Term
| What 5 factors affect the height of epidural blockade? |
|
Definition
Dosage
Location of epidural catheter
Age of patient
Weight
Vasoconstrictor use |
|
|
Term
| What patients would you use a reduced dose of local anesthetic for epidurals? |
|
Definition
Elderly
Pregnant
Morbidly obese |
|
|
Term
| Epidural blocks are dependent on _______ and therefore __________ of the patient is important to anesthetic spread. |
|
Definition
gravity (could also be volume)
positioning |
|
|
Term
| Does epidural or spinal anesthetics have more abrupt sympathetic blockad? How does this manifest? |
|
Definition
|
|
Term
| An OB patient has a great left unilateral epidural block. What should be done to improve this block? |
|
Definition
| Roll her on her her right to improve the spread to the right. |
|
|
Term
| The _______ scale is used to assess whether or not a patient with an epidural block can ambulate. What action can the patient perform if he/she has 33% lower extremity blockade. |
|
Definition
Bromage
Just able to flex knees, still full flexion of feet |
|
|
Term
Caudal blocks are performed in this space:
and more specifically, the _____ hiatus |
|
Definition
|
|
Term
| Local anesthetic spread in caudal blocks is: |
|
Definition
|
|
Term
| Caudal blocks are beneficial in what types of surgeries? |
|
Definition
Groin
Perineal
Lower Limbs
Lower back pain syndromes
Pediatrics |
|
|
Term
|
Definition
Triangular shaped bone
5 fused vertebrae
articulates with L5 and coccyx
Anterior rami pass through S1-4
|
|
|
Term
| Placing a needle in what area of the sacrum provides direct access to the epidural space? |
|
Definition
| sacral hiatus - S4/5 through the sacrococcygeal ligament |
|
|
