Hi. Do you use a catheter for ESP blocks? If so, do you use continuous infusion (at what rate?) or intermittent bolus (volume/cut off period) and which pump do you use? Thank you
Yes, we do insert catheters in ESP (rib fractures, mastectomy, nephrectomy). We recently moved over to patient controlled, low infusion rate 5ml/hr and a bolus 20-30ml 4th hourly 0.125% Bupivacaine. We use a Smith's medical pump, programmed for Patient controlled regional analgesia (PCRA)
If using infusions- 10-13mls/hr of 0.125%Bupivacaine. Duration is between 3-5 days. If either pumps not available, manual bolus of 20-30 ml 0.25% Bupivacaine 8th hourly.
I havent used it for that indication as it is outside my remit of practise. But i dont see a reason why not. Most facet joint and medial branch blocks are in that plane, I suspect, the mechanism of action of the chronic pain injections are that they are just fluroscopic variants of the ESP block
Nice video sir shall try
Hi. Do you use a catheter for ESP blocks? If so, do you use continuous infusion (at what rate?) or intermittent bolus (volume/cut off period) and which pump do you use? Thank you
Yes, we do insert catheters in ESP (rib fractures, mastectomy, nephrectomy). We recently moved over to patient controlled, low infusion rate 5ml/hr and a bolus 20-30ml 4th hourly 0.125% Bupivacaine. We use a Smith's medical pump, programmed for Patient controlled regional analgesia (PCRA)
If using infusions- 10-13mls/hr of 0.125%Bupivacaine. Duration is between 3-5 days. If either pumps not available, manual bolus of 20-30 ml 0.25% Bupivacaine 8th hourly.
Have you used this to control lower back pain?
I havent used it for that indication as it is outside my remit of practise. But i dont see a reason why not. Most facet joint and medial branch blocks are in that plane, I suspect, the mechanism of action of the chronic pain injections are that they are just fluroscopic variants of the ESP block