Review Article

The Role of Continuous Peripheral Nerve Blocks

Table 3

Recommended doses of different local anesthetics for different catheter locations and their administration regimen according to clinical practice of the authors (CP), own publications or based on selected randomized controlled trials. Ropi: ropivacaine; Bupi: bupivacaine; B: basal rate (ml/h); Bo: bolus (ml); L: lockout (min). The used literature for Interscalene [55, 58, 153157], infraclavicular [33, 59], axillary, [7] femoral [158160], Fascia iliaca [161], subgluteal sciatic [162], and popliteal sciatic [51, 52, 78, 163, 164].

Catheter locationLocal anestheticInfusion rate

Interscalene(i) Ropi 0.2%(i) CP: B: 4–6; Bo: 4–6; L: 20–30
(ii) Ropi 0.3%(ii) CP: B: 3–5; Bo: 3-4; L: 20–30
(iii) Bupi 0.125% (sufentanil 0.1  g/ml and clonidine 1  g/ml)(ii) CP: B: 5; Bo: 2.5; L: 30

Infraclavicular(i) Ropi 0.2%(i) CP: B: 4–6; Bo:4–6; L: 20–60

Axillary(i) Bupi 0.25%(i) B: 10 / B: 0; Bo: 10; L: 60

Femoral
(i) Hip surgery
(ii) Knee surgery
(i) Hip(i) Hip
 (a) Ropi 0.2% (a) B: 6; Bo: 4; L: 30 
 (b) Bupi 0.125% (+sufentanil 0.1  g/ml and clonidine 1  g/ml) (b) B: 10 / B: 0; Bo: 10; L: 60 / B: 0;
   Bo 5; L: 30
(ii) Knee(ii) Knee
 (a) Ropi 0.2% (a) CP: B: 3–6; Bo: 2–4; L: 20–30 min
 (b) Bupi 0.125% (clonidine 1  g/ml) (b) B: 5; Bo: 2.5; L: 30

Fascia iliaca (knee surgery)(i) Ropi 0.2%(i) B: 5; Bo: 5; L: 60 / B: 0; Bo: 10; L: 60

Subgluteal sciatic(i) Ropi 0.2%(i) B: 5; Bo: 5; L: 60

Popliteal sciatic(i) Ropi 0.2%(i) CP: B:4–6; Bo: 4–6; L: 20
(ii) Levobupi 0.125%(ii) B: 5; Bo: 3; L:15