From: Ultrasound-guided fascial plane blocks in chronic pain: a narrative review
Different types of (ultrasound-guided) blocks | Drugs and dosages |
---|---|
Posterior trunk | |
Thoracic erector spinae block (T-ESP) Lumbar erector spinae block (L-ESP) Sacral erector spinae block (S-ESP) Quadratus lumborum block (QL) | 0.25%, 0.5% bupivacaine 0.25% levobupivacaine 0.1%, 0.1875%, 0.2%, 0.375%, 0.5% ropivacaine 0.5%, 1% lidocaine, 1% prilocaine saline solution Adjuncts: methylprednisolone (40 or 80 mg), dexamethasone 2, 4, 3, 8, 10 mg, triamcinolone (10 or 40 mg) Volumes: 10–15–20–30 ml 0.2% ropivacaine 1% lidocaine 0.25% levobupivacaine Adjuncts: dexamethasone 8 mg. methylprednisolone 20 mg Volumes: 15–25 ml |
Anterior trunk | |
P ectoral nerve blocks (PECS) Transversus abdominis plane block (TAP) | 0.2%, 0.33%, 0.375% ropivacaine 1% lidocaine 0.25% levobupivacaine 0.25%, 0.5% bupivacaine Adjuncts: dexamethasone 5 or 8 mg, methylprednisolone 20 or 40 mg, clonidine 50 mcg Volumes: 10–30 ml 0.375%, 0.5%, 1% ropivacaine 1% lidocaine 0.25% bupivacaine Adjuncts: triamcinolone (40 mg), methylprednisolone (40 or 80 mg), epinephrine, Volumes: 20–30 ml |
Lower extremities | |
Fascia iliaca compartment block (FICB) Pericapsular nerve group block (PENG) Adductor canal block (ACB) | 0.5% ropivacaine Adjuncts: dexamethasone (4 mg) Volumes: 20–40 ml 0.25% bupivacaine, 0.5% lidocaine 0.5% ropivacaine Adjuncts: dexamethasone (4 or 8 mg) Volumes: 15–20 ml 0.25% or 0.5% bupivacaine 1% lidocaine 0.25%, 0.33% levobupivacaine Adjuncts: methylprednisolone (40 mg), triamcinolone (10 mg), clonidine (100 mcg) Volumes: 10–20 ml |