Adequacy of postoperative pain control is one of the most important factors in determining when a patient can be safely discharged from a surgical facility and has a major influence…
Preoperative block placement is ideal and does not require a designated block room (Figure 65-1); the monitoring capabilities and availability of staff make the postanesthesia care unit (PACU) a reasonable…
• Jerry D. VIoka, MD I. INTRODUCTION Indications & Contra indications Functional Anatomy Choice of Local Anesthetic II. LATERAL FEMORAL CUTANEOUS NERVE BLOCK General Considerations Distribution of Anesthesia Patient Positioning…
Figure 33–1. Psoas muscle (1) is shown exposed from within abdominal cavity with lumbar plexus branches (2, 3). Distribution of Anesthesia Injection of local anesthetic during lumbar plexus block most…
a MEP = motor-evoked potentials, SSEP = somatosensory-evoked potentials. Source: Reprinted with permission from Schulz-Stubner S et al: Crit Care Med 2005;33:1407. Clinical Pearls The most common side effects of…
• Joseph M. Neal, MD I. INTRODUCTION II. PAST & CURRENT TRAINING EXPERIENCE Evolution of Regional Anesthesia Training Accreditation Agency Requirements III. ENRICHING THE EDUCATIONAL EXPERIENCE Assessing Competency Alternatives to…
Figure 36–1. Relevant anatomy for the 3-in-1 block on sagittal T2-weighted MRI. (A, Anterior; P, posterior; IFV, left femoral vein; UB, urinary bladder.) Figure 36–2. MRI image after administration of…
• Spencer S. Liu, MD I. INTRODUCTION II. OPIOIDS Pharmacology Cardiovascular Effects Epidural Space Subarachnoid Space III. VASOCONSTRICTORS Pharmacology Cardiovascular Effects Epidural Space Subarachnoid Space IV. ALPHA2-AGONISTS Pharmacology Cardiovascular Effects…
