1 / 22

Local and Regional Anesthesia

Local and Regional Anesthesia. Rural Track Mark Deutchman MD. Sterile technique purposes. Prevent infection Prevent cross-contamination. Sterile technique methods. Identify sterile materials Properly handle sterile materials Set up a sterile field Maintain a sterile field

clinton-cox
Télécharger la présentation

Local and Regional Anesthesia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Local and Regional Anesthesia Rural Track Mark Deutchman MD

  2. Sterile technique purposes • Prevent infection • Prevent cross-contamination

  3. Sterile technique methods • Identify sterile materials • Properly handle sterile materials • Set up a sterile field • Maintain a sterile field • Skin preparation

  4. Practice • Hand washing • Opening sterile packages • Putting gloves on • Adding objects to a sterile field • Drawing up liquid medications in a sterile fashion • Avoiding cross-contamination

  5. Local Anesthesia

  6. Local Anesthesia General Principles Organize your supplies. Talk to the patient ! Know what you are drawing up! Give the anesthetic time to work ! Move slowly and deliberately ! Keep talking with the patient ! Dress the wound neatly ! Arrange follow-up ! Treat the patient like you would like to be treated !

  7. Agents • Amides Vs. Esters – less allergy to amides like lidocaine • Speed of onset • Duration of action • Addition of epinephrine • Prolongs duration and adds some hemostasis • Avoid on acral parts: fingers, toes, ears, penis, nose

  8. Agents - details

  9. Needles • Large to draw up (18 to 20) • Small to inject (22 to 30)

  10. Prep agents • Alcohol • Chlorhexidine • Povidone iodine

  11. Reducing injection pain • Use a small needle • Inject slowly • When re-injecting, go through numb area • Inject subcutaneously first • Warm the lidocaine • Buffer lidocaine with 8.4% sodium bicarb 9:1

  12. Topical anesthesia

  13. Regional anesthesia Head and face Field block Supraorbital and infraorbital blocks Ear block Upper and lower lips Mental nerve Extremities Median, radial and ulnar nerves Digital (ring) block Dorsal penile nerve block

  14. Field block

  15. Ear Block

  16. Orbital blocks

  17. Lip blocks

  18. Mental nerve block

  19. Median, radial, ulnar blocks

  20. Digital (ring) block

  21. Dorsal penile nerve block

More Related