ANESTHESIA

Ilioinguinal and iliohypogastric block

Jun 15, 2021 by in ANESTHESIA Comments Off on Ilioinguinal and iliohypogastric block

Key Points • Identifying the different layers of the muscles is crucial because the peritoneum is the shiniest layer under the transversus abdominis muscle. When the bowels are seen under…

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Caudal block

Jun 15, 2021 by in ANESTHESIA Comments Off on Caudal block

Key Points • In approximately 5% of adult patients, the sacral hiatus is nearly impossible to cannulate with needle or catheter. • The tissue mass overlying the sacrum in some…

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Caudal block in pediatrics

Jun 15, 2021 by in ANESTHESIA Comments Off on Caudal block in pediatrics

Key Points • Checking the anatomy with ultrasound before and during the procedure assures success. Because the sacrum is not fully ossified, it can still be penetrated by the ultrasound…

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Epidural block

Jun 15, 2021 by in ANESTHESIA Comments Off on Epidural block

Key Points • Epidural block can be performed in cervical, thoracic, and lumbar regions of the vertebral column. • Paramedian approach is the preferred technique for thoracic epidural, while median…

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Spinal block

Jun 15, 2021 by in ANESTHESIA Comments Off on Spinal block

Key Points • Spinal anesthesia is unparalleled in that a small mass of local anesthetic can produce dense surgical anesthesia. • Bupivacaine is the ideal drug for spinal anesthesia. •…

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Quadratus lumborum block

Jun 15, 2021 by in ANESTHESIA Comments Off on Quadratus lumborum block

Key Points • Quadratus lumborum (QL) block is a novel approach for managing postoperative pain in patients undergoing abdominal and hip surgeries. • The sensory dermatomal coverage of the QL…

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Subcostal transversus abdominal plane block

Jun 15, 2021 by in ANESTHESIA Comments Off on Subcostal transversus abdominal plane block

Key Points • The subcostal transversus abdominal plane (TAP) approach is very useful for supraumbilical procedures. • The most cephalad sensory dermatomal spread is T8. • The bilateral continuous catheter…

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Rectus sheath block and catheter in adults

Jun 15, 2021 by in ANESTHESIA Comments Off on Rectus sheath block and catheter in adults

Key Points • A high-frequency transducer is preferred for this block. • The rectus sheath block provides periumbilical somatic analgesia from the levels T9–T11 and is used for surgeries involving…

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Erector spinae plane block

Jun 15, 2021 by in ANESTHESIA Comments Off on Erector spinae plane block

KEY POINTS • The erector spinae plane block (ESPB) is actually used for acute and chronic thoracoabdominal pain syndromes, although its indication has been described for the treatment of pain…

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