Spinal
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Questions and Answers

What percentage of variability in block height is accounted for by CSF volume?

  • 50%
  • 70%
  • 80% (correct)
  • 60%
  • What is the primary purpose of injecting 1% lidocaine with a 25ga or smaller needle?

  • To puncture the dura
  • To test for allergic reactions to lidocaine
  • To numb the skin and subcutaneous tissue (correct)
  • To inject the stylet into the subarachnoid space
  • Which of the following local anesthetics takes the longest to reach peak block height?

  • Lidocaine
  • Mepivacaine
  • Tetracaine (correct)
  • All of the above take the same time
  • What is the purpose of the introducer?

    <p>To prevent the smaller needle from bending or getting misdirected</p> Signup and view all the answers

    What is the primary determinant of duration in spinal anesthesia?

    <p>Drug selection</p> Signup and view all the answers

    At what angle should the needle be inserted in the midline approach?

    <p>100-150°</p> Signup and view all the answers

    Which of the following is a contraindication to spinal anesthesia?

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

    What should you feel when puncturing the dura?

    <p>A distinct 'pop'</p> Signup and view all the answers

    What is an important consideration in determining the suitability of a patient for spinal anesthesia?

    <p>The patient's ability to remain still</p> Signup and view all the answers

    Why is it important to anchor the introducer in the interspinous ligament?

    <p>To prevent the introducer from moving</p> Signup and view all the answers

    What happens if you deviate from the midline approach?

    <p>You may enter the paraspinous muscle</p> Signup and view all the answers

    What is the primary goal of pharmacology in spinal anesthesia?

    <p>To provide adequate block height and duration for the proposed surgery</p> Signup and view all the answers

    What is the recommended dosage of lidocaine to reduce the risk of TNS?

    <p>60-70 mg</p> Signup and view all the answers

    Which of the following local anesthetics is known to have a higher failure rate?

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

    What is the purpose of repositioning the patient after administering the spinal block?

    <p>To achieve the desired block height</p> Signup and view all the answers

    Which of the following local anesthetics is not recommended to be used with epinephrine?

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

    How long does it take to assess the development of the spinal block after administering the anesthesia?

    <p>Within 1-2 minutes</p> Signup and view all the answers

    What is a benefit of using combined spinal-epidural anesthesia in surgery?

    <p>Excellent spinal analgesia for surgery</p> Signup and view all the answers

    What is a potential drawback of using combined spinal-epidural anesthesia in labor?

    <p>May delay ambulation</p> Signup and view all the answers

    What is a concern regarding reimbursement for anesthesia providers in relation to combined spinal-epidural anesthesia?

    <p>Uncertainty about reimbursement for improved postoperative pain management</p> Signup and view all the answers

    What is a potential challenge associated with using combined spinal-epidural anesthesia?

    <p>Increased workload for anesthesiologists</p> Signup and view all the answers

    What is recorded in the anesthesia record regarding the anesthetic agents used?

    <p>The type, dose, and lot number of the anesthetic used</p> Signup and view all the answers

    What is the only absolute contraindication to regional anesthesia?

    <p>Patient refusal</p> Signup and view all the answers

    Which of the following conditions is not a contraindication to regional anesthesia?

    <p>Benign intracranial hypertension</p> Signup and view all the answers

    What is the primary mechanism of Postdural Puncture Headache (PDPHA)?

    <p>Loss of CSF through the hole in the dura</p> Signup and view all the answers

    What is a key feature of Postdural Puncture Headache (PDPHA)?

    <p>It is postural in nature</p> Signup and view all the answers

    What is a risk factor for Postdural Puncture Headache (PDPHA)?

    <p>Using a cutting needle</p> Signup and view all the answers

    What is a complication of regional anesthesia that may occur due to aortic outlet obstruction?

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

    Combined spinal-epidural anesthesia is rarely used in obstetrics.

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

    The use of combined spinal-epidural anesthesia may decrease postoperative morbidity and mortality.

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

    The anesthesia record typically includes details about the anesthetic agents used, including their lot numbers and expiration dates.

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

    The primary goal of anesthesia providers is to minimize postoperative pain management.

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

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