Epidural Anesthetic Ans✔✔-Local anesthetic + - narcotic into epidural
space.
Continuous Infusion using catheter
Used for Chest surgeries, Abdominal surgeries (bowel resection)
Should not cause dura headache (since does not puncture dura mater)
What anesthetic should be used for a chest surgery? Ans✔✔-Epidural
anesthetic
What anesthetic should be used for lower or upper abdominal surgery?
Ans✔✔-Epidural anesthetic
What anesthetic should be used for lower extremity surgery? Ans✔✔-
Spinal Anesthetic
What is spinal anesthetic? Ans✔✔-Needle inserted between vertebrae
3rd-4th lumbar to prevent injury to spinal nerves
Inserted between pia mater and arachnoid mater
Why can an epidural be inserted at any level along vertebral column?
Ans✔✔-Needle should not puncture dura mater — safer to insert at any
level along vertebral column
, What's a dermatome assessment Ans✔✔-Cold sensation used to
determine the extent of sensory block — identifies which dermatome is
affect
What is a dermatome Ans✔✔-Area of skin that is supplied by a single
spinal nerve
What's is motor block assessment Ans✔✔-Assessment used to determine
amount of motor function
What is stress? Ans✔✔-An event or demand that is appraised and
perceived to be a challenge or a threat.
Physiology behind stress response simplified Ans✔✔-1. Hypothalamus
senses stressor
2. SNS system immediately activated -> releases catecholamines from
adrenal medulla
3. Cortisol released 15 mins after perceived stressor -> longer lasting
stress response
What is the sympathetic adrenal medullary response? Ans✔✔-Immediate
release of adrenal catecholamines from adrenal medulla
Prepares body to deal with acute stimulation
Primative response