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Study sets matching "neuraxial anesthesia"

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Study sets matching "neuraxial anesthesia"

57 terms
Neuraxial anesthesia
BEST treatment for nausea after high s…
Risk factors for nausea and vomiting a…
What is the primary mechanism of Nause…
Pregnant woman going to have elective…
Atropine
High block (above T5)... Hypotension... Opioid administration... Hx Mo…
***Unopposed Vagal activity after sympathetic blockade --> In…
Glycopyrrolate as it does NOT cross the placenta to the exten…
BEST treatment for nausea after high s…
Atropine
Risk factors for nausea and vomiting a…
High block (above T5)... Hypotension... Opioid administration... Hx Mo…
30 terms
Neuraxial Anesthesia
Dermatome level with loss of sensation…
Dermatome level with loss of sensation…
Dermatome level with loss of sensation…
Dermatome level with loss of sensation…
T6
T8
T10
L1
Dermatome level with loss of sensation…
T6
Dermatome level with loss of sensation…
T8
144 terms
Neuraxial Anesthesia
Where does the spinal canal begin and…
The spinal cord ends at what spinal le…
Anterior bone anatomy of the vertebrae
Posterior bone anatomy of the vertebrae
Foramen magnum... Sacral hiatus
L1-L2, ... Conus Medullaris... Cauda equina
Anterior - vertebral body, and disc
Posterior... Ring containing the spinal cord ... (body, pedicles, l…
Where does the spinal canal begin and…
Foramen magnum... Sacral hiatus
The spinal cord ends at what spinal le…
L1-L2, ... Conus Medullaris... Cauda equina
47 terms
Neuraxial Anesthesia
How and where do epidural and spinal i…
Which pain fibers and neurotransmitter…
What is the dominant receptor in spina…
Epidural space extends from the forame…
by suppressing transmission of pain impulses, namely neurotra…
They block substance P from C fibers and glutamate from A-del…
the dominant receptor in spinal analgesia is the mu-2 receptor.
sacral hiatus.
How and where do epidural and spinal i…
by suppressing transmission of pain impulses, namely neurotra…
Which pain fibers and neurotransmitter…
They block substance P from C fibers and glutamate from A-del…
360 terms
OB Anesthesia/ Neuraxial Anesthesia
Cervical and lumbar curves are ___ ant…
thoracic and sacral curves are ___ ant…
When supine the low points are
C7 is the most prominent palpated midl…
convex
concave
T5 to T6 and S2 (Valley says T6)
neck
Cervical and lumbar curves are ___ ant…
convex
thoracic and sacral curves are ___ ant…
concave
37 terms
Neuraxial Anesthesia
Spinal canal extends from where to whe…
Where does the spinal cord end?
The group of nerves that extend off th…
Biggest portions of spinal column, mos…
Foramen magnum to sacral hiatus
L1 to L2 (conus medullaris - tapered end of spinal cord)
cauda equina
vertebral bodies
Spinal canal extends from where to whe…
Foramen magnum to sacral hiatus
Where does the spinal cord end?
L1 to L2 (conus medullaris - tapered end of spinal cord)
46 terms
Neuraxial Anesthesia
Vertebral Column Curves
Spinal Ligaments
Supraspinous Ligament
Interspinous Ligament
Convex Anteriorly... • C5 high point → cervical curvature... • L3 h…
Supraspinous, Interspinous, Ligamentum Flavum, Longitudinal L…
• a strong, fibrous cord running vertically & connecting apic…
• it is a thin ligament blending anteriorly with the ligament…
Vertebral Column Curves
Convex Anteriorly... • C5 high point → cervical curvature... • L3 h…
Spinal Ligaments
Supraspinous, Interspinous, Ligamentum Flavum, Longitudinal L…
45 terms
Neuraxial Anesthesia
The spine consists of _______ vertebra…
Locations of : ... C7/Vertebra prominens…
Lumbar curvature is located at approxi…
What are the 5 ligaments that stabiliz…
The spine consists of 33 vertebrae... 7 cervical... 12 thorac…
Vertebra prominens/C7: distinctive long and prominent spino…
L3/4... T6
Supraspinous (sacrum to C7)... Ligamentum nuchae (c7 to skul…
The spine consists of _______ vertebra…
The spine consists of 33 vertebrae... 7 cervical... 12 thorac…
Locations of : ... C7/Vertebra prominens…
Vertebra prominens/C7: distinctive long and prominent spino…
28 terms
Neuraxial Anesthesia
What are the boundaries of the epidura…
What are the contents of the epidural…
What tissue does a needle pass through…
Where does the spinal cord end for inf…
Ant.: posterior dura... Lat: vertebral pedicles & foramina... Post:…
spinal nerve roots... venous plexus... arteries... fat, connective tis…
Skin... SubQ fat... Supraspinous ligament... Interspinous ligament... Lig…
Infants: L3... Adults: L1
What are the boundaries of the epidura…
Ant.: posterior dura... Lat: vertebral pedicles & foramina... Post:…
What are the contents of the epidural…
spinal nerve roots... venous plexus... arteries... fat, connective tis…
126 terms
Techniques: Neuraxial Anesthesia
Cervical 7... Thoracic 12... Lumbar 5... Sacral…
9
AKA Atlas... 1. No body... 2. No Spine... 3. A…
AKA axis... It has odontoid process (aka…
How many vertebrae in each section of the spine? Total?
How many fused vertebrae does a human have?
1st cervical vertebra (aka ____) has what four characteristics?
2nd cervical vertebra (aka ____) has what special characteris…
Cervical 7... Thoracic 12... Lumbar 5... Sacral…
How many vertebrae in each section of the spine? Total?
9
How many fused vertebrae does a human have?
35 terms
Neuraxial anesthesia: Anatomy and Physiology
Where does CSF flow?
Who successfully did the first spinal…
How many vertebrae are there?
What is common to all vertebrae?
Lushes F** 3 And 4 Men Leisurely... L-Lateral... F-Foramen of monr…
Bier in 1898
33 total:... 7 Cervical... 12 Thoracic... 5 Lumbar ... 5 Sacral (fused)... 5…
The anterior cylindrical portion known as the body
Where does CSF flow?
Lushes F** 3 And 4 Men Leisurely... L-Lateral... F-Foramen of monr…
Who successfully did the first spinal…
Bier in 1898
72 terms
Anesthesia - Regional & Neuraxial
What would be the difference/effect if…
Describe the myelination/nonmyelinatio…
Where does sympathetic chain run?
Where are the cardioaccelerator fibers?
Anterior nerve roots carries motor and sympathetic outflow... Po…
A-alpha thick myelinated (motor)... A delta thin myelinated (pai…
T1-L2
T1-T4
What would be the difference/effect if…
Anterior nerve roots carries motor and sympathetic outflow... Po…
Describe the myelination/nonmyelinatio…
A-alpha thick myelinated (motor)... A delta thin myelinated (pai…
52 terms
Anatomy for Neuraxial Anesthesia
what is the risk during a scalene block?
how many cervical vertebrae are there?
how many thoracic vertebrae are there?
how many lumbar vertebrae are there?
hitting the vertebral artery. there would be very few CNS sym…
7
12
5
what is the risk during a scalene block?
hitting the vertebral artery. there would be very few CNS sym…
how many cervical vertebrae are there?
7
52 terms
Anatomy for Neuraxial Anesthesia
what is the risk during a scalene block?
how many cervical vertebrae are there?
how many thoracic vertebrae are there?
how many lumbar vertebrae are there?
hitting the vertebral artery. there would be very few CNS sym…
7
12
5
what is the risk during a scalene block?
hitting the vertebral artery. there would be very few CNS sym…
how many cervical vertebrae are there?
7
69 terms
Math and Anatomy of neuraxial anesthesia
How many mcg's of Epi in a 1:200K solu…
How many mcg's of Epi in a 1:100K solu…
How many mcg's of Epi in a 1:250K solu…
How many mcgs of Epi in a 1:300K solut…
5mcg/ml
10mcg/ml
4mcg/ml
3.3mcg/ml
How many mcg's of Epi in a 1:200K solu…
5mcg/ml
How many mcg's of Epi in a 1:100K solu…
10mcg/ml
69 terms
Math and Anatomy of neuraxial anesthesia
How many mcg's of Epi in a 1:200K solu…
How many mcg's of Epi in a 1:100K solu…
How many mcg's of Epi in a 1:250K solu…
How many mcgs of Epi in a 1:300K solut…
5mcg/ml
10mcg/ml
4mcg/ml
3.3mcg/ml
How many mcg's of Epi in a 1:200K solu…
5mcg/ml
How many mcg's of Epi in a 1:100K solu…
10mcg/ml
48 terms
basics2: neuraxial anesthesia
Two "pops" should be felt before reach…
One "pop" should be felt before reachi…
The blood supply to the spinal cord an…
The anterior and posterior spinal arte…
Flavum; dura-arachnoid
Flavum
Single; paired
Unilateral; left
Two "pops" should be felt before reach…
Flavum; dura-arachnoid
One "pop" should be felt before reachi…
Flavum
51 terms
PAP V Neuraxial Anesthesia
What are the absolute contraindication…
Dermatome T4 corresponds with what lan…
Dermatome T6 corresponds with what lan…
Dermatome T10 corresponds with what la…
1. Hypovolemia... 2.Coagulation disorders... 3. Patient refusal... Ot…
Nipple line
Xyphoid process
Umbilicus
What are the absolute contraindication…
1. Hypovolemia... 2.Coagulation disorders... 3. Patient refusal... Ot…
Dermatome T4 corresponds with what lan…
Nipple line
88 terms
Local Anesthetics and Neuraxial Anesthesia
Only non-synthetic local anesthetic
First available local anesthetic used…
Anesthetic that came around WWII, Safe…
Fat soluble part of LA's responsible f…
Cocaine
Procaine
Liodcaine
lipophilic end
Only non-synthetic local anesthetic
Cocaine
First available local anesthetic used…
Procaine
38 terms
NURA 833: Neuraxial Anesthesia
The principal site of action for neura…
What lab would be necessary to check b…
Absolute contraindications to neuraxia…
Which type of neuraxial anesthesia pro…
nerve root
Coags (PT/PTT)
Patient refusal, localized infection at the skin site, genera…
Spinal
The principal site of action for neura…
nerve root
What lab would be necessary to check b…
Coags (PT/PTT)
116 terms
Neuraxial Blocks: Regional Anesthesia
List how many nerves there are at the…
Does the C-1 spinal nerve exit above o…
Does the C-8 spinal nerve exit above o…
The terminal portion of the spinal cor…
Cervical: 8... Thoracic: 12... Lumbar: 5... Sacral: 5... *Coccyge…
Above
Below
Conus medullaris
List how many nerves there are at the…
Cervical: 8... Thoracic: 12... Lumbar: 5... Sacral: 5... *Coccyge…
Does the C-1 spinal nerve exit above o…
Above
101 terms
Principles: Neuraxial Anesthesia
What is regional anesthesia?
What is neuraxial anesthesia?
Are there any surgeries that require r…
What is the goal of regional anesthesia?
The loss of sensation in a region of the body produced by app…
local anesthetic placed around the nerves of the central nerv…
No
block pain transmission from areas of injury, disease or surg…
What is regional anesthesia?
The loss of sensation in a region of the body produced by app…
What is neuraxial anesthesia?
local anesthetic placed around the nerves of the central nerv…
84 terms
Regional: Neuraxial Anesthesia (unfinished)
How many cervical, thoracic, lumbar, a…
Where does the spinal cord end?
Where does the dura mater attach and e…
Where do the spinal nerves exit?
C-8... T-12... L-5... S-5... Coccygeal nerve
L1-L2
Attached superiorly to the foramen magnum... Ends at S1 and S2 v…
The intervertebral foramina (in pedicles)
How many cervical, thoracic, lumbar, a…
C-8... T-12... L-5... S-5... Coccygeal nerve
Where does the spinal cord end?
L1-L2
80 terms
regional anesthesia: neuraxial
the spinal canal goes from where to wh…
the spinal cord ends at ________.
what portion of the spine connects wit…
what is the portion of bone, that conn…
foramen magnum to the sacral hiatus
L1-L2
transverse process.
lamina
the spinal canal goes from where to wh…
foramen magnum to the sacral hiatus
the spinal cord ends at ________.
L1-L2
73 terms
Neuraxial Anesthesia (73 cards)
According to the ABA, obesity increase…
What is the dermatomal level of the ni…
What is the dermatomal level of the xi…
What is the dermatomal level of the um…
Not according to Miller.
T4
T6
T10
According to the ABA, obesity increase…
Not according to Miller.
What is the dermatomal level of the ni…
T4
35 terms
Neuraxial Anesthesia Anatomy
How many cervical vertebrae are there?
How many Thoracic vertebrae are there?
How many Lumbar vertebrae are there?
How many Sacral Vertebrae are there?
7
12
5
5 fused
How many cervical vertebrae are there?
7
How many Thoracic vertebrae are there?
12
33 terms
Narcotics 3 - Neuraxial Anesthesia
Opioid receptors are present in the __…
Opioids in regional are very effective…
Opioids in regional are NOT associated…
Epidural -- uptake into ______ and the…
Present in the substansia gelantinosa of the spinal cord an…
visceral
-sympathetic nervous system denervation... -skeletal muscle weak…
Uptake into the epidural fat and then systemic absorption…
Opioid receptors are present in the __…
Present in the substansia gelantinosa of the spinal cord an…
Opioids in regional are very effective…
visceral
Neuraxial Anesthesia for C-section
How do H&P and preanesthetic assessmen…
What is the minimum level block needed…
What is the minimum level block needed…
What are the 3 drugs that should be gi…
no difference
minimum=T6... preferred=T4
T10
1) nonparticulate antacid (Bicitra)... 2) metoclopramide (Reglan…
How do H&P and preanesthetic assessmen…
no difference
What is the minimum level block needed…
minimum=T6... preferred=T4
133 terms
Regional Anesthesia Notes- Neuraxial Blockade
Medications for thromboprophlaxis of t…
Thrombophylaxis for general surgery
Medications for Acute coronary syndrom…
Major complication of anticoagulant th…
UFH, LMWH [ardeparin sodium(Normoflo), dalteparin sodium(Frag…
UFH, LMWH [dalterparin sodium (Fragmin) or enoxaparin sodium…
LMWH [enoxaparin sodium (Lovenox), dalteparin sodium (Fragmin…
Bleeding... Intraspinal, intracranial, intraocular, retroperito…
Medications for thromboprophlaxis of t…
UFH, LMWH [ardeparin sodium(Normoflo), dalteparin sodium(Frag…
Thrombophylaxis for general surgery
UFH, LMWH [dalterparin sodium (Fragmin) or enoxaparin sodium…
164 terms
Regional exam 2 neuraxial anesthesia
The spinal canal runs from the ____ __…
Where does the spinal cord begin?
Where does the spinal cord end?
What is the primary site for neuraxial…
Foramen magnum... sacral hiatus
At the medulla oblongata
L1-2 conus medullaris->cauda equina
The lumbar vertebral column
The spinal canal runs from the ____ __…
Foramen magnum... sacral hiatus
Where does the spinal cord begin?
At the medulla oblongata
387 terms
Neuraxial Anesthesia (Principles IV): Exam I
What is the site of action for spinal…
Which requires a large volume of LA: e…
Blockade of the anterior (ventral) ner…
Blockade of the posterior (dorsal) ner…
the nerve root
epidural b/c epidural space is a potential space that is larg…
blockade of efferent (motor) and autonomic transmission
loss of somatic and visceral impulses
What is the site of action for spinal…
the nerve root
Which requires a large volume of LA: e…
epidural b/c epidural space is a potential space that is larg…
51 terms
neuraxial anesthesia slides 1-50
What are the benefits of neuraxial ane…
What are the benefits of neuraxial ane…
True/False? It's postulated the benefi…
True/False?... Neuraxial anesthesia will…
Reduction in perioperative morbidity and mortality... Decreased…
Blunting of the stress response is particularly helpful in pa…
True
True... Resulting in decreased post op pain, improved ventilatio…
What are the benefits of neuraxial ane…
Reduction in perioperative morbidity and mortality... Decreased…
What are the benefits of neuraxial ane…
Blunting of the stress response is particularly helpful in pa…
36 terms
M5 Regional and Neuraxial Anesthesia
Order of structures -> intrathecal inj…
Anterior vs posterior nerve roots
Differential blockade
Sensitivity of nerve fibers to local a…
supraspinous ligament -> interspinous ligament -> ligamentum…
- Anterior: motor and sympathetic ouflow... - Posterior: somatic…
Ex: hyperbaric local anesthetic ->... 1. cephalad -> lower conce…
In theory (but C fibers more resistant to A-alpha....):... Large…
Order of structures -> intrathecal inj…
supraspinous ligament -> interspinous ligament -> ligamentum…
Anterior vs posterior nerve roots
- Anterior: motor and sympathetic ouflow... - Posterior: somatic…
30 terms
Neuraxial Anesthesia 3, Regional Exam 2
What is used to add rigidity and preve…
What type of needle is commonly used f…
Is a spinal a single shot or continuou…
If a spinal is performed above the lev…
Introducer
Pencil point needle
Single shot
Cord damage
What is used to add rigidity and preve…
Introducer
What type of needle is commonly used f…
Pencil point needle
224 terms
Regional Test 2: Neuraxial Anesthesia
The spinal canal runs from what superi…
The spinal cord ends at what level?
What is the termination point of the s…
What is the bundle of spinal nerves fl…
Foramen Magnum... Sacral Hiatus
L1-L2
Conus Medullaris
Cauda Equina
The spinal canal runs from what superi…
Foramen Magnum... Sacral Hiatus
The spinal cord ends at what level?
L1-L2
8 terms
GA / neuraxial anesthesia on thermoregulation
how impair thermoregulation
so?
central integrator
what is interthreshold rnage
dose dependent manner
hypothermia in perioperative period
hypothalamus
core temp range ... dose not induce automonic thermoregulatory…
how impair thermoregulation
dose dependent manner
so?
hypothermia in perioperative period
18 terms
neurologic complications of pregnancy & neuraxial anesthesia
what are common nerve palsies related…
what is the most common cause of OB fo…
ways to minimize peripheral nerve dama…
what are the 4 classifications of CNS…
1.Compression of the Lumbosacral Trunk-(results from Cephalop…
Compression of lumbosacral trunk... Meralgia paresthetica
- watchful of pt positioning... - avoid prolonged lithotomy... - hi…
traumatic... infective... ischemic... chemical
what are common nerve palsies related…
1.Compression of the Lumbosacral Trunk-(results from Cephalop…
what is the most common cause of OB fo…
Compression of lumbosacral trunk... Meralgia paresthetica
19 terms
neurologic complications of pregnancy & neuraxial anesthesia
what are the 6 peripheral nerve palsies?
what is the most common cause of PP fo…
which nerve palsy causes weakness of h…
which nerve palsy causes diminished or…
compression of LS trunk; obturator nerve palsy; fem nerve pal…
compression of Lumbosacral trunk from cephalopelvic dispropor…
obturator nerve palsy... cause: CPD
femoral nerve palsy
what are the 6 peripheral nerve palsies?
compression of LS trunk; obturator nerve palsy; fem nerve pal…
what is the most common cause of PP fo…
compression of Lumbosacral trunk from cephalopelvic dispropor…
17 terms
Neurologic Complications of Pregnancy and Neuraxial Anesthesia
Les lésions neurologiques d'origine ob…
Quelles sont les principales lésions n…
La compression du tronc lombo-sacrée p…
Quelles situation obstétricales causen…
Vrai: Postpartum nerve injury is often assumed to be due to n…
(1) Compression of the Lumbosacral Trunk ... (2) Obturator Nerve…
Médial, nerf péronéen.
(1) Disproportion céphalopelvienne... (2) Travail prolongé... (3) A…
Les lésions neurologiques d'origine ob…
Vrai: Postpartum nerve injury is often assumed to be due to n…
Quelles sont les principales lésions n…
(1) Compression of the Lumbosacral Trunk ... (2) Obturator Nerve…
30 terms
Neuraxial Anesthesia 3, Regional Exam 2 copied
What is used to add rigidity and preve…
What type of needle is commonly used f…
Is a spinal a single shot or continuou…
If a spinal is performed above the lev…
Introducer
Pencil point needle
Single shot
Cord damage
What is used to add rigidity and preve…
Introducer
What type of needle is commonly used f…
Pencil point needle
45 terms
5A. Regional Anesthesia: Central Neuraxial Blockade
indications of regional anesthesia
contraind. of regional anesthesia?
epidural anesth
spinal anesthes.
- maintain clear mental status during surgery... - postop pain c…
...
...
...
indications of regional anesthesia
- maintain clear mental status during surgery... - postop pain c…
contraind. of regional anesthesia?
...
84 terms
Anesthesia Pharm Test II - Opioids and Neuraxial Opioids
Which opioid is the best choice for a…
How is remifentanil metabolized?
If you want rapid recovery after a cas…
Which opioid is commonly used in termi…
Alfentanil
Nonspecific plasma and tissue esterases
Remifentanil - allows for quick awakening, then you can choos…
Dilaudid - high potency and low side effects
Which opioid is the best choice for a…
Alfentanil
How is remifentanil metabolized?
Nonspecific plasma and tissue esterases
64 terms
Neuro complications of preg/Neuraxial anesthesia (AP1)
What are most nerve injuries related to
___% of women experience transient neu…
What are 3 causes of nerve injury
What are 5 obstetrical causes of nerve…
stretch or compression from lumbar sacral plexus --> too comf…
20%... (only 1 in 500 is clinically significant)
1) neural block... 2) secondary to childbirth process... 3) co-inci…
1) compression in pelvis from fetal head... 2) prolonged labor... 3…
What are most nerve injuries related to
stretch or compression from lumbar sacral plexus --> too comf…
___% of women experience transient neu…
20%... (only 1 in 500 is clinically significant)
60 terms
Neuraxial Anesthesia PA exam 4 (thru sl 49)
what do the Anterior and posterior lon…
where does the Supraspinous ligament r…
where does the Interspinous ligament r…
where does the ligamentum flavum run a…
Anterior and posterior longitudinal ligaments
base of skull to sacrum- tips of spinous process... tight
Interspinous ligament. crunchy
foramen magnum to sacral hiatus... the pop
what do the Anterior and posterior lon…
Anterior and posterior longitudinal ligaments
where does the Supraspinous ligament r…
base of skull to sacrum- tips of spinous process... tight
76 terms
Neurologic Complications of Pregnancy and Neuraxial Anesthesia: OB
Obstetric Surveys Limitations:
Nonobstetric Surveys Limitations:
Peripheral Nerve Palsies (6)
Compression of the Lumbosacral Trunk
-Poor Response rate... -Positive Reporting bias... -Absence of cont…
-Questionable validity in extrapolating results from non-OB p…
1) Compression of the Lumbosacral Trunk... 2) Obturator Nerve Pa…
-Most common cause of postpartum foot drop.... -Results from cep…
Obstetric Surveys Limitations:
-Poor Response rate... -Positive Reporting bias... -Absence of cont…
Nonobstetric Surveys Limitations:
-Questionable validity in extrapolating results from non-OB p…
64 terms
Neuro complications of preg/Neuraxial anesthesia (AP1)
What are most nerve injuries related to
___% of women experience transient neu…
What are 3 causes of nerve injury
What are 5 obstetrical causes of nerve…
stretch or compression from lumbar sacral plexus --> too comf…
20%... (only 1 in 500 is clinically significant)
1) neural block... 2) secondary to childbirth process... 3) co-inci…
1) compression in pelvis from fetal head... 2) prolonged labor... 3…
What are most nerve injuries related to
stretch or compression from lumbar sacral plexus --> too comf…
___% of women experience transient neu…
20%... (only 1 in 500 is clinically significant)
32 terms
Neuraxial Anesthesia PA exam 4 (sl 50- end)
subdural neuraxial misplacement compli…
acute onset of neuraxial hematoma, tra…
post dural puncture headache caused by…
PDPH avoidance and treatment
delayed onset, high, dense, patchy
sensory/motor s/s leg & back pain, +/- sphnicter dysfunction…
PDPH- dural knick or tear with epidural placement. ... bilateral…
decrease with small gauge, pencil-point needle, bevel paralle…
subdural neuraxial misplacement compli…
delayed onset, high, dense, patchy
acute onset of neuraxial hematoma, tra…
sensory/motor s/s leg & back pain, +/- sphnicter dysfunction…
37 terms
neuro comps of pregnancy & neuraxial anesthesia (AP1- exam 2)
____% of women experience transient ne…
T/F- incidence is similar between epid…
numbness on anterolateral thigh that i…
loss of sensation and/or paresthesia a…
20%
TRUE- 35-36 per 10,000
lateral femoral cutaneous nerve palsy (L2-L3)
lumbosacral plexus palsy (L1-S4)
____% of women experience transient ne…
20%
T/F- incidence is similar between epid…
TRUE- 35-36 per 10,000
19 terms
Chapter 76: American Society of Regional Anesthesia and Pain Medicine (ASRA) Guidelines: Neuraxial Anesthesia and Anticoagulation
Why are epidural bleeds more common?
How does spinal hematoma present?
When is spinal ischemia reversible and…
When should heparin be given relative…
Prominent epidural venous plexus
Progression of sensory and motor block, bowel and bladder dys…
Laminectomy within 8 hours with 38% with partial or complete…
Placement 1 hour before heparin... Removal 2-4 hours after last…
Why are epidural bleeds more common?
Prominent epidural venous plexus
How does spinal hematoma present?
Progression of sensory and motor block, bowel and bladder dys…
12 terms
Neuraxial Fentanyl
What receptors does Fentanyl affect?
How can Fentanyl affect the spread of…
What are the 3 most important factors…
What are the two main factors that det…
Fentanyl has strong affinity for mu receptors
Fentanyl is hypobaric and thus can cause the level of anesthe…
Concentration... Baricity... Gravity
Lipid solubility... Volume
What receptors does Fentanyl affect?
Fentanyl has strong affinity for mu receptors
How can Fentanyl affect the spread of…
Fentanyl is hypobaric and thus can cause the level of anesthe…
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