Definitive guide to ultrasound-guided peripheral nerve blocks (PNBs) and interventional analgesia injectionsBuy
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A 95-year-old patient with a hip fracture and a large supraglottic mass was admitted for surgery. The patient reported no problems after lying supine. Nasal endoscopy showed a large supraglottic mass occupying almost the entire oropharynx and covering the laryngeal entrance without actually causing any airway obstruction.
In the operation room: all preparations for a difficult airway were ready. After premedication with midazolam 1 mg and ketamine 5 mg, Facia iliaca block (30 ml isobaric ropivacaine 0.25%) was performed, followed by spinal anesthesia (ropivacaine 0.75% 1.5 ml – intrathecal) in the lateral position. The operation lasted 1 hour, without additional sedation, the patient was hemodynamically and respiratorily stable the entire time, transferred to a PACU postoperatively.
Sedation and anesthesia can cause a loss in muscle tone leading to a collapse of the airway. Therefore, sedatives should be prescribed with caution in these cases, would you give this patient a sedative and what sedative would you use?
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Practicing sononatomy can be fun and all you need is goodwill, the US, the best model, and the Nysora app.
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Hello! How do i get access to the compendium? The lessons are all locked?
Did you hear such indication for peripherial block/ catheter that for ballismus? To block the moving limb?