br /> 350mg/(10mg/ml) = 35ml<br /> |-<br /> |Bupi plain<br /> |2.5<br /> |0.5% or 5mg/ml<br /> |1/2 Body wt<br /> |0.5% Bupi for 70kg = 175mg<br /> 175mg/(5mg/ml) = 35ml<br /> |-<br /> |Bupi plain<br /> |2.5<br /> |0.25% or 2.5mg/ml<br /> |Body wt<br /> |0.25% Bupi for 70kg = 175mg<br /> 175mg/(2.5mg/ml) = 70ml<br /> |}<br /> {{DEFAULTSORT:PracticeGroup:BWH/Block_Guide}}</div> Govsak https://wikianesthesia.org/w/index.php?title=Block_Guide&diff=15930 Block Guide 2023-11-21T09:14:06Z <p>Govsak: Created page with &quot;=== How do I document blocks? === * [https://www.dropbox.com/s/vcn1cilkcwytw1y/Block%20Documentation.docx?dl=0 How to document] === What are the common blocks? === [https://www.dropbox.com/s/zcmgy93oyhww1kb/Common%20Nerve%20Blocks%20%281%29.docx?dl=0 Quick tips] for interscalene, supraclav, pop fossa, adductor canal blocks * [https://www.dropbox.com/sh/91lo8maovgobqun/AABDUvh8UfWHksu_LR9XZfysa/Education/Syllabus/Upper%20Extremity/Handout%20ICBs%20Kamen2012.pdf?dl=0 Up...&quot;</p> <hr /> <div>=== How do I document blocks? ===<br /> <br /> * [https://www.dropbox.com/s/vcn1cilkcwytw1y/Block%20Documentation.docx?dl=0 How to document]<br /> <br /> === What are the common blocks? ===<br /> [https://www.dropbox.com/s/zcmgy93oyhww1kb/Common%20Nerve%20Blocks%20%281%29.docx?dl=0 Quick tips] for interscalene, supraclav, pop fossa, adductor canal blocks<br /> <br /> * [https://www.dropbox.com/sh/91lo8maovgobqun/AABDUvh8UfWHksu_LR9XZfysa/Education/Syllabus/Upper%20Extremity/Handout%20ICBs%20Kamen2012.pdf?dl=0 Upper extremity blocks]<br /> * [https://www.dropbox.com/sh/91lo8maovgobqun/AAA2AmkDJaFN4di2ibUQUK3Ja/Education/Syllabus/Lower%20Extremity/Ultrasound%20Guided%20Saphenous%20Nerve%20Block%20David%20J.doc?dl=0 Lower extremity blocks]<br /> <br /> === What supplies do I need for my blocks? ===<br /> <br /> ==== SINGLE SHOT NERVE BLOCKS ====<br /> <br /> # Ultrasound <br /> # Ultrasound probe cover <br /> # Gloves <br /> # Local of choice <br /> # Adjuvants (Decadron 4 mg vs Clonidine 1mcg/kg vs Dexmedetomidine1 mcg/kg vs Epi 1;200,000 dilution vs 0.3 mg Buprenorphine) <br /> # Needle 5 cm or 10 cm , (Pajunk brand narrow small sleeve packet) <br /> # Chloroprep <br /> <br /> [[File:BWH Single Shot Blocks.png|none|thumb]]<br /> <br /> ==== NERVE BLOCKS WITH CATHETERS ====<br /> <br /> # Ultrasound<br /> # Ultrasound probe cover<br /> # Gloves<br /> # Local anesthetic of choice<br /> # Needle 5 cm or 10 cm , either Pajunk or Braun. If using Pajunk please bring Braun catheters<br /> # Chloroprep stick<br /> # Sterile Towels<br /> # Continuous Nerve Block kit<br /> #* [https://teams.microsoft.com/_?tenantId=720edb1f-5c4e-4043-8141-214a63a7ead5#/tab::37df1340-a372-489c-b844-41a3bd37f919/tab::37df1340-a372-489c-b844-41a3bd37f919?groupId=27e31a16-eb72-4771-92ad-e9b883370f03&amp;threadId=19:0f985c80ae9c4c4e963a161b4906496c@thread.tacv2&amp;ctx=channel from fellow reference]<br /> <br /> [[File:BWH Catheter Nerve Blocks.png|none|thumb]]<br /> <br /> === Should I be concerned about anticoagulation? ===<br /> Yes. Always. But check [https://www.dropbox.com/sh/vvqjx5pv1lpzfcn/AADxchmB92EagS8PAzvudprPa/GUIDELINE%20%20REGIONAL%20ANESTHESIA%20AND%20ANTICOAGULATION?dl=0&amp;preview=BWH+Regional+Anesthesia+and+Anticoagulation+Guideline+Update+6-21-2019.pdf BWH Regional Anticoagulation guide]<br /> <br /> === What Would Jose Do? ===<br /> [https://www.dropbox.com/sh/vvqjx5pv1lpzfcn/AACVEm7gh8jhZnKF7PdkCXj0a/POPS%20QUICK%20GUIDE%20TO%20BLOCKS?dl=0&amp;preview=Zeballos+Blocks+for+CA1.pdf WWJD] Block options by body part<br /> <br /> === Max volume of local? ===<br /> {| class=&quot;wikitable&quot;<br /> !Local<br /> !Max (Mg/kg<br /> !Conc<br /> !Max (ml)<br /> !<br /> |-<br /> |Lido plain<br /> |5<br /> |1% or 10mg/ml<br /> |1/2 Body Wt<br /> |1% Lido for 70kg = 350mg<br /> 350mg/(10mg/ml) = 35ml<br /> |-<br /> |Bupi plain<br /> |2.5<br /> |0.5% or 5mg/ml<br /> |1/2 Body wt<br /> |0.5% Bupi for 70kg = 175mg<br /> 175mg/(5mg/ml) = 35ml<br /> |-<br /> |Bupi plain<br /> |2.5<br /> |0.25% or 2.5mg/ml<br /> |Body wt<br /> |0.25% Bupi for 70kg = 175mg<br /> 175mg/(2.5mg/ml) = 70ml<br /> |}</div> Govsak