Blocks

Question 1

interscalene block indication

Answer 1

upper arm, shoulder, clavicle surgery

blocks C5 C6 C7

Question 2

interscalene needle and LA

Answer 2

22gx2” or 20gx4”

ropivacaine 0.5% most common

bupivacaine 0.5% with epi (longer DOA)

Question 3

interscalene amount of LA

Answer 3

ropivacaine 0.5 20-30ml

bupivacaine 10-15 ml

Question 4

supraclavicular block indication

Answer 4

upper arm, below shoulder

medial aspect of skin not anesthetized

C5-T1, may miss C5 and C6

Question 5

supraclavicular needle and LA

Answer 5

22gx2” or 20gx4”

ropivacaine 0.5% most common

bupivacaine 0.5% with epi (longer duration)

Question 6

supraclavicular amount if LA

Answer 6

ropivacaine 20-30 ml

bupivacaine 10-15ml

Question 7

infraclavicular indication

Answer 7

elbow
forearm
hand

blocks all 3 cords of brachial plexus

Question 8

infraclavicular needle and LA

Answer 8

22gx2”

bupivacaine 0.5%

ropivacaine 0.5-0.75%

Question 9

infraclavicular amount of LA

Answer 9

15-30 ml

Question 10

axillary indications

Answer 10

forearm, hand

radial nerve
ulnar nerve
median nerve
musculocutaneous nerve

C5 and C6

Question 11

axillary clock position of nerves

Answer 11

9-12 median nerve
2-3 ulnar nerve
5-6 radial nerve

Question 12

axillary needle and LA choice

Answer 12

22gx2”

ropivacaine 0.5% most common

Question 13

axillary LA amount

Answer 13

20-30ml

Question 14

superficial cervical plexus indications

Answer 14

CEA
superficial neck
clavicle
skin of anterolateral neck
anterauricle/retroauricular

C2 C3 C4

Question 15

superficial cervical plexus needle and LA

Answer 15

22gx2”

ropivacaine 0.2-0.5% most common

Question 16

superficial cervical plexus LA amount

Answer 16

8-15ml

Question 17

wrist block indications

Answer 17

entire hand

median nerve
radial nerve
ulnar nerve

Question 18

wrist block needle and LA

Answer 18

22gx2”

lidocaine 2%
ropivacaine 0.5%

Question 19

wrist block LA amount

Answer 19

3-5 ml per nerve

Question 20

erector spinae block indications

Answer 20

anything a spinal can do
lumbar ex lap

unilateral block
must know where the incision will be and where the dermatome coverage will be

Question 21

erector spinae needle and LA

Answer 21

22gx2”

ropivacaine 0.2%

Question 22

erector spinae LA amount

Answer 22

30 ml each side

volume block

Question 23

TAP block indications

Answer 23

hernia
laprascopic
robotic
appendectomy
c section
abdominoplasty

unilateral block of abd wall

T7-L1

Question 24

Tap LA and needle

Answer 24

22gx2” 20gx4”

ropivacaine 0.2%

Question 25

TAP LA amount

Answer 25

20-30 ml per side

Question 26

QL indications

Answer 26

lateral cutaneous branches of iliohypogastric ilioguinal and subcostal nerves (T12-L1)

Question 27

QL needle and LA and amount

Answer 27

22gx2" ropivacaine 0.2% 20-30ml per side (VOLUME BLOCK)

Question 28

Illioinguinal/hypogastric (low tap) indications

Answer 28

illiohypogastric and ilioinguinal nerves (L1)

Question 29

low tap LA and needle and amount

Answer 29

22gx2" ropivicaine 0.2% 15-20 ml per side

Question 30

femoral nerve block indications

Answer 30

knee surgery quadricep tendon repair anterior/medial thigh down to knee

Question 31

femoral block needle and LA

Answer 31

22gx2" 21gx4" ropivacaine 0.5% most common bupivacaine 0.5% with epi ( longer duration)

Question 32

femoral block LA amount

Answer 32

10-20 ml

Question 33

adductor canal indications

Answer 33

analgesia for knee surgery below knee surgery when combined with popliteal nerve block anterior knee medial knee narrow strip on medial leg and foot

Question 34

adductor canal needle and LA

Answer 34

22gx2" 20gx4" ropivacaine 0.2% or 0.5%

Question 35

adductor canal volume

Answer 35

10-15 ml

Question 36

fascia iliaca block indications

Answer 36

hip surgery anterior thigh, lateral hip, and thigh lumbar plexus

Question 37

what nerves are in the lumbar plexus

Answer 37

L1-L4 genitofemoral obturator lateral femoral cutaneous femoral

Question 38

fascia iliaca block needle and LA

Answer 38

20gx4" ropivacaine 0.2% (caution motor block mepivacaine 1.5% cocktail: -2% lido 7.5ml/ ropivacaine 0.5% 7.5ml/ 15ml NS =30 ml **final conc 0.125% **

Question 39

fascia iliaca block volume

Answer 39

30-40 ml volume block

Question 40

popliteal block indications

Answer 40

foot and ankle surgery entire lower limb below knee, except for medial strip of leg sciatic nerve--> tibial and common peroneal

Question 41

popliteal needle and LA

Answer 41

22gx2" 20gx4" ropivacaine 0.5% most common bupivacaine 0.5% with Epi (longer duration)

Question 42

popliteal block volume

Answer 42

20-30 ml

Question 43

ankle block indications

Answer 43

anesthesia or post op analgesia for toes or foot 5 nerves: -superficial peroneal (sensory) -sural (sensory) -saphenous (sensory) -tibial (inversion + plantar flexion) -deep peroneal (eversion + dorsiflexion)

Question 44

ankle block LA and needle

Answer 44

25gx1.5" lidocaine 2% bupivacaine 0.5%

Question 45

ankle block LA amount

Answer 45

5 ml per nerve

Question 46

Bier Block indications

Answer 46

hand and arm surgery nerves blocked depends on location

Question 47

bier block needle

Answer 47

22g IV in hand

Question 48

bier block LA

Answer 48

lidocaine most common used 50ml 0.5% lidocaine most recommend large volume low conc solution

Question 49

bier block LA amount

Answer 49

50 ml

Question 50

PENG indications

Answer 50

hip capsule articular branches of the femoral nerve and accessory obturator nerve

Question 51

PENG needle and LA

Answer 51

20gx4" ropivacaine 0.2%

Question 52

PENG block LA amount

Answer 52

20 ml

Question 53

iPACK block indications

Answer 53

posterior knee terminal branches of peroneal and tibial nerve

Question 54

iPACK block needle and LA

Answer 54

21gx4" ropivacaine 0.2% with decadron 4 mg bupivacaine 0.25% with epi

Question 55

iPACK block LA amount

Answer 55

20-30ml

Question 56

what are the sensory only blocks

Answer 56

adductor canal block TAP erector spinae superficial cervical plexus iPACK