Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS S1:E7 "Gadsden & Pawa’s Top Teaching Tips for Nerve Blocks and Regional Anesthesia"
Mar 10, 2023
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Post-Block Follow-Up And Education
- Call patients the day after day-case blocks to check safety and answer concerns.
- Provide written and electronic patient information about block trajectory and precautions.
Prefer Intermittent Boluses For Catheters
- Use intermittent boluses (e.g., every 4–6 hours) with a low background rate for catheters when available.
- Intermittent boluses often spread better than continuous infusions and can extend outpatient infusion duration.
Intermittent Boluses Enhance Spread
- Intermittent boluses can achieve better spread so you often need lower total local anesthetic.
- Switching from continuous infusion to intermittent bolus may make patients overly numb if rates aren't reduced.