Resolving to expedite the recovery process, this reference describes a comprehensive multimodal approach to intraoperative regional anesthesia and postoperative analgesia in patients undergoing major lower extremity orthopedic surgery-spanning the entire selection of regional anesthesia equipment, strategies in pain management, and practical treatment guidelines for the management of inpatient and ambulatory peripheral nerve catheters. The authors' systematic approach to regional anesthesia and analgesia in patients undergoing total joint replacement has been recognized for its scientific and educational value by the American Academy of Orthopaedic Surgeons and the American Society of Anesthesiologists This guide helps readers by:
offering prudent, practical management guidelines for optimal medical care describing needle redirection cues for each block illustrating anatomical landmarks for selecting the needle insertion site supplying detailed medical illustrations of proper positioning for the patient and proceduralist
Author(s): Robert L. Lennon, Terese T. Horlocker
Edition: 1
Publisher: Informa Healthcare
Year: 2005
Language: English
Pages: 150
Mayo Clinic Analgesic Pathway......Page 3
TABLE OF CONTENTS......Page 5
Foreword......Page 6
Section I PRINCIPLES OF Lower Extremity Nerve Block......Page 14
NEURAL ANATOMY......Page 16
DERMATOMES and Osteotomes......Page 24
PREOPERATIVE ASSESSMENT......Page 28
TECHNIQUES and Equipment......Page 32
LOCAL ANESTHETIC......Page 38
NEUROLOGIC COMPLICATIONS......Page 44
SECTION II LUMBAR PLEXUS BLOCK......Page 46
PSOAS COMPARTMENT APPROACH......Page 48
FASCIA ILIACA APPROACH......Page 56
FEMORAL NERVE BLOCK......Page 60
LATERAL FEMORAL CUTANEOUS NERVE BLOCK......Page 64
OBTURATOR NERVE BLOCK......Page 68
SAPHENOUS NERVE BLOCKS......Page 72
Section III SCIATIC NERVE BLOCK......Page 78
CLASSIC POSTERIOR APPROACH OF LABAT......Page 80
PARASACRAL APPROACH......Page 84
SUBGLUTEAL APPROACH......Page 88
ANTERIOR APPROACH......Page 92
LATERAL POPLITEAL APPROACH......Page 96
POSTERIOR POPLITEAL APPROACH......Page 100
ANKLE BLOCK......Page 104
Section IV MAYO CLINIC ANALGESIC PATHWAY......Page 114
MAYO CLINIC TOTAL JOINT ANESTHESIA and Analgesic Pathway......Page 116
REGIONAL ANESTHESIA AND ANALGESIA IN THE PATIENT RECEIVING THROMBOPROPHYLAXIS......Page 126
MANAGEMENT OF INPATIENT PERIPHERAL NERVE CATHETERS......Page 130
MANAGEMENT OF AMBULATORY PERIPHERAL NERVE CATHETERS......Page 134
NURSING MANAGEMENT OFPERIPHERAL NERVE CATHETERS......Page 138
FUTURE DIRECTIONS......Page 140
