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Needle Selection for Neuraxial Anesthesia

DFW Anesthesia Professionals

Typically, the procedure involves inserting a needle between the vertebrae to administer medication into either the epidural space (as in epidural anesthesia) or the subarachnoid space (as in spinal anesthesia). Pencil-point needles can also lead to greater post-traumatic inflammation, myelin damage, and intraneural hematoma.

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Nerve Blocks for the Abdomen

DFW Anesthesia Professionals

Nerve blocks are used for a wide range of surgical procedures within the abdomen, from minor outpatient surgeries to major abdominal surgeries, such as hernia repairs, appendectomies, cesarean sections, and laparotomies. The effectiveness of abdominal nerve blocks depends on a detailed understanding of the abdominal wall’s innervation.

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ANESTHESIOLOGISTS: BEFORE YOU ADVANCE THAT NEEDLE. A CAUTIONARY TALE

The Anesthesia Consultant

You discuss the procedure of a blood patch and he says, “Yes, that’s what I need. 3 You explain the blood patch procedure and its risks to the patient, he signs a consent, and you perform the blood patch within the hour. You withdraw the Tuohy needle and announce to the patient that the procedure is over. What do you do?

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ANESTHESIOLOGISTS, DON’T BE AFRAID TO CUT INTO A PATIENT’S NECK

The Anesthesia Consultant

The surgeon arrived and attempted to perform an emergency surgical airway, at which time the anesthesiologist successfully intubated the patient’s trachea as the hematoma was drained. A surgical airway is an invasive airway via the front of the patient’s neck into their trachea. The patient sustained anoxic brain injury and later died.”

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Bovie, Cautery and Electrosurgery Shouldn’t Be Confusing

Symmetry Surgical

A Bovie electrosurgical unit or battery operated cautery, enables surgeons to select the optimal instrument for a specific procedure, providing the greatest potential for a successful outcome. Dr. Bovie assisted Dr. Harvey W. When someone uses the term Bovie Cautery and is referring to an ESU they are once again mistaken.

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Different Types of Neuraxial Anesthesia

Nashville Anesthesia Professionals

Epidural anesthesia is versatile and used for a wide range of surgeries, including thoracic, abdominal, and lower limb procedures, but also for labor analgesia and postoperative pain control. However, they involve technical complexity, potential for failed block, slower onset, and risks such as epidural hematoma or infection 3–5.

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CODE BLUE – WHEN AN ANESTHESIOLOGIST PREMATURELY DEPARTS A FREESTANDING SURGERY CENTER

The Anesthesia Consultant

The patient is having difficulty breathing, the oxygen saturation is less than 80%, the blood pressure is elevated at 170/100, and there is a facial hematoma developing in the right cheek which is inhibiting the patient’s ability to breathe. The patient is a 66-year-old woman admitted for a facelift, neck lift, and blepharoplasties.