A review of material for test 3. Contains spinal, epidural and combined technique. Not a whole lot from the last week's ppt as Vince really didn't cover it.
L1- L2
L3
L5
Sacral Hiatus
L1-L2
L3
L5
Sacral Hiatus
No, they are at increases risk for dural puncture headache.
Yes, this is considered a safe level of sympathetic blockade.
No, the patient is at risk for profound bradycardia
No, the level of blockade. is inadequate.
No, they are at increases risk for dural puncture headache.
Yes, this is considered a safe level of sympathetic blockade.
No, the patient is at risk for profound bradycardia.
No, the level of blockade is inadequate.
Nope, amount of anesthetic used will stay the same.
You will require more anesthetic to reach the desired effect.
This is a contraindication to epidural anesthesia, I would not do the block.
I would expect to use less anesthetic.
T8, T12
T 6, T8
T12, L2
T12, T8
Mrs. A what has severe mitral stenosis.
Mr. B who has advanced HIV disease.
Mrs. C who suffers from scoliosis.
Mr. D who will have a long procedure.
C7
T7
L3
L1
Ependymal cells of choroid plexus
Enterochromatic cells in ventricular system
In the aquaduct of Sylvius in the 4th ventricle
In the lymphatic system
Post Central Gyrus
White matter of spinal cord
Precentral Gyrus
Dorsal Root
24
29
30
31
Ventral Root
Dorsal Root
Unmyelinated fibers of White Matter
Epineurium
Sympathetic chain
In the organ they innervate
Intermediolateral gray matter
Sacral nerves
Norepinephrine
Acetylcholine
Serotonin
Dopamine
Norepinephrine
Glutamate
Dopamine
Acetylcholine
C fibers of sympathetic system
Alpha delta fibers of sympathetic system
B fibers of sympathetic system
Alpha delta fibers of parasympathetic system
Administer 100% O2
Administer Atropine
Administer Glycopyrolate
Administer Epinephrine
Contour of Spinal Cord
Dosage of LA used
Cardiac status of pt
Intrabdominal pressure
Isobaric
Semibaric
Hyperbaric
Hypobaric
By adding glucose to increase the density
By mixing equal parts LA and CSF
By adding 6-8ml of sterile water
None of above
By adding glucose to increase the density
By mixing equal parts LA and CSF
By adding 6-8ml of sterile water
None of above
Supine with head slightly up
Supine with head slightly down
Supine level
Lateral decubitus position
The level of your blockade will be lower due to increased intrabdominal pressure
Level of blockade will not be effected
Spinal anesthesia is contraindicated for this patient
The level of blockade will be higher due to increased intrabdominal pressure
Prepare your standard monitors, but you do not need your GA drugs drawn up
Draw up only the medications necessary for a MAC case
Prepare your room exactly as you would for a GA case
Epinephrine 0.1-0.2 mg
Phenylephrine 2-5mg
Ephedrine 5mg
Atropine .3-.5 mg