7. Performing Abdominal Blocks Flashcards

1
Q

most common approach for TAP block

A

lateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

probe placement lateral TAP

A

above and parallel to iliac crest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

needle insertion TAP

A

in-plane approach
medial to probe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

LA insertion location TAP

A

TAP plane
- between internal oblique and transversus abdominis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

subcostal TAP block location

A

inferior to costal margin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

subcostal TAP indication

A

upper abdominal incisions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

probe placement QL block

A

between iliac crest and inferior border of ribcage
where the external oblique and lats contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

QL1

A

lateral QL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

LA placement QL1

A

lateral to the QL muscle
closest to ab muscles
closest to TAP block

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

QL2

A

posterior QL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

LA placement QL2

A

between QL and lats
(posterior to QL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

QL3

A

anterior QL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

needle passes through what in QL3

A

QL muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

LA placement QL3

A

between QL and psoas major

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which block anesthetizes ventral rami of lower thoracic nerves

A

QL3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

pt positioning QL1

A

supine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pt position QL2

A

supine

18
Q

pt position QL3

A

lateral

19
Q

QL muscle looks like

A

flag from flag pole

20
Q

which QL block achieves most cephalad spread

A

QL3

21
Q

QL volume

A

30 mL each side

22
Q

LA placement rectus sheath

A

between rectus muscle and posterior rectus sheath

23
Q

what shouldyou avoid during rectus sheath block

A

inferior and superior epigastric arteries

24
Q

rectus sheath volume 2 point block

A

20 mL each side

25
Q

2 point rectus sheat indication

A

peri-umbilical surgery

26
Q

rectus sheath volume 4 point block

A

20 mL each injection
2 injections per side

27
Q

4 point rectus sheath indication

A

midline laparotomy

28
Q

probe placement rectus sheath

A

transverse on abdomen
lateral to umbilicus

29
Q

needle insertion rectus sheath

A

lateral to medial

30
Q

rectus sheath needle is deep to

A

rectus abdominus

31
Q

rectus sheath needle is superficial to

A

posterior retus sheath

32
Q

rectus sheath volume

A

10 mL each side

33
Q

LA placement ilioinguinal/iliohypogastric

A

between internal oblique and transversus abdominis
(TAP plane)

34
Q

first “pop” ilioinguinal

A

external oblique

35
Q

2nd “pop” ilioinguinal

A

internal oblique

36
Q

difference between ilioinguinal and TAP location

A

ilioinguinal is closer to the ilioinguinal/iliohypogastric nerves

37
Q

does ilioinguinal or TAP require less LA?

A

ilioinguinal

38
Q

proble placement ilioinguinal

A

medial to anterior-superior iliac spine
angled towards umbilicus

39
Q

abdominal block advantages

A
  1. can be performed when neuraxial is CI
  2. preserves bladder
  3. preserves motor
  4. avoids HD instability
  5. lower risk of neuraxial injury
40
Q

abdominal block disadvantages

A
  1. TAP only somatic
  2. higher volume
  3. incr LAST risk
  4. bilateral block required
41
Q

what can you hit if you advance needle too dip

A

bowel

42
Q

abdominal block complications

A
  1. organ damage
  2. bowel perf
  3. transient femoral nerve palsy