Regional Anesthesia Flashcards

1
Q

What is the initial landmark that should be identified when performing a lateral femoral cutaneous nerve block?

A

ASIS

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2
Q

What nerve roots contribute to the lateral femoral cutaneous nerve?

A

L2-L3

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3
Q

What is the medial and lateral landmark for blockade of the lateral femoral cutaneous nerve?

A

Medial: Sartorius
Lateral: Tensor Fascia Lata

1-2 cm medial and 1-2 cm inferior to ASIS

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4
Q

What is another name for lumbar plexus block?

A

Psoas compartment block

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5
Q

What are the nerve root contributions of the lumbar plexus?

A

T12-L4

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6
Q

Nerve root contributions of sciatic nerve?

A

L4-S3

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7
Q

What two muscles are traversed during infraclavicular block?

A

Pec Major/Pec Minior

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8
Q

Infraclavicular block targets brachial plexus at the level of the ______?

A

Cords

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9
Q

True for False: CSF is higher on a cc/kg basis in infants than adults?

A

True

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10
Q

Where does spinal cord end in infants?

A

L3/L4

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11
Q

What nerve does the anterior division of L2-L4 form?

A

Obturator N

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12
Q

What nerve does the posterior division of L2-L4 form?

A

Femoral N

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13
Q

What cervical branches form the superficial cervical plexus?

A

Anterior rami fo C2-C4

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14
Q

Which nerve is frequently spared in inter scalene blocks?

A

Ulnar Nerve

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15
Q

Max dose of bupivacaine without a vasoconstrictor?

A

2-2.5 mg/kg

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16
Q

Max dose of ropivacaine without vasoconstrictor?

A

2-3. mg/kg

17
Q

What is the anatomic location for regional blockage of the glossopharyngeal nerve to block sensation about the epiglottis?

A

Base of the anterior tonsillar pillar

18
Q

Where is local anesthetic deposited to block the superior branch of the superior laryngeal nerve?

A

Between the greater Cornu of the hyoid bone and superior Cornu of thyroid cartilage

19
Q

In what percentage if patients does ipsilateral diaphragm paresis occur following inter scalene block?

A

100%

20
Q

By what % does pulmonary function decrease when diaphragm paresis occurs due to interscalene block?

A

25%

21
Q

What are established benefits of thoracic epidural anesthesia?

A

1) Decreased period of post-operative ileus
2) Decreased pulmonary complications
3) Decreased protein catabolism

22
Q

What sympathetic block covers pain for pelvic organs?

A

Superior Hypogastric Plexus