Blocks Flashcards
interscalene block indication
upper arm, shoulder, clavicle surgery
blocks C5 C6 C7
interscalene needle and LA
22gx2” or 20gx4”
ropivacaine 0.5% most common
bupivacaine 0.5% with epi (longer DOA)
interscalene amount of LA
ropivacaine 0.5 20-30ml
bupivacaine 10-15 ml
supraclavicular block indication
upper arm, below shoulder
medial aspect of skin not anesthetized
C5-T1, may miss C5 and C6
supraclavicular needle and LA
22gx2” or 20gx4”
ropivacaine 0.5% most common
bupivacaine 0.5% with epi (longer duration)
supraclavicular amount if LA
ropivacaine 20-30 ml
bupivacaine 10-15ml
infraclavicular indication
elbow
forearm
hand
blocks all 3 cords of brachial plexus
infraclavicular needle and LA
22gx2”
bupivacaine 0.5%
ropivacaine 0.5-0.75%
infraclavicular amount of LA
15-30 ml
axillary indications
forearm, hand
radial nerve
ulnar nerve
median nerve
musculocutaneous nerve
C5 and C6
axillary clock position of nerves
9-12 median nerve
2-3 ulnar nerve
5-6 radial nerve
axillary needle and LA choice
22gx2”
ropivacaine 0.5% most common
axillary LA amount
20-30ml
superficial cervical plexus indications
CEA
superficial neck
clavicle
skin of anterolateral neck
anterauricle/retroauricular
C2 C3 C4
superficial cervical plexus needle and LA
22gx2”
ropivacaine 0.2-0.5% most common
superficial cervical plexus LA amount
8-15ml
wrist block indications
entire hand
median nerve
radial nerve
ulnar nerve
wrist block needle and LA
22gx2”
lidocaine 2%
ropivacaine 0.5%
wrist block LA amount
3-5 ml per nerve
erector spinae block indications
anything a spinal can do
lumbar ex lap
unilateral block
must know where the incision will be and where the dermatome coverage will be
erector spinae needle and LA
22gx2”
ropivacaine 0.2%
erector spinae LA amount
30 ml each side
volume block
