Chapter 19: Regional Anesthesia
- Jim Quint
- Joseph Tobias
- Harshad Gurnaney
- Andy Costandi
- Sciatic block with Ultrasound
- Spinal placement in a child in the lateral position
- Some prefer the sitting position for spinal placement.
- Andrew is very proud of his working spinal.
- Infant sucking on a glucose pacifier while his hernia is being repaired.
- Andrew dripping glucose water to the infant undergoing hernia repair under spinal anesthesia.
- Caudal Block – The caudal space can be approached at the top of the “butt crack”. It is bounded laterally by the sacral cornua (purple dots).
- Caudal Block – The infant is prepared for caudal injection.
- Caudal Block – While the right hand palpates the sacrococcygeal ligament, the needle is advanced into the space with the left hand.
- Spinal Versus Caudal Block for the Conscious Infant
- Femoral Nerve Block – Identifying the femoral nerve prior to block
- Femoral Nerve Block – LA=local anesthetic surrounding the femoral nerve
- Ilioinguinal/Iliohypogastric block with Ultrasound Guidance
- Maximum Recommended Doses of Local Anesthetics – A) Doses should be reduced by at least 30% in infants < three months of age. B) These maximum doses apply to anesthetized children. Doses are reduced in conscious children. C) Definitive data are lacking for the maximum dose of ropivacaine.
- Intravenous 20% Lipid Emulsion Dose – Resource: http://www.lipidrescue.org
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