bolus dosing of femerol nerve block catheters

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Are any of you doing bolus dosing via an infusion pump through femerol nerve catheters? Our Anesthesia group wants floor nurses to set bolus infusion rates on prn basis with break through pain.

Any info would be appreciated!

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Specializes in ICU of all kinds, CVICU, Cath Lab, ER..

Please explain this; I am curious about the use of the catheter - nerve??Thanks, walk6

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Do you mean an anesthesiologist will insert a catheter into the fem nerve, it's hooked up to a PCA machine, and then the nurses will get PRN orders to adjust the basal rate or demand dose, depending on breakthrough pain? Kind of like what's done with an epidural?

I don't understand what you mean by a "bolus infusion rate". A bolus is a one-time dose, whereas a rate assumes a continuous infusion.

I've seen this done with other nerve blocks, but maybe not a femoral nerve block. Maybe though - I don't remember. Is this for post-op ortho cases?

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