Nerve Block: Serratus Anterior: Difference between revisions

Revision as of 17:57, 28 September 2022

Injection of local anesthetic around the thoracic intercostal nerves to provide regional anesthesia to the anterolateral chest wall

Ultrasound (linear transducer) w/ sterile probe cover
Sterile gloves
Chlorhexidine or betadine solution
1% lidocaine with epinephrine in syringe with 27-gauge needle (for skin wheel)
0.5% or 0.25% bupivacaine in 30 ml syringe.
18 gauge blunt needle
22-25 gauge peripheral nerve block needle with extension tubing
- Alternatively, 22g spinal needle with IV extension tubing

Authors:

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 ==Equipment Needed==
-*High-frequency linear transducer
+*Ultrasound (linear transducer) w/ sterile probe cover
-*Sterile probe cover
+*Sterile gloves
-*Sterile gel
 *Chlorhexidine or betadine solution
-*Sterile gloves
 *1% lidocaine with epinephrine in syringe with 27-gauge needle (for skin wheel)
-*0.5% bupivacaine in 30 ml syringe (see Figure 3 for alternative agents and dosing guidelines). If max dose is under 30 ml, dilute anesthetic further with sterile saline to reach a total of 30 ml of anesthetic/saline mixture
+*0.5% or 0.25% bupivacaine in 30 ml syringe.
-*Peripheral nerve block needle with extension tubing
+*18 gauge blunt needle
+*22-25 gauge peripheral nerve block needle with extension tubing
 **Alternatively, 22g spinal needle with IV extension tubing
-*Intralipid (must be present in the department prior to any performing nerve block)
 ==Procedure==