Airway

Aug 24, 2016 by in ANESTHESIA Comments Off on Airway

Figure 17.1. Nasal airway anesthesia. Cotton pledgets soaked with anesthetic are inserted along the inferior and middle turbinates to produce anesthesia of the underlying sphenopalatine ganglion by transmembrane diffusion of…

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Head and Face

Aug 24, 2016 by in ANESTHESIA Comments Off on Head and Face

Figure 18.1. Cutaneous innervation of the head and face. The posterior half of the head is innervated by branches from the dorsal rami of the C2 spinal nerves. The face…

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Ambulatory Surgery

Aug 24, 2016 by in ANESTHESIA Comments Off on Ambulatory Surgery

Figure 22.1. Extent and duration of subarachnoid anesthesia with 40 mg lidocaine or 2-chloroprocaine in volunteers. (Adapted from Kouri ME, Kopacz DJ. Spinal 2-chloroprocaine: a comparison with lidocaine in volunteers….

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Cervical Plexus Blocks

Aug 24, 2016 by in ANESTHESIA Comments Off on Cervical Plexus Blocks

Figure 19.1. Anatomy of deep cervical plexus block. The transverse processes lie under the lateral border of the sternocleidomastoid muscle, each with a distal trough or sulcus that defines the…

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Equipment

Aug 24, 2016 by in ANESTHESIA Comments Off on Equipment

Figure 5.1. The three-ring (“control”) syringe. This adaptation to the plunger of a standard 10-mL syringe allows greater control of injection, easier aspiration, and the opportunity to refill the syringe…

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Complications of Regional Anesthesia

Aug 24, 2016 by in ANESTHESIA Comments Off on Complications of Regional Anesthesia

Figure 3.1. Lack of correlation between patient weight and peak plasma concentration after epidural administration of 400 mg of lignocaine. This same lack of a relationship between patient weight and…

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Paravertebral Block

Aug 24, 2016 by in ANESTHESIA Comments Off on Paravertebral Block

Figure 10.1. Relationship between the spinous processes, transverse processes, and spinal nerves in the lumbar and thoracic spine. The lumbar spinal nerves course caudad to the transverse process of the…

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Intravenous Regional Anesthesia

Aug 24, 2016 by in ANESTHESIA Comments Off on Intravenous Regional Anesthesia

Figure 13.1. Technique for intravenous regional anesthesia. A small intravenous catheter is placed in the hand and the tourniquet is applied to the upper arm. A single tourniquet may be…

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Local Anesthetics

Aug 24, 2016 by in ANESTHESIA Comments Off on Local Anesthetics

Figure 1.1. Typical structures of local ester and amine anesthetic molecules.   where pH is the solution or tissue pH and pKa is the pH at which half the local…

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