Local Anaesthetics

Question 0

Techniques of local anaesthesia

Answer 0

• Local infiltration
• Single nerve blocks
• Plexus blocks
• Field blocks
• Spinal block
• Epidural block
• Topical administration
• Intravenous block

Question 1

Contraindications to local anaesthetics

Answer 1

• Known sensitivity (only absolute contraindication)
• Confused patients
• Young patients
• Length of procedure - will LA still e working at the end of the procedure
• Specific medical conditions - eg coagulations problems with spinals/epidurals
• Infection near or at the site of injection - increase absorption and reduces effectiveness of LA

Question 2

Clinical considerations for local anesthesia

Answer 2

• IV access
• Monitoring
• Airway Equipment Available
• Emergency drugs
• Gown and gloves
• Skin prep
• Stimulator, ECG dot, Suitable needle
• Position of the patient
• Reassurance and support of the patient