16th NYSORA Symposium in NYC

Category

Neuraxial and Perineuraxial Techniques

Epidural Anesthesia and Analgesia
(Part 1 of 2)

Landmark Based

Epidural Anesthesia and Analgesia Introduction Clinical indications for epidural anesthesia and analgesia have expanded significantly over the past several decades. Epidural analgesia is often used to supplement general anesthesia (GA) for surgical procedures in patients of all ages with moderate-to-…

Spinal Anesthesia continued

Landmark Based

Pharmacodynamics Of Spinal Anesthesia The pharmacodynamics of spinal injection of local anesthesia are wide-ranging. The next section reviews the cardiovascular, respiratory, and gastrointestinal consequences of spinal anesthesia. This portion of the chapter focuses on the hepatic and renal effects of…

Spinal Anesthesia

Landmark Based

Introduction with General Considerations & Brief History Carl Koller, an ophthalmologist from Vienna, first described the use of topical cocaine for analgesia of the eye in 1884.[1] William Halsted and Richard Hall, surgeons at Roosevelt Hospital in New York City,…

Caudal Anesthesia – continued

Landmark Based

Caudal Block For Labor Analgesia The sacral canal shares in the general engorgement of extradural veins that occurs in late pregnancy, or in any clinical condition in which the inferior vena cava (IVC) is partially obstructed. Since the effective volume…

Lumbar Plexus Block

Ultrasound Guided

Figure 1: To accomplish the lumbar plexus block, a needle is inserted perpendicular to the skin plane, 4 cm lateral to the midline at the level of L3-L5. Essentials Indications: surgery on the hip, anterior thigh, and knee Landmarks: iliac…

Thoracic Paravertebral Block

Landmark Based, Ultrasound Guided

Authors: Catherine Vandepitte, Tatjana Stopar Pintaric, and Philippe E. Gautier Thoracic paravertebral block (PVB) is a well-established technique for perioperative analgesia in patients having thoracic, chest wall, or breast surgery or for pain management with rib fractures. Ultrasound guidance can…

Spinal and Epidural Block

Ultrasound Guided

Authors: Wing Hong Kwok and Manoj Karmakar Introduction Ultrasound scanning (US) can offer several advantages when used to guide placement of the needle for centroneuraxial blocks (CNBs). It is noninvasive, safe, simple to use, can be performed expeditiously, provides real-time…

Thoraco Lumbar Paravertebral Block

Landmark Based

Overview  Indications: Inguinal hernia surgery, lateral abdominal wall surgery  Landmarks:                      Spinal processes T9-L5 (the number and location of levels chosen for each indication)                      Transverse process  Needle insertion: 2 cm lateral to midline  Target goal: Needle insertion 1 cm past the…

Caudal Anesthesia

Landmark Based

Caudal anesthesia was first described at the turn of last century by two French physicians, Fernand Cathelin and Jean-Anthanase Sicard. The technique predated the lumbar approach to epidural block by several years. By Kenneth D. Candido, MD and Alon Winnie,…

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