ADRENERGIC AGONISTS General comments: Act on α, β, or dopaminergic receptors (see the table below). May cause tachycardia, hypertension, arrhythmias, myocardial ischemia, and tissue necrosis with extravasation (administer centrally, treat…
• Clinical Considerations • Indications: Bolus dosing used for rapid sequence induction when aspiration is a risk (i.e., full stomach, trauma, diabetes mellitus, hiatal hernia, obesity, pregnancy); infusion useful in…
GENERAL PRINCIPLES • Lipophilic drugs produce rapid induction of general anesthesia • Most IV anesthetics exert effect through activation or augmentation of postsynaptic GABAA receptors (↑ chloride influx → hyperpolarization…
CHAPTER 8 Upper limb blocks Interscalene block Use this block for anaesthesia/analgesia of the shoulder joint (dislocation reduction), arm, elbow, and proximal forearm injuries or amputations (Fig. 8.1). Fig. 8.1…
CHAPTER 9 Lower limb blocks Femoral nerve block (3-in-1 block) Landmark technique A femoral nerve block is easy to master and has a very high success rate even in relatively…
CHAPTER 6 Nerve block regional anaesthesia General principles Nerve block regional anaesthesia is potentially of enormous value in the ED. It is useful both for providing an excellent quality of…
CHAPTER 4 Basic dental and oral local anaesthesia Dental pain is best managed by a dentist because a dentist knows about teeth and most doctors do not. They can also…
CHAPTER 7 Face and neck nerve blocks Nerve blocks in the head and face are useful for the repair of lacerations and for scrubbing and debriding ‘roasties’. Nerve blocks in…
CHAPTER 11 Procedural sedation and analgesia Lara Goldstein Introduction Pain is one of the most common reasons for patients to present to the ED and it is a reasonable expectation…
