Regional Anesthesia Flashcards
What is the initial landmark that should be identified when performing a lateral femoral cutaneous nerve block?
ASIS
What nerve roots contribute to the lateral femoral cutaneous nerve?
L2-L3
What is the medial and lateral landmark for blockade of the lateral femoral cutaneous nerve?
Medial: Sartorius
Lateral: Tensor Fascia Lata
1-2 cm medial and 1-2 cm inferior to ASIS
What is another name for lumbar plexus block?
Psoas compartment block
What are the nerve root contributions of the lumbar plexus?
T12-L4
Nerve root contributions of sciatic nerve?
L4-S3
What two muscles are traversed during infraclavicular block?
Pec Major/Pec Minior
Infraclavicular block targets brachial plexus at the level of the ______?
Cords
True for False: CSF is higher on a cc/kg basis in infants than adults?
True
Where does spinal cord end in infants?
L3/L4
What nerve does the anterior division of L2-L4 form?
Obturator N
What nerve does the posterior division of L2-L4 form?
Femoral N
What cervical branches form the superficial cervical plexus?
Anterior rami fo C2-C4
Which nerve is frequently spared in inter scalene blocks?
Ulnar Nerve
Max dose of bupivacaine without a vasoconstrictor?
2-2.5 mg/kg
Max dose of ropivacaine without vasoconstrictor?
2-3. mg/kg
What is the anatomic location for regional blockage of the glossopharyngeal nerve to block sensation about the epiglottis?
Base of the anterior tonsillar pillar
Where is local anesthetic deposited to block the superior branch of the superior laryngeal nerve?
Between the greater Cornu of the hyoid bone and superior Cornu of thyroid cartilage
In what percentage if patients does ipsilateral diaphragm paresis occur following inter scalene block?
100%
By what % does pulmonary function decrease when diaphragm paresis occurs due to interscalene block?
25%
What are established benefits of thoracic epidural anesthesia?
1) Decreased period of post-operative ileus
2) Decreased pulmonary complications
3) Decreased protein catabolism
What sympathetic block covers pain for pelvic organs?
Superior Hypogastric Plexus
