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Brachial Plexus Catheters
(for adults age 15 or older)
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Infection seems less common than central axis catheters. Reported catheter durations up to 12 days.
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Interscalene and axillary infusions
A. Bupivacaine: 0.125-0.25% @ 8-12 mL/hr
0.25-0.33 mg/Kg/hr is reasonable limit
(Infusions of 0.25% @ 10 mL/hr will result in some drug accumulation @ 48 hr)
B. Mepivacaine: 1% @ 8-14 mL/hr
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Epinephrine is not indicated in the infusions
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Catheter analgesia should be augmented via oral opioids or IV PCA
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All patients must have a functioning peripheral IV or Saline Lock as long as the catheter is in place.
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Bolus for inadequate analgesia
Lidocaine 75-100 mg via brachial plexus catheter
Mepivacaine 75-100 mg via brachial plexus catheter
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