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Continuous Peripheral Nerve Blockade

     •Local Anesthetic: 0.25% Bupivacaine or 0.2% Ropivacaine.
     •Dose ranging : 10-30 cc bolus, 4-8 cc/hr infusion.
     •Mode: Basal rate(2ml/hr) + PCA preferred (4ml bolus and closed period 40 mn).
     •Maximum: Bupi 0.5 mg/kg/hr, Ropi 0.6 mg/kg/hr.
     •Controlled delivery device, monitor for sedation

References

1. PBazy L, Chapter in V Pauchet, P Sourdat, J Laboure (eds): L‘anesthésie régionale; Paris, France, G Doin et Cie, 1917, pp 222-25.
2. Kilka HG, Geiger P, Mehrkens HH. Infraclavicular vertical brachial plexus. A new technique of regional anaesthesia. Anaesthesist 1995; 44 : 339-44.
3. Jandart C ,Gentili ME, Ecoffey C, Laxenaire MC, Bouaziz H Infraclavicular block with lateral approach and nerve stimulation : extent of anesthesia and adverse effect . Reg Anesth Pain Med 2001.
4. Deleuze A, Gentili ME, Marret E, Bonnet F . Infraclavicular block : a new lateral approach compared to axillary block . Abstract in ESA 2002.