Regional Flashcards
Highest point of iliac crests?
L4
Level of umbilicus
T10
level of posterior iliac spines?
S2
Inferior edge of scapula?
T7
First palpable spinous process
C2
Cord ends at what level in adult? Subarachnoid space?
Cord - L2, Subarachnoid space - S2
Most common site for spinal anesthesia?
L3-L4
What causes the physiological response of spinal anesthetic?
preganglionic sympathetic blockade
Spread of local (spinal)?
specific gravity & position, as well as dose, site of injection, etc
PDPH incidence?
2%, headache is postural with relief in the supine position
PDPH treatment?
conservative - hydration, caffeine, analgesics, abdominal binder, sumatriptan (imatrex)
Epidural level determined by what?
How to estimate?
Have T 12- but want T10? How much to give?
VOLUME!!
T12 to T10… 3-4 ccs
Hyperbaric solutions typically contain what?
- Tetracaine, bupivacaine, lidocaine, procaine
Dextrose
Isobaric solutions typically contain what?
-tetracaine, bupivicaine, lidocaine
saline
Hypobaric solutions typically contain what?
-tetracaine, bupivacaine
water (h2o)