Block Guide

How do I document blocks?

• How to document

What are the common blocks?

Quick tips for interscalene, supraclav, pop fossa, adductor canal blocks

• Upper extremity blocks
• Lower extremity blocks

What supplies do I need for my blocks?

SINGLE SHOT NERVE BLOCKS

1. Ultrasound
2. Ultrasound probe cover
3. Gloves
4. Local of choice
5. Adjuvants (Decadron 4 mg vs Clonidine 1mcg/kg vs Dexmedetomidine1 mcg/kg vs Epi 1;200,000 dilution vs 0.3 mg Buprenorphine)
6. Needle 5 cm or 10 cm , (Pajunk brand narrow small sleeve packet)
7. Chloroprep

NERVE BLOCKS WITH CATHETERS

1. Ultrasound
2. Ultrasound probe cover
3. Gloves
4. Local anesthetic of choice
5. Needle 5 cm or 10 cm , either Pajunk or Braun. If using Pajunk please bring Braun catheters
6. Chloroprep stick
7. Sterile Towels
8. Continuous Nerve Block kit
   • from fellow reference

Should I be concerned about anticoagulation?

Yes. Always. But check BWH Regional Anticoagulation guide

What Would Jose Do?

WWJD Block options by body part

Max volume of local?

Local	Max (Mg/kg	Conc	Max (ml)
Lido plain	5	1% or 10mg/ml	1/2 Body Wt	1% Lido for 70kg = 350mg 350mg/(10mg/ml) = 35ml
Bupi plain	2.5	0.5% or 5mg/ml	1/2 Body wt	0.5% Bupi for 70kg = 175mg 175mg/(5mg/ml) = 35ml
Bupi plain	2.5	0.25% or 2.5mg/ml	Body wt	0.25% Bupi for 70kg = 175mg 175mg/(2.5mg/ml) = 70ml