Obstetric Regional Anesthesia.
Increase in heart rate (15-25%) and cardiac output (up to 50%). Decrease in vascular resistance in the uterine, renal, and other vascular beds. Compression of the lower aorta in the…
Infraclavicular Brachial Plexus Block.
Distribution of anesthesia consists of the entire arm, including the hand, wrist, forearm, elbow, and most of the upper arm. Indications are similar to those for axillary block; hand, forearm,…
Regional Anesthesia & Cardiovascular Disease.
• Daniel M. Thys, MD I. INTRODUCTION II. THORACIC EPIDURAL ANESTHESIA Physiologic Effects on the Cardiovascular System Management of Cardiac Disease Cardiac Surgery Noncardiac Surgery in Patients with Cardiovascular Disease…
Thoracic & Lumbar Paravertebral Block.
• Anthony M-H. Ho, MD I. THORACIC PARAVERTEBRAL BLOCK Anatomy Mechanism of Block & Distribution of Anesthesia Technique Placement of Thoracic Paravertebral Catheter Practical Management of Thoracic Paravertebral Block II….
Perioperative Management with Peripheral Nerve Block Anesthesia.
• Admir Hadzic, MD I. INTRODUCTION II. PREANESTHETIC MANAGEMENT Medical Record Review Patient Selection Patient Interview/Education Anesthesia Consent Surgical Considerations Anesthesiologist Physical Examination III. ANESTHETIC CONSIDERATIONS Laterality Issues Premedication of…
Interscalene Brachial Plexus Block.
• Stephan Blumenthal, MD I. INTRODUCTION Indications Contraindications Anatomy Landmarks Equipment for Single-Shot Blockade Equipment for Continuous Blockade II. APPROACHES TO & TECHNIQUES FOR BRACHIAL PLEXUS BLOCK AT THE LEVEL…
Regional Anesthesia in the Elderly.
Figure 56-1. Annual rate of anesthesia per 100 population within the different age groups from 1980 to 1996 in France (Reprinted, with permission, from Clerque F, Auroy Y, Pequinot F,…
Pharmacoeconomics of Regional Anesthesia: Implications in Ambulatory Orthopedic Surgery, Hospital Admission, & Early Rehabilitation.
Cost-minimization Cost-benefit analysis Cost-effectiveness analysis Cost-utility analysis CEA is applicable when the effects of comparable health treatments or services share the same therapeutic goals, but have different degrees of effectiveness.4…
Axillary Brachial Plexus Block.
Figure 28-1. Anatomy of the brachial plexus at axilla and at the midhumeral level. Figure 28-2. Landmarks for the classical approach to axillary brachial plexus block. EQUIPMENT • Sterile towels…
Peripheral Nerve Stimulators & Electrophysiology of Nerve Stimulation.
• Admir Hadzic, MD I. INTRODUCTION II. CHARACTERISTICS OF ELECTRICAL IMPULSE: INTENSITY, DURATION & RATE OF CHANGE Intensity Rate of Change III. POLARITY OF STIMULATING & RETURNING ELECTRODES IV. DISTANCE-CURRENT…
