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| === How do I document blocks? ===
| | {{DEFAULTSORT:PracticeGroup:BWH/Block_Guide}} |
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| * [https://www.dropbox.com/s/vcn1cilkcwytw1y/Block%20Documentation.docx?dl=0 How to document]
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| === What are the common blocks? ===
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| [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
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| * [https://www.dropbox.com/sh/91lo8maovgobqun/AABDUvh8UfWHksu_LR9XZfysa/Education/Syllabus/Upper%20Extremity/Handout%20ICBs%20Kamen2012.pdf?dl=0 Upper extremity blocks]
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| * [https://www.dropbox.com/sh/91lo8maovgobqun/AAA2AmkDJaFN4di2ibUQUK3Ja/Education/Syllabus/Lower%20Extremity/Ultrasound%20Guided%20Saphenous%20Nerve%20Block%20David%20J.doc?dl=0 Lower extremity blocks]
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| === What supplies do I need for my blocks? ===
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| ==== SINGLE SHOT NERVE BLOCKS ====
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| # Ultrasound
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| # Ultrasound probe cover
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| # Gloves
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| # Local of choice
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| # Adjuvants (Decadron 4 mg vs Clonidine 1mcg/kg vs Dexmedetomidine1 mcg/kg vs Epi 1;200,000 dilution vs 0.3 mg Buprenorphine)
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| # Needle 5 cm or 10 cm , (Pajunk brand narrow small sleeve packet)
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| # Chloroprep
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| [[File:BWH Single Shot Blocks.png|none|thumb]]
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| ==== NERVE BLOCKS WITH CATHETERS ====
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| # Ultrasound
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| # Ultrasound probe cover
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| # Gloves
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| # Local anesthetic of choice
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| # Needle 5 cm or 10 cm , either Pajunk or Braun. If using Pajunk please bring Braun catheters
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| # Chloroprep stick
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| # Sterile Towels
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| # Continuous Nerve Block kit
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| #* [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&threadId=19:0f985c80ae9c4c4e963a161b4906496c@thread.tacv2&ctx=channel from fellow reference]
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| [[File:BWH Catheter Nerve Blocks.png|none|thumb]]
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| === Should I be concerned about anticoagulation? ===
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| Yes. Always. But check [https://www.dropbox.com/sh/vvqjx5pv1lpzfcn/AADxchmB92EagS8PAzvudprPa/GUIDELINE%20%20REGIONAL%20ANESTHESIA%20AND%20ANTICOAGULATION?dl=0&preview=BWH+Regional+Anesthesia+and+Anticoagulation+Guideline+Update+6-21-2019.pdf BWH Regional Anticoagulation guide]
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| === What Would Jose Do? ===
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| [https://www.dropbox.com/sh/vvqjx5pv1lpzfcn/AACVEm7gh8jhZnKF7PdkCXj0a/POPS%20QUICK%20GUIDE%20TO%20BLOCKS?dl=0&preview=Zeballos+Blocks+for+CA1.pdf WWJD] Block options by body part
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| === Max volume of local? ===
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| {| class="wikitable"
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| !Local
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| !Max (Mg/kg
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| !Conc
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| !Max (ml)
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| !
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| |-
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| |Lido plain
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| |5
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| |1% or 10mg/ml
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| |1/2 Body Wt
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| |1% Lido for 70kg = 350mg
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| 350mg/(10mg/ml) = 35ml
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| |-
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| |Bupi plain
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| |2.5
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| |0.5% or 5mg/ml
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| |1/2 Body wt
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| |0.5% Bupi for 70kg = 175mg
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| 175mg/(5mg/ml) = 35ml
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| |-
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| |Bupi plain
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| |2.5
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| |0.25% or 2.5mg/ml
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| |Body wt
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| |0.25% Bupi for 70kg = 175mg
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| 175mg/(2.5mg/ml) = 70ml
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| |}
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