Food Animal - Spine, Abdomen, and Perineum Flashcards
what is the difference between an epidural and spinal? (Location)
epidural - S4 - C1 & C1 - C2
spinal - L6 & sacrum
what injection caused the grayed out space to be numed?
caudal epidural
What injection goes into the epidural space where there is no CSF and negative pressure?
Epidural
What injection goes through the dura and into the CSF (subarachnoid space)?
Spinal anesthesia
What is a caudal epidural used for?
Dystopia, C-section, rectal prolapse, vaginal prolapse, uterine prolapse, PU (urolithiasis)
What are the 3 possible locations of a caudal epidural?
Sacroccoccygeal joint
First intercoccygeal joint
Second intercoccygeal joint
When do you stop advancing the needle with a caudal epidural once it is in the intercoccygeal space?
Advance until neg pressure of epidural space sucks down the blob on lidocaine in the hub
What is being done in this image?
Caudal epidural
What is being done here?
Lumbosacral epidural
What are the indications for a lumbosacral epidural?
C section (swine and small ruminants), umbilical surgery, mastectomy, tube cystostomy, painful fracture in rear limb
What procedure numbs the gray area in this image?
Lumbosacral epidural
What procedure blocks sensory and motor to the caudal 1/2 of the body?
Lumbosacral epidural
Where do you inject the needle to aspirate CSF using the lumbosacral technique?
Midline just caudal to a line connecting tuber coxae
What are the different blocks for flank anesthesia?
Line block
Inverted L
Paravertebral block
What two blocks are being preformed here?
Dotted line - line block
Solid line - inverted L
What two blocks are being preformed here?
Top - proximal/dorsal paravertebral
Bottom - distal/lateral “tip”
Which paravertebral block is better for fat/heavily muscled cows vs thin cows?
Proximal/dorsal - fat/heavily muscled
Distal/lateral - thin
What are the landmarks for the proximal/dorsal paravertebral block?
Front of L1 - to get to T13
Back of L1 - to get L1
Back of L2 - to get to L2
What are the landmarks for the distal/tip paravertebral block?
Tip of L1, L2, & L4
What must be done differently for the distal vs proximal paravertebral nerve block?
For distal the spinal nerves have already split into dorsal and ventral branches so equal volume must be above and below
For proximal splits above and below transverse process so inject more volume below transverse process