SEE Regional Anesthesia: Questions & Insightful
Answers
Cervical vertebrae Right Ans - 7
Epidural veins Right Ans - batson's plexus
Factors that affect spread in subarachnoid space Right Ans - baricity,
patient position, dose, site of injection, volume of CSF, density of CSF
Primary determinant of spread for an epidural Right Ans - volume
What is the LA blockade order Right Ans - autonomic-->sensory-->motor
Sensory dermatomes block with spinal Right Ans - motor + 2
Autonomic dermatome block with spinal Right Ans - motor + 4-8
Sensory block with epidural Right Ans - motor + 2-4
Autonomic block with epidural Right Ans - doesn't exist
Cutting-tip needle Right Ans - quincke, pitkin
Non-cutting tip Right Ans - sprotte, whitacre, green, pencan
Pencil point Right Ans - sprotte, whitacre, pencan
Rounded bevel Right Ans - green
Epidural needle 0 degrees Right Ans - crawford
Epidural needle 15 degrees Right Ans - hustead
Epidural needle 30 degrees Right Ans - tuohy
pediatric dose for sacral block Right Ans - 0.5 ml/kg
, pediatric dose for sacral to low thoracic block Right Ans - 1 ml/kg
pediatric dose for sacral to mid thoracic block Right Ans - 1.2 ml/kg
most hydrophilic opioids Right Ans - morphine, hydromorphone,
meperidine
most lipophilic opioids Right Ans - fentanyl, sufentanil
reduces the efficacy of epidural opioids Right Ans - 2-chloroprocaine
may reactive HSV type 1, presents 2-5 days after administration, spreads to
trigeminal nuclues Right Ans - morphine
PDPH symptoms Right Ans - fronto-occipital headache, nausea, emesis,
photophobia, diplopia, tinnitus
success rate for epidural blood patch Right Ans - 90%
blood patch technique Right Ans - 10-20 mL of blood withdrawn from
patient and reintroduced to epidural space
most common side effects of blood patch Right Ans - backache, radicular
pain
primary risk of neuraxial with anticoagulation Right Ans - epidural
hematoma
surgical decompression of spinal hematoma should occur when Right Ans -
8 hours
hold tirofiban and eptifibatide Right Ans - 4-8 hours
hold abiciximab Right Ans - 24-48 hours
Tirofiban
Abciximab
Eptifibatide Right Ans - Gp IIb/IIIa antagonists
Answers
Cervical vertebrae Right Ans - 7
Epidural veins Right Ans - batson's plexus
Factors that affect spread in subarachnoid space Right Ans - baricity,
patient position, dose, site of injection, volume of CSF, density of CSF
Primary determinant of spread for an epidural Right Ans - volume
What is the LA blockade order Right Ans - autonomic-->sensory-->motor
Sensory dermatomes block with spinal Right Ans - motor + 2
Autonomic dermatome block with spinal Right Ans - motor + 4-8
Sensory block with epidural Right Ans - motor + 2-4
Autonomic block with epidural Right Ans - doesn't exist
Cutting-tip needle Right Ans - quincke, pitkin
Non-cutting tip Right Ans - sprotte, whitacre, green, pencan
Pencil point Right Ans - sprotte, whitacre, pencan
Rounded bevel Right Ans - green
Epidural needle 0 degrees Right Ans - crawford
Epidural needle 15 degrees Right Ans - hustead
Epidural needle 30 degrees Right Ans - tuohy
pediatric dose for sacral block Right Ans - 0.5 ml/kg
, pediatric dose for sacral to low thoracic block Right Ans - 1 ml/kg
pediatric dose for sacral to mid thoracic block Right Ans - 1.2 ml/kg
most hydrophilic opioids Right Ans - morphine, hydromorphone,
meperidine
most lipophilic opioids Right Ans - fentanyl, sufentanil
reduces the efficacy of epidural opioids Right Ans - 2-chloroprocaine
may reactive HSV type 1, presents 2-5 days after administration, spreads to
trigeminal nuclues Right Ans - morphine
PDPH symptoms Right Ans - fronto-occipital headache, nausea, emesis,
photophobia, diplopia, tinnitus
success rate for epidural blood patch Right Ans - 90%
blood patch technique Right Ans - 10-20 mL of blood withdrawn from
patient and reintroduced to epidural space
most common side effects of blood patch Right Ans - backache, radicular
pain
primary risk of neuraxial with anticoagulation Right Ans - epidural
hematoma
surgical decompression of spinal hematoma should occur when Right Ans -
8 hours
hold tirofiban and eptifibatide Right Ans - 4-8 hours
hold abiciximab Right Ans - 24-48 hours
Tirofiban
Abciximab
Eptifibatide Right Ans - Gp IIb/IIIa antagonists
