Analgesia Respiratory depression Cough suppression Nausea Euphoria Dysphoria Sedation Pruritus Miosis Direct bowel RESPIRATORY DEPRESSION Definition Respiratory depression is most…
DISCIPLINARY ACTIONS BY STATE MEDICAL BOARDS In several studies, physicians have cited state medical board scrutiny as an obstacle to prescribing opioids for pain treatment. The U.S. government’s “war on…
DEFINITION AND HISTORY The first prospective safety study of intrathecal lidocaine was performed by Phillips et al.4 and published in 1968. This study evaluated 10,440 patients (93% obstetric) undergoing spinal…
HISTORY AND CURRENT RELEVANCE As one of the earliest recognized complications of regional anesthesia, MPH has a long and colorful history.6 Dr. August Bier noted this adverse effect in the…
FIGURE 25-1. The Codman 3000 nonprogrammable, implantable intrathecal drug delivery pump. With the Codman system, intermittent injections can be given through a closed tip needle with a needle shaft aperture…
STELLATE GANGLION BLOCK Definition and Scope Complications from stellate ganglion block can arise from inadvertent vascular, epidural, or intrathecal injection (Box 22-3). Needle trauma can result in injuries to vessels…
ERRORS, DEFECTS, AND MISTAKE-PROOFING In manufacturing, the concept of quality includes the making of a product that performs as expected and has zero defects.1 This concept can be applied to…
FIGURE 32-1. Conventional RF lesion. A 10-cm RF cannula with a 5-mm active tip is immersed in egg white and a lesion is carried out at 80°C for 90 seconds….
REGIONAL ANESTHESIA Neuraxial Blocks for Regional Anesthesia Claims A total of 443 claims associated with nonobstetric neuraxial (epidural/spinal blockade) anesthesia in the surgical setting were identified in the ASA Closed…
DEFINITION Neurolytic blocks involve the destruction of a nerve and are commonly performed in patients with severe pain secondary to advanced cancer or occlusive vascular disease, while their use in…
