Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
Inside back cover
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Regional techniques during pregnancy and delivery
Key Points Neuraxial analgesia/anesthesia (spinal, epidural, combined spinal-epidural) are mainstays of safe anesthesia care of the obstetric patient. The anesthesia provider is caring for the mother, and by extension, the fetus. Hormonal and anatomic changes during pregnancy influence neuraxial technique…
Paravertebral catheters in pediatrics
Key Points Performing this block requires ultrasound experience. Needle visualization plays a major role in achieving a successful block. Epidural spread can occur from a unilateral injection. Indications Patients who undergo operative procedures of the chest and upper abdomen. Unilateral…
Pudendal nerve block
Key Points Patient selection plays a major role in performing the block; it is challenging with obese patients. Ultrasound experience is required to maximize the success rate of the block. Vascular injection is a risk if no spread is visualized…
Superficial cervical plexus block
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Ilioinguinal and iliohypogastric block
Key Points Identifying the different layers of the muscles is crucial because the peritoneum is the shiniest layer under the transversus abdominis muscle. When the bowels are seen under the peritoneum under ultrasound, the sliding sign appears in response to…
Caudal block in pediatrics
Key Points Checking the anatomy with ultrasound before and during the procedure assures success. Because the sacrum is not fully ossified, it can still be penetrated by the ultrasound beams. Loss of resistance is not significant when placing an epidural…
Caudal block
Key Points In approximately 5% of adult patients, the sacral hiatus is nearly impossible to cannulate with needle or catheter. The tissue mass overlying the sacrum in some patients makes the technique difficult. The sacral hiatus lies at the tip…
Epidural block
Key Points Epidural block can be performed in cervical, thoracic, and lumbar regions of the vertebral column. Paramedian approach is the preferred technique for thoracic epidural, while median and paramedian approaches are suitable for lumbar epidural. T5–T6 interspace is the…
Spinal block
Key Points Spinal anesthesia is unparalleled in that a small mass of local anesthetic can produce dense surgical anesthesia. Bupivacaine is the ideal drug for spinal anesthesia. Identification of the lamina at 1 cm lateral to the spinous process is…