Peripheral Nerve Blocks
Peripheral Nerve Blocks ▪Common Local Anesthetics Lidocaine 0.5%, 0.75%, 1%, 1.5%, 2%, 4%, 5% Chloroprocaine 1%, 2%, 3% Ropivacaine 0.2%, 0.5%, 0.75%, 1% Mepivacaine 1 %, 1.5%, 2%, 3% Prilocaine…
Cardiovascular
Cardiovascular ▪ACLS 2005 AHA Guidelines VF and Pulseless VT: CPR; manual biphasic 200 J, or monophasic 360 J; intubate; epinephrine 1 mg IV/IO q 3-5 min ◊ 1 (no max)…
Spinals and Epidurals
Spinals and Epidurals ▪General Information Spinal Needles Quincke: Cutting needle; end injection. Whitacre: Pencil point rounded; side injxn; decr incidence of PDSH. Sprotte: Long opening at end; side injxn; increases…
Local Anesthetics
Local Anesthetics ▪Ester Local Anesthetics Metabolized by pseudocholinesterase to PABA; have incr risk of allergy. Procaine (Novocaine) 0.5-1% Onset fast, SDOA 25-30 min, low potency. Spinal, PNB. Cloroprocaine (Nesacaine) 1%-3%…
Pediatric Anesthesiology
Pediatric Anesthesiology ▪General Guidelines for Pediatric Patients General Guidelines Preemie Birth 6 mo 1 yo 2 yo 3 yo 4 yo 5 yo 6 yo 7 yo 8 yo 10…
Obstetric Anesthesia
Obstetric Anesthesia ▪Obstetric Patient and Anesthesia Decr in overall anesthetic requirements; MAC decreased by 40%. Decr gastric motility w/incompetent gastroesophageal junction leads to regurgitation of gastric contents. All OB pts…
Anesthesia Information
Anesthesia Information ▪Anesthesia Gas Machine Check Verify that backup equipment is available and functioning. Ambu bag (with mask) Check flashlight (working?) Suction on and ready Transtracheal Jet Ventilator, and 14…
Pharmacology
Pharmacology ▪Minimal Alveolar Concentration (MAC) Effects of Common Anesthetics on MAC Halothane Isoflurane Enflurane Sevoflurane Desflurane Nitrous Oxide Odor − + − − ++ − MAC 0.75 1.17 1.63 1.80…
Intravenous Fluids
Intravenous Fluids ▪Fluid Maintenance Maintenance rate Maintenance requirements: (4-2-1 Rule) 1-10 kg = 4 cc/kg/hr 40 cc (110 cc for a 70 kg pt) 11-20 kg = 2 cc/kg/hr 20…
