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ANESTESIOLOGIA > ANALGESIA Y ANESTESIA EPIDURALES > Flashcards

ANALGESIA Y ANESTESIA EPIDURALES Flashcards

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1
Q

DONDE SE LOCALIZA EL ESPACIO EPIDURAL

A

SE SITUA INMEDIATAMENTE POR FUERA DEL SACO DURAL QUE CONTIENE LA MEDULA ESPINAL Y EL LIQUIDO CEFALORRAQUIDEO

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2
Q

ANATOMIA DEL ESPACIO EPIDURAL

A 
SE DEBE DE ATRAVESAR:
 PIEL
 GRASA SUBCUTANEA
 LIGAMENTO SUPRAESPINOSO
 LIGAMENTO INTERESPINOSO
 LIGAMENTO AMARILLO

EL PUNTO MAS ANCHO SE SITUA A NIVEL E L2 (5mm)

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3
Q

ANESTESICOS LOCALES UTILIZADOS EN LA ANESTESIA EPIDURAL

A

LIDOCAINA
DURACION: 60-90 min
DOSIS MAXIMA CON ADRENALINA: 7mg/kg

BUPIVACAINA
DURACION: 2-3 hrs
DOSIS MAXIMA CON ADRENALINA: 3mg/kg

ROPIVACAINA
DURACION: 2-3hrs
DOSIS MAXIMA CON ADRENALINA: 3mg/kg

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4
Q

DISTANCIA DE LA PIEL AL ESPACIO EPIDURAL

A

ENTRE 4-6cm

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5
Q

GROSOR DEL LIGAMENTO AMARILLO EN SU SEGMENTO LUMBAR

A

PROMEDIO DE 3mm

ENTRE 2-5mm

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6
Q

GROSOR DEL LIGAMENTO SUPRAESPINOSO

A

1cm

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7
Q

ANCHURA DEL ESPACIO EPIDURAL

A

EN L2( MAS ANCHO) 5mm

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ANESTESIOLOGIA (8 decks)

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