of the toe 140 dihydroergotamine 24 disadavantage of regional anaesthesia 12 dosage in children 186 dosage of local anaesthetic drug 20 drug nomenclature 27
properties 19 dural tap 175
E
ECG15 ephedrine 24 epidural block 162, 217
opioid 219 epinephrine 23 ester linkage 15 eyelids 82
F
frontal nerve 62
femoral nerve block 122,217
foot block 216
fractured rib 144
G
gravity 196
guideline approach 168
H
hanging drop technique 170 headache 26,176 hypotension 24, 176, 197
I
IV
placement 175
regional block 50
identification of the epidural space 170 iliohypogastric and ilioinguinal nerve block 216 immobile needle 29 inferior alveolar nerve block 68 infraorbital nerve block 64 inguinal and femoral hernia repair 44 intact skin 32
intercostal nerve block 144, 217 intercostobrachial nerve block 104 interpleural injection 217
local anaesthesia 150 interscalene brachial plexus block 90 intraneural injection 98 intravenous placement 175
regional anaesthesia 50 intubation 34
L
laryngoscopy 34
lateral cutaneous nerve of thigh block 126
lidocaine 19, 191
lingual nerve block 68
lipid solubility 16
local anaesthesia in ophthalmology 78
local anaesthetic
advantages 12
amide linkage 15
chemical structure 16
choice of 19
complications 24
disadvantages 12
dosage 20 main dose 174 test dose 174
drugs 15
drug properties 19
duration 19, 21
ester linkage 15
mode of action 17
nomenclature 27
onset time 19, 21
physicochemical
properties 16, 19 .
sensitivity to 23
toxicity 22 local infiltration 216
for Caesarean section 46 loss of resistance technique 170 lower limb 52 ~"
lumbar paravertebral block 154
sympathectomy 204 lumbosacral (Taylor) approach 194
M
main dose 174
major nerve block 217
management during anaesthesia and surgery 13
mandibular nerve block 66
max dose, epidurally 21
maxillary nerve block 64
sinus 36 median nerve 112
block 108
mental nerve block 70 mepivacaine 19, 191 methoxamine 24 minor nerve block 216 misplacement of needle or catheter 175 mode of action 17 monitoring 15, 218 motor paralysis 25 mucous membrane 32
N
nasal anaesthesia 36
nerve block at the ankle 134
at the elbow 106
at the knee 128
at the wrist 112 nerve stimulator 28 nerve trauma 26 neurological damage 25, 176
O
obturator nerve block 124 onset time 19, 21 ophthalmic nerve 60 opioid 219
pain
of injection 25
of tourniquet 52 paraesthesia 28
paravertebral spinal nerve block 152 parenteral pressor 24 patient preparation 168 penile block 216 phenylephrine 24 physicochemical properties 16 pKa!6
pneumothorax 26, 98, 148 postoperative pain relief 215
premedication 13
preoperative assessment and preparation 13
prevention of toxicity 22
prilocaine HC119
principles 218
procaine 19, 191
protein binding 16
pulse 15
pudendal block 158
R
radial nerve 112
block 110
radiological control 29 Raj technique 120 regional anaesthesia advantage 12
disadvantage 12 respiration 15 respiratory paralysis 24 retrobulbar injection 84 ring block of digit 216
saphenous nerve 132
sciatic nerve block 116
sensitivity to local anaesthetic drug 23
signs and symptoms of toxicity 22
site of catheter 218
space-occupying lesion 26
spinal
anaesthesia 188
anaesthesia, total 197
needle 190
splanchnic nerve block 212 stellate ganglion blockade 206 stylet 168
superior laryngeal nerve block 72 supraclavicular brachial plexus block 96 supraorbital nerve block 62 supratrochlear nerve block 62 sympathetic nerve blockade 201 systemic toxicity 22
tear sac and tear duct 82
terminal branches of the trigeminal nerv 216
test dose of LA 174
tetracaine 19, 191
thoracic epidural block 178
paravertebral nerve block 154
spinal block 198 3 in 1 lumbar plexus block 122 tibial nerve block 128, 136 total spinal anaesthesia 176, 197 tourniquet 50
pain 52 toxicity of local anaesthetic drug 22
acute generalised 176
CNS 22
cardiovascular 22
signs 22
systemic 22
treatment of 23 trans-sacral block 156 trigeminal nerve block 56
u
ulnar nerve 112
block 106 ultrasound 29 upper limb 50 * urethral anaesthesia 38 urinary retention 25, 218
V
van Lint technique 86 vasoconstrictor 23
w
wound infiltration 216 wrist block 216 .
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