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Regional Anesthesia Priciples
Regional Anesthesia Priciples
PFN:18DAAL05
Hours: 1.0
Updated: AUG 2012
References
Military Advanced Regional Anesthesia and
Analgesia Ch. 2 – 4, & 25
Pathophysiology for the Health Professions 4th
Edition Ch. 6 p.126
Basis Guide to Anesthesia for Developing
Countries, Volume 2, Daniel D. Moos
(International Federation of Nurse
Anesthetists, ifna-int.org)
Preparation (Equipment)
Basic Gear
• Monitor
• Oxygen
• Suction
• Airway adjunct capability
• Emergency hemodynamic equipment
Advanced Gear
• ACLS (defibrillation)
• Intralipids
JSOMTC, SWMG(A) Slide 19
Regional Anesthesia - Principles
Local Anesthetics(Risk Factors)
Neurotoxicity
CNS Toxicity
Cardiac Toxicity
Stay out of vessels and keep the dosing in
prescribed ranges
For every clinical situation, the use of regional
Neurotoxicity
Evidence suggests that local anesthetics can be
myotoxic and neurotixic
Usually associated with long term catheter
placement and infusion pumps
Unintentional direct injection into the nerve
sheath can cause nerve damage.
Unintentional direct needle penetration of the
nerve can cause damage
JSOMTC, SWMG(A) Slide 21
Regional Anesthesia - Principles
CNS Toxicity
Muscle twitching
Visual disturbances
Tinnitus
Light-headedness
Tongue and lip numbness
Extreme anxiety, screaming, and impending death
feelings
CNS Toxicity
As blood concentrations increase S/SX progress
• Generalized tonic - clonic convulsions
• Coma
• Respiratory arrest
• Death
References
Military Advanced Regional Anesthesia and
Analgesia Ch. 2 – 4
Pathophysiology for the Health Professions 4th
Edition Ch. 6 p.126
Basis Guide to Anesthesia for Developing
Countries, Volume 1, Daniel D. Moos
(International Federation of Nurse
Anesthetists, ifna-int.org)