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Questions and Answers

What is true about hypobaric solutions in spinal anaesthesia?

  • They are less dense than CSF. (correct)
  • They should be administered with the animal's head elevated.
  • They are denser than CSF.
  • They do not require position changes during administration.
  • What is the recommended position for an animal when using a hyperbaric solution for spinal anaesthesia?

  • Lateral recumbency with the lowermost limb to be operated. (correct)
  • Supine position with head elevated.
  • Sitting upright.
  • Lateral recumbency with the uppermost limb to be operated.
  • Which of the following is NOT a relative contraindication for epidural anaesthesia?

  • Obesity.
  • Hypovolaemia.
  • Pre-existing neuropathies.
  • Aortic thromboembolism. (correct)
  • What effect do local anaesthetics (LAs) have that can facilitate pelvic limb perfusion in certain conditions?

    <p>Cause vasodilation.</p> Signup and view all the answers

    What baricity level does 5% glucose addition to a solution primarily impact?

    <p>It elevates the solution to hyperbaric levels.</p> Signup and view all the answers

    What are the two main routes for neuraxial blocks?

    <p>Epidural and Intrathecal</p> Signup and view all the answers

    Which vertebral location is preferred for performing an epidural in dogs?

    <p>L7-S1</p> Signup and view all the answers

    What is the main anatomical structure between which epidural injections occur?

    <p>Ligament flavum and dura mater</p> Signup and view all the answers

    In which species is the preferred epidural injection site commonly between S1-S3?

    <p>Cattle</p> Signup and view all the answers

    What is the main characteristic of intrathecal injection?

    <p>It targets the arachnoid space filled with CSF.</p> Signup and view all the answers

    Which of the following is an example of a common epidural site in cats?

    <p>S3-Co1</p> Signup and view all the answers

    What is a critical factor to consider for safe neuraxial blocking techniques?

    <p>Knowledge of the anatomy</p> Signup and view all the answers

    What structure is present in the arachnoid space that is relevant for intrathecal injections?

    <p>Cerebrospinal fluid (CSF)</p> Signup and view all the answers

    Which complication is associated with increasing intracranial pressure during epidural injection?

    <p>Raised intracranial pressure</p> Signup and view all the answers

    What is a primary advantage of epidural injections compared to spinal injections?

    <p>Longer duration of effects</p> Signup and view all the answers

    Which factor does NOT affect the spread of drugs in the epidural space?

    <p>Time of day the injection is given</p> Signup and view all the answers

    Which condition can potentially result from a spill of local anesthetic into the venous system during an epidural procedure?

    <p>LA toxicity</p> Signup and view all the answers

    What complication could arise if the needle bevel is positioned incorrectly during an epidural injection?

    <p>Dural puncture</p> Signup and view all the answers

    What is the primary reason why spinal injections are more reliable than epidural injections?

    <p>Placement directly into the CSF</p> Signup and view all the answers

    Which of these factors is NOT related to the effectiveness of drug spread in the epidural space?

    <p>Blood pressure of the patient at the time of injection</p> Signup and view all the answers

    Which potential complication could occur from cranial migration of the anesthetic during an epidural procedure?

    <p>Horner’s syndrome</p> Signup and view all the answers

    What is the ideal positioning for administering a lumbosacral epidural?

    <p>Sternal recumbency with pelvic limbs extended cranially</p> Signup and view all the answers

    Where is the site of injection for a lumbosacral epidural?

    <p>Dorsal midline between L7 and S1</p> Signup and view all the answers

    What identifies the epidural space during needle insertion?

    <p>A popping sensation indicating loss of resistance</p> Signup and view all the answers

    What angle should the needle be inserted for a sacrococcygeal epidural?

    <p>45 degrees cranially</p> Signup and view all the answers

    What type of needle is recommended for administering an epidural due to its reduced tissue damage?

    <p>Spinal needle or Tuohy needle</p> Signup and view all the answers

    What is the purpose of using a hanging drop technique during needle insertion?

    <p>To confirm negative pressure in the epidural space</p> Signup and view all the answers

    Which structure must be pierced to enter the epidural space during a lumbosacral injection?

    <p>Ligamentum flavum</p> Signup and view all the answers

    What is a common indicator of incorrect needle placement in the epidural space?

    <p>Air bubble compressing more than 50% of its size</p> Signup and view all the answers

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