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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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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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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. The patient objects.

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Anesthesiologist, Tired of Intubating in Era of COVID, Decides to Perform CABG Under Spinal

Gomer: Anesthesiology

The procedure was completed uneventfully after the surgeon, Dr. Annuloplasty, unscrubbed to sucker punch Dr. Millerstein. Apart from paralysis as a result of a spinal epidural hematoma, the procedure was a resounding success.

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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. Other complications may include hematoma, injection site infection, and transient nerve injury.

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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. Hospitals nearly 100% of the time use the one time use, sterile disposable cauteries. Feel free to contact us or leave a comment below.

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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. In my residency in the 1980s we were trained to do cricothyroid injections of cocaine prior to awake fiberoptic intubation procedures. Not really.