Difference between revisions of "Block Guide"

Latest revision as of 02:16, 21 November 2023

Top contributors: Gavin Ovsak

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-=== 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 Upper extremity blocks]
-* [https://www.dropbox.com/sh/91lo8maovgobqun/AAA2AmkDJaFN4di2ibUQUK3Ja/Education/Syllabus/Lower%20Extremity/Ultrasound%20Guided%20Saphenous%20Nerve%20Block%20David%20J.doc?dl=0 Lower extremity blocks]
-=== What supplies do I need for my blocks? ===
-==== SINGLE SHOT NERVE BLOCKS ====
-# Ultrasound
-# Ultrasound probe cover
-# Gloves
-# Local of choice
-# Adjuvants (Decadron 4 mg vs Clonidine 1mcg/kg vs Dexmedetomidine1 mcg/kg vs Epi 1;200,000 dilution vs 0.3 mg Buprenorphine)
-# Needle 5 cm or 10 cm , (Pajunk brand narrow small sleeve packet)
-# Chloroprep
-[[File:BWH Single Shot Blocks.png|none|thumb]]
-==== NERVE BLOCKS WITH CATHETERS ====
-# Ultrasound
-# Ultrasound probe cover
-# Gloves
-# Local anesthetic of choice
-# Needle 5 cm or 10 cm , either Pajunk or Braun. If using Pajunk please bring Braun catheters
-# Chloroprep stick
-# Sterile Towels
-# Continuous Nerve Block kit
-#* [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]
-[[File:BWH Catheter Nerve Blocks.png|none|thumb]]
-=== Should I be concerned about anticoagulation? ===
-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]
-=== What Would Jose Do? ===
-[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
-=== Max volume of local? ===
-{| class="wikitable"
-!Local
-!Max (Mg/kg
-!Conc
-!Max (ml)
-!
-|-
-|Lido plain
-|5
-|1% or 10mg/ml
-|1/2 Body Wt
-|1% Lido for 70kg = 350mg
-mg/(10mg/ml) = 35ml
-|-
-|Bupi plain
-|2.5
-|0.5% or 5mg/ml
-|1/2 Body wt
-|0.5% Bupi for 70kg = 175mg
-mg/(5mg/ml) = 35ml
-|-
-|Bupi plain
-|2.5
-|0.25% or 2.5mg/ml
-|Body wt
-|0.25% Bupi for 70kg = 175mg
-mg/(2.5mg/ml) = 70ml
-|}
 {{DEFAULTSORT:PracticeGroup:BWH/Block_Guide}}