TEST 2: Bier and Miscellaneous Blocks Flashcards
first cuff inflated during bier
distal then proximal
only this cuff inflated during bier procedure
proximal
bier: after esmarch removed how much LA is given
30 - 50 ml
bier: after LA given what to do with IV
remove
anesthesia occurs within what time with bier
onset immediate
if esmarch not applied can do this instead for beir
hold arm for 5 minutes
upper extremetier bier dose
30 - 50 ml 0.5% lidocaine
12 - 15 ml of 2% lidocaine
lower extremeties bier dose
50-100 of 0.5% lidocaine
15 - 30 ml of 2 % lidocaine
only additive to show benefit for beir
toradol
bier: methemooglobin occurs about __ to __ hrs after admin
4 - 8 h
s/s common after beir
tinitis, light-headed, metal taste
bier: do not deflate tourniquet for at least ___ to prevent last
20 min
monitor pt for at least ___ min after deflation
15 min
intercostal nerves
T1 - T11 (T12 is subcostal)
ICB: dorsal rami
paravertebral - sensation
ICB: ventral rami
around rib - to front - motor
ICB position
prone with pillow under abd and arms dangling
landmarks for ICB
12th rib 7th rib (scapula edge?)
how close to landmarks should you inj LA with ICB
one level higher
one level lower
first sign of successful ICB
loss of pinprick sensation
structure from most superficial to deep (nerves, arteries , veins..)
vein artery nerve
“VAN”
pop felt with loss of resistance in PVB
costotransverse ligament
nerves targeted in TAP
T7 - T11 lower thoracic
T12 subcostal
L1 ilioinguinal
L1 iliohypogastric`
TAP avoid needle placement below this area
transversus abdominis
