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 (B)</p> Signup and view all the answers

What is the primary determinant of duration in spinal anesthesia?

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

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

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

Which of the following is a contraindication to spinal anesthesia?

<p>Coagulopathy (A)</p> Signup and view all the answers

What should you feel when puncturing the dura?

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

What happens if you deviate from the midline approach?

<p>You may enter the paraspinous muscle (D)</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 (B)</p> Signup and view all the answers

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

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

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

<p>Procaine (C)</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 (C)</p> Signup and view all the answers

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

<p>Chloroprocaine (B)</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 (C)</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 (D)</p> Signup and view all the answers

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

<p>May delay ambulation (D)</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 (B)</p> Signup and view all the answers

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

<p>Increased workload for anesthesiologists (A)</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 (D)</p> Signup and view all the answers

What is the only absolute contraindication to regional anesthesia?

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

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

<p>Benign intracranial hypertension (C)</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 (A)</p> Signup and view all the answers

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

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

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

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

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

<p>Hypotension (D)</p> Signup and view all the answers

Combined spinal-epidural anesthesia is rarely used in obstetrics.

<p>False (B)</p> Signup and view all the answers

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

<p>True (A)</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 (A)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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