Table 1.
Indication in adults | Concentration (%) | Volume | Dose |
---|---|---|---|
In adults | |||
Surgical anaesthesia | |||
Lumbar epidural | 0.75 | 15-20 mL | 113-150 mg |
(Caesarean section) | |||
Lumbar epidural | 0.75 | 15-25 mL | 113-188 mg |
(Other surgery) | 1 | 15-20 mL | 150-200 mg |
Thoracic (Single block for postoperative pain relief) | 0.75 | 5-15 mL | 38-113 mg |
Intrathecal administration | 0.5 | 3-4 mL | 15-20 mg |
Peripheral nerve block* | 0.75 | 10-40 mL | 75-300 mg |
Field block† | 0.75 | 1-30 mL | 7.5-225 mg |
Postoperative pain | |||
Lumbar epidural (Continuous infusion) | 0.2 | 6-10 mL/h | 12-20 mg/h |
Thoracic epidural (Continuous infusion) | 0.2 | 6-14 mL/h | 12-28 mg/h |
Peripheral nerve block (Continuous infusion) | 0.2 | 5-10 mL/h | 10-20 mg/h |
Field block† | 0.2 | 1-100 mL | 2-200 mg |
Intra-articular injection | 0.75 | 20 mL | 150 mg |
Labour pain (Lumbar epidural) | |||
Bolus | 0.2 | 10-20 mL | 20-40 mg |
Intermittent top-ups | 0.2 | 10-15 mL‡ | 20-30 mg |
Continuous infusion | 0.2 | 6-14 mL/h | 12-28 mg/h |
In children | |||
Caudal epidural block (Below T12)§ | 0.2 | 1 mL/kg | 2 mg/kg |
Peripheral nerve block (Eg, ilioinguinal block) | 0.5 | 0.6 mL/kg | 3 mg/kg |
Major nerve block brachial plexus or sciatic nerve block
Minor nerve block or infiltration
Minimum interval 30 minutes
For bodyweight up to 25 kg.