Epidural Anesthesia
Spinal Anesthesia
Upper Extremity Blocks
Truncal Nerve Blocks
Lower Extremity Blocks
100
Why do we do a test dose when placing an epidural catheter?
What is to test for intrathecal (subarachnoid) or intravenous injection?
100
How are the 33 vertebrae of the spine divided?
What is 7 cervical, 12 thoracic, 5 lumbar, 5 fused sacral, and 4 fused coccygeal vertebrae?
100
What local anesthetic is most suitable for a Bier block? Least suitable?
What is Lidocaine 0.5% is suitable for Bier blocks because of the low risk of toxicity at the doses used at a minimum tourniquet time of 20 minutes? Because of its high risk for prolonged cardiotoxicity, bupivacaine is absolutely contraindicated for this procedure.
100
What are the indications for performing an intercostal nerve block?
What is postoperative pain management for thoracic or upper abdominal procedures or for conditions that produce pain with respiratory effort?
100
What nerve roots contribute to the femoral nerve?
What is L2, L3, and L4?
200
What size needle is usually used for an epidural block?
What is 3-inch long, 16 to 18 gauge needles?
200
Using the midline approach, what is the order of ligament layers encountered from superfical to deep?
What is supraspinous ligament, interspinous ligament, and ligamentum flavum?
200
To what pressure should you inflate the tourniquet for a Bier block?
What is 300 mmHg or 2.5 times the patient's systolic blood pressure?
200
What are the risks of intercostal nerve block?
What is injection of the drug into the pleura or cause a pneumothorax?
200
What nerves are blocked when performing an ankle block?
What is the Deep peroneal, Saphenous, Posterior tibial, Sural, and Superficial peroneal?
300
What is the difference between a Crawford needle and a Tuohy needle?
What is a Crawford needle has thinner walls with a traditional point beveled at about 45 degrees and a Tuohy needle is beveled but the end of the needle bends upward?
300
What are the prominent landmarks for spinal anesthesia?
What is C7, T4 nipple line, T7 scapula line, T6-T8 xiphoid, T10 umbilicus, L4 iliac crest, S2 posterior superior iliac spine?
300
What nerve is being blocked with a popliteal block?
What is the sciatic nerve?
300
Name at least 3 complications from intercostal blocks?
What is infection, pneumothorax, peritoneal/visceral injury, local anesthetic toxicity, and spinal anesthesia?
300
The saphenous nerve is the terminal branch of what nerve?
What is the terminal branch of the femoral nerve and can be blocked by injecting 5 mL of anesthetic anterior to the medial malleolus?
400
What is the standard 'test dose' for an epidural anesthetic?
What is 3 mL of 1.5% lidocaine and 1:200,000 epinephrine or 45 mg lidocaine and 15 mcg epinephrine?
400
Name at least 5 absolute contraindications to spinal anesthesia?
What is severe aortic stenosis, severe mitral stenosis, severe ICP, severe hypovolemia, coagulopathy or bleeding diathesis (DIC, sickle cell anemia), patient refusal, and infection at the injection site?
400
What two muscles form the crease in the axilla in which the ultrasound probe is placed during an ultrasound-guided axillary block?
What is the biceps and pectoralis major?
400
Name at least 4 procedures that transabdominis plane block is indicated for.
What is postoperative analgesia for laparotomy, appendectomy, laparoscopic surgery, abdominoplasty, and cesarean delivery.
400
What is a 3-in-1 block?
What is a block of the lateral femoral cutaneous, obturator, and femoral nerves by injecting 20-40 mL of local anesthetic into the neurovascular sheath just lateral to the femoral pulse?
500
How should the timing of low molecular weight heparin administration be coordinated with the insertion of an epidural catheter?
What is if LMWH is planned postoperatively, the epidural catheter should be removed at least 2 hours before the first dose?
500
Name at least 6 complications of neuraxial blockade.
What is backache, postdural puncture headache, urinary retention, transient neurologic symptoms, high or total spinal anesthesia, subdural injection, cardiac arrest, systemic toxicity, cauda equina syndrome, meningitis or arachnoiditis, epidural abscess, and spinal or epidural hematoma?
500
Superficial to deep, list the abdominal muscles that are located between the subcostal margin and iliac crest.
What is external oblique, internal oblique, transversus abdominis?
500
Where is the ultrasound transducer placed when performing a transversus abdominis plane block?
What is with the patient supine, the probe is placed transversely between the anterior superior iliac spine and the 12th rib?
500
What structures define the popliteal fossa?
What is the popliteal crease, the medial border of the biceps femoris muscle laterally, and the semitendinosus muscle medially?
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