Regional Analgesia in the Critically III.
a MEP = motor-evoked potentials, SSEP = somatosensory-evoked potentials. Source: Reprinted with permission from Schulz-Stubner S et al: Crit Care Med 2005;33:1407. Clinical Pearls The most common side effects of…
Teaching Regional Anesthesia.
• Joseph M. Neal, MD I. INTRODUCTION II. PAST & CURRENT TRAINING EXPERIENCE Evolution of Regional Anesthesia Training Accreditation Agency Requirements III. ENRICHING THE EDUCATIONAL EXPERIENCE Assessing Competency Alternatives to…
Three-in-One Block.
Figure 36–1. Relevant anatomy for the 3-in-1 block on sagittal T2-weighted MRI. (A, Anterior; P, posterior; IFV, left femoral vein; UB, urinary bladder.) Figure 36–2. MRI image after administration of…
Analgesic Adjuvants in Neuraxial Anesthesia.
• Spencer S. Liu, MD I. INTRODUCTION II. OPIOIDS Pharmacology Cardiovascular Effects Epidural Space Subarachnoid Space III. VASOCONSTRICTORS Pharmacology Cardiovascular Effects Epidural Space Subarachnoid Space IV. ALPHA2-AGONISTS Pharmacology Cardiovascular Effects…
Digital Block.
• Louis Catalano, MD• Jerry D. Vloka, MD I. INTRODUCTION II. REGIONAL ANESTHESIA ANATOMY III. EQUIPMENT IV. TECHNIQUE Block of Volar & Dorsal Digital Nerves at the Base of the…
Newer Amide Anesthetics & Sustained-Release Local Anesthetics1.
• Leslie C Th omas, MD• Alan C Santos, MD I. NEWER AMIDE LOCAL ANESTHETICS Introduction Historical Perspective Chirality Physicochemical Properties Pharmacokinetics Systemic Toxicity Comparative Systemic Toxicity The Controversy Regarding…
Stimulating Catheters.
Figure 49–1. The first step is nerve localization techniques identical to those with nonstimulating catheters. Shown here is the needle insertion for femoral nerve block. Figure 49–2. Once the nerve…
Cervical Paravertebral Block.
Figure 24-1. Anatomic considerations for cervical paravertebral block. 1 = Anterior scalene muscle; 2 = Middle scalene muscle; 3 = Brachial plexus; 4 = Phrenic nerve; 5 = Stellate ganglion;…
