Combined Spinal-Epidural Anesthesia.
• 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…
ANESTHESIA
Documentation of Regional Anesthesia Procedures.
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…
Multistimulation Techniques for Peripheral Nerve Blocks.
• 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…
Wrist Block.
• 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…
Cutaneous Blocks for the Upper Extremity.
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…
Histology of Peripheral Nerves.
• 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…
Percutaneous Nerve Localization.
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…
Effects of Regional Anesthesia & Analgesia on Perioperative Outcome.
• 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…
The Role of Nonopioid Analgesic Techniques in the Management of Postoperative Pain.
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…
Regional Anesthesia in Community Practice.
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…
