• Marta Putzu, MD I. INTRODUCTION II. PRINCIPLES OF MULTISTIMULATION III. CLINICAL ADVANTAGES IV. MULTIPLE STIMULATION & THE RISK OF NERVE INJURY V. CLINICAL EXAMPLES Brachial Plexus Block Interscalene Brachial…
• Paul Hobeika, MD• Douglas Unis, MD• Jerry D. Vloka, MD I. INTRODUCTION II. INDICATIONS & CONTRAINDICATIONS III. FUNCTIONAL ANATOMY OF WRIST BLOCK IV. ANATOMIC LANDMARKS V. EQUIPMENT VI. TECHNIQUE…
Figure 31-1. Cutaneous innervation of the upper extremity. Actual patients demonstrate large variation in the depicted pattern of innervation and have significant crossover between nerves. This chapter discusses individual nerve…
• Steven Deschner, MD I. INTRODUCTION II. MORPHOLOGIC ORGANIZATION OF PERIPHERAL NERVOUS SYSTEM III. NERVE FIBERS Classification of Nerve Fibers: Axon Diameter, Myelination, Conduction Velocity IV. AXONS V. SCHWANN CELLS…
where E = required stimulating current, K = constant, Q = minimal required stimulation current, and r= distance between electrode and nerve. Empirically, motor response to stimulation with current below…
• Brian A. Williams, MD I. INTRODUCTION II. INTRAOPERATIVE BENEFITS OF REGIONAL ANESTHESIA III. POSTOPERATIVE BENEFITS OF REGIONAL ANALGESIA Cardiovascular Morbidity Coagulation-Related Morbidity Gastrointestinal Morbidity Pulmonary Morbidity Patient-Oriented Outcomes “Epidural…
Adequacy of postoperative pain control is one of the most important factors in determining when a patient can be safely discharged from a surgical facility and has a major influence…
Preoperative block placement is ideal and does not require a designated block room (Figure 65-1); the monitoring capabilities and availability of staff make the postanesthesia care unit (PACU) a reasonable…
• Jerry D. VIoka, MD I. INTRODUCTION Indications & Contra indications Functional Anatomy Choice of Local Anesthetic II. LATERAL FEMORAL CUTANEOUS NERVE BLOCK General Considerations Distribution of Anesthesia Patient Positioning…
Figure 33–1. Psoas muscle (1) is shown exposed from within abdominal cavity with lumbar plexus branches (2, 3). Distribution of Anesthesia Injection of local anesthetic during lumbar plexus block most…
