Subgluteal Sciatic Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Subgluteal Sciatic Block

   Landmarks for the ultrasound-guided subgluteal sciatic nerve block include the greater trochanter (GT) laterally and ischial tuberosity (IT) medially. Caudad to the gluteal crease, the sciatic nerve lies along the…

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Popliteal Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Popliteal Block

   The popliteal crease is identified and marked while the patient flexes the knee. The medial and lateral borders of popliteal fossa are formed by semimembranosus and biceps femoris tendons. The…

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Supraclavicular Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Supraclavicular Block

   Important surface landmarks include the sternocleidomastoid (SCM) and clavicle. The SCM may be identified by asking the patient to turn the head away from the affected side and flex the…

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Interscalene Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Interscalene Block

   A line should be drawn along the posterior border of the SCM. The cricoid cartilage should be identified and a line drawn along a skin crease at this level to…

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Plexus Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Plexus Block

   Draw the intercrestal line between the tops of the iliac crests which intersects the midline at a 90 degree angle. A third line parallel to midline is marked through the…

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Anesthesia in the Anticoagulated Patient

Nov 25, 2016 by in ANESTHESIA Comments Off on Anesthesia in the Anticoagulated Patient

The recommendations in the following tables were adapted from the 2010 Consensus Conference of the American Society of Regional Anesthesia and Pain Medicine, “Regional Anesthesia in the Patient Receiving Antithrombotic…

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Fiber Optic Intubation

Nov 25, 2016 by in ANESTHESIA Comments Off on Fiber Optic Intubation

   Assemble equipment for airway anesthesia and intubation.    Explain procedure and reassure patient. Sedate as appropriate. Administer nebulized lidocaine. Consider antisialogogue. A. Assemble equipment including 4% lidocaine solution, topicalization devices such…

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Epidural Placement

Nov 25, 2016 by in ANESTHESIA Comments Off on Epidural Placement

   Assemble equipment for epidural placement.Explain procedure and reassure patient. Sedation as appropriate.    Patient positioning is critical for successful placement. Instruct the patient to round his/her back to facilitate epidural placement….

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Induction of General Anesthesia

Nov 25, 2016 by in ANESTHESIA Comments Off on Induction of General Anesthesia

(Machine checked, High flow O2).(Suction on, Yankauer catheter at patient’s head).(Monitors on, NIBP every minute, baseline measurement).(Airway equipment ready and available).(IV access and free flow IV with adequate fluid in…

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of Left-Sided Double Lumen Tube

Nov 25, 2016 by in ANESTHESIA Comments Off on of Left-Sided Double Lumen Tube

   Assemble equipment for airway manipulation and intubation.    Explain procedure and reassure patient. Induce general anesthesia (see induction of anesthesia cognitive aid). Place patient in “sniffing” position. A. Assemble equipment including…

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