• Andrea Casati, MD I. INTRODUCTION II. NERVE ROOTS ANATOMY & CLASSIFICATION OF NERVE FIBERS III. CLINICAL PROPERTIES OF LOCAL ANESTHETIC SOLUTIONS IV. GENERAL PRINCIPLES V. SELECTING A LOCAL ANESTHETIC…
Figure 9-1. Descartes model of pain transmission in the peripheral nervous system. In 1645 Descartes proposed a mechanism for pain transmission, suggesting that a peripheral pain impulse was transmitted directly…
• Elyad Davidson, MD• David J. Birnbach, MD I. INTRODUCTION II. CLINICAL USE OF CSE ANESTHESIA General Surgery Labor Analgesia Cesarean Delivery III. ADVANTAGES OF CSE Comparison with Conventional Epidural…
Figure 80-1. Anesthesia procedure note for peripheral nerve block. Prior to this description, an example of a regional anesthesia procedure note could not be found in the literature. Starting almost…
• Marta Putzu, MD I. INTRODUCTION II. PRINCIPLES OF MULTISTIMULATION III. CLINICAL ADVANTAGES IV. MULTIPLE STIMULATION & THE RISK OF NERVE INJURY V. CLINICAL EXAMPLES Brachial Plexus Block Interscalene Brachial…
• Paul Hobeika, MD• Douglas Unis, MD• Jerry D. Vloka, MD I. INTRODUCTION II. INDICATIONS & CONTRAINDICATIONS III. FUNCTIONAL ANATOMY OF WRIST BLOCK IV. ANATOMIC LANDMARKS V. EQUIPMENT VI. TECHNIQUE…
Figure 31-1. Cutaneous innervation of the upper extremity. Actual patients demonstrate large variation in the depicted pattern of innervation and have significant crossover between nerves. This chapter discusses individual nerve…
• Steven Deschner, MD I. INTRODUCTION II. MORPHOLOGIC ORGANIZATION OF PERIPHERAL NERVOUS SYSTEM III. NERVE FIBERS Classification of Nerve Fibers: Axon Diameter, Myelination, Conduction Velocity IV. AXONS V. SCHWANN CELLS…
where E = required stimulating current, K = constant, Q = minimal required stimulation current, and r= distance between electrode and nerve. Empirically, motor response to stimulation with current below…
• Brian A. Williams, MD I. INTRODUCTION II. INTRAOPERATIVE BENEFITS OF REGIONAL ANESTHESIA III. POSTOPERATIVE BENEFITS OF REGIONAL ANALGESIA Cardiovascular Morbidity Coagulation-Related Morbidity Gastrointestinal Morbidity Pulmonary Morbidity Patient-Oriented Outcomes “Epidural…
