Konica Minolta

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Techniques

Bier Block

Techniques

Figure 1: Intravenous regional anesthesia: Injection of local anesthetic and placement of the tourniquet. Essentials Indications: short operative procedures for the extremities; pain therapy (e.g., treatment of recurrent complexpain    syndrome); treatment of hyperhidrosis Local anesthetic: 12-15 mL of 2% lidocaine…

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…

Interscalene Brachial Plexus Block

Upper Extermity

Figure 1: Needle insertion for interscalene brachial plexus block. The needle is inserted between palpating fingers that are positioned in the scalene groove (between anterior and middle scalene muscles). 1 = sternal head of the sternocleidomastoid muscle. 2 = clavicular…

Cervical Plexus Block

Upper Extermity

Figure 1: Needle insertion for superficial cervical plexus block. The needle is inserted behind the posterior border of the sternocleidomastoid muscle. Essentials Indications: carotid endarterectomy, superficial neck surgery Landmarks: mastoid process, sternocleidomastoid muscle, C6 transverse process Equipment, superficial: 1½-in, 25-gauge…

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…

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