Keys to the Cart: March 20, 2017

published 2 years ago by Ed Nemergut and Robert Thiele (presented by the IARS)

Spinal Anesthesia

And we are back welcome to another exciting edition of keys to the car a weekly openness is a podcast where we were review several IT key words in just a couple of minutes. My name is doctor alley battle and I'm in this is the allergist at the university of Virginia. This week we are going to return to one of my favorite procedures. Spinal anaesthesia and review several more keywords. Let's unlock some knowledge. We're going back to basics stay and we'll start with the physiology of spinal anaesthesia. So what happens right after you administer intrathecal local anesthetics. The small unmyelinated sympathetic fibers are blocked first followed by in the basin of Miley did motor and sensory fibers. Remember the sympathetic block maybe 2 German times higher than the motor and sensory block. When providing a spinal anesthetic for a C. section we need a T. 4 level. At this level the spinal does not directly inhibit ventilation but patients may Ruth port shortness of breath and they no longer have sensation of their own breathing ...

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