Podcast
Questions and Answers
What is a possible reason for intravascular injection to go unnoticed?
What is a possible reason for intravascular injection to go unnoticed?
- The infusion is running at a low enough level (correct)
- The anesthesiologist is inexperienced
- The patient is under general anesthesia
- A high dose of anesthesia is used
What is a contraindication for planned surgery?
What is a contraindication for planned surgery?
- Patient refusal
- Coagulopathy
- Previous spinal anesthesia
- All of the above (correct)
What is a key to preventing systemic toxicity?
What is a key to preventing systemic toxicity?
- Injecting the anesthesia rapidly
- Using a large dose of anesthesia
- Using a specific type of anesthesia
- Giving a test dose (correct)
What is a possible cause of back pain following anesthesia?
What is a possible cause of back pain following anesthesia?
What is the primary concern with bupivacaine?
What is the primary concern with bupivacaine?
What is the recommended management for subarachnoid injection?
What is the recommended management for subarachnoid injection?
Why is ropivacaine considered advantageous for epidural anesthesia?
Why is ropivacaine considered advantageous for epidural anesthesia?
What is the incidence of post-dural puncture headache following dural puncture with a large diameter epidural needle?
What is the incidence of post-dural puncture headache following dural puncture with a large diameter epidural needle?
What should be done if resistance is encountered when advancing the epidural catheter?
What should be done if resistance is encountered when advancing the epidural catheter?
When advancing the epidural catheter, what indicates that you are in the wrong place?
When advancing the epidural catheter, what indicates that you are in the wrong place?
What should be attached to the catheter once it is in position and the needle is withdrawn?
What should be attached to the catheter once it is in position and the needle is withdrawn?
Which of the following is not a possible malposition location for the catheter?
Which of the following is not a possible malposition location for the catheter?
What is recommended to improve adhesion when securing the catheter?
What is recommended to improve adhesion when securing the catheter?
What should be done if the catheter has advanced any distance out the end of the needle but not far enough?
What should be done if the catheter has advanced any distance out the end of the needle but not far enough?
What potential risk is associated with a meningeal hole made by the spinal needle?
What potential risk is associated with a meningeal hole made by the spinal needle?
What does the term 'loss of resistance technique' relate to in epidural procedures?
What does the term 'loss of resistance technique' relate to in epidural procedures?
What is required after the catheter is threaded to a depth of 6 cm during an epidural procedure?
What is required after the catheter is threaded to a depth of 6 cm during an epidural procedure?
How is the potential outcome of regional anesthesia or analgesia measured?
How is the potential outcome of regional anesthesia or analgesia measured?
Which antiseptic is mentioned for use in the sterile prep and drape process?
Which antiseptic is mentioned for use in the sterile prep and drape process?
What is the concentration of xylocaine used with epinephrine for the test dose?
What is the concentration of xylocaine used with epinephrine for the test dose?
What is one of the primary factors affecting the physiologic effects of spinal and epidural anesthesia?
What is one of the primary factors affecting the physiologic effects of spinal and epidural anesthesia?
Which factor is less significant in determining block height with epidural anesthesia compared to spinal anesthesia?
Which factor is less significant in determining block height with epidural anesthesia compared to spinal anesthesia?
What is a risk associated with the larger volume and dosage of drugs required for epidural anesthesia?
What is a risk associated with the larger volume and dosage of drugs required for epidural anesthesia?
What is a common outcome of maintaining a patient in the lateral decubitis position after epidural dosing?
What is a common outcome of maintaining a patient in the lateral decubitis position after epidural dosing?
Which procedure is typically performed in the prone position using a pillow under the iliac crests?
Which procedure is typically performed in the prone position using a pillow under the iliac crests?
What is a key element for the success of an epidural procedure?
What is a key element for the success of an epidural procedure?
Which type of epidural administration produces a blood level almost equivalent to an IV dose?
Which type of epidural administration produces a blood level almost equivalent to an IV dose?
In epidural anesthesia, what can excessive blood levels of local anesthetic potentially result in?
In epidural anesthesia, what can excessive blood levels of local anesthetic potentially result in?
Which treatment is definitive for a condition that typically resolves in several days with conservative treatment?
Which treatment is definitive for a condition that typically resolves in several days with conservative treatment?
What is a potential cause of neurologic injury mentioned in the content?
What is a potential cause of neurologic injury mentioned in the content?
What is the indicated action if a labor nurse is unable to remove the epidural catheter shortly after delivery?
What is the indicated action if a labor nurse is unable to remove the epidural catheter shortly after delivery?
Which rate is correct for the incidence of epidural hematoma from 1993-1998 in the U.S. post-op epidurals?
Which rate is correct for the incidence of epidural hematoma from 1993-1998 in the U.S. post-op epidurals?
What significantly affects the outcome of a neurosurgical emergency like an epidural hematoma?
What significantly affects the outcome of a neurosurgical emergency like an epidural hematoma?
What is a controversy involved with placing an epidural in anesthetized patients?
What is a controversy involved with placing an epidural in anesthetized patients?
What concern is associated with the value of epinephrine in the test dose during labor?
What concern is associated with the value of epinephrine in the test dose during labor?
What is the question raised about local anesthetics in the context of CSEA potential risk?
What is the question raised about local anesthetics in the context of CSEA potential risk?