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Spinal anaesthesia (or spinal anesthesia), also called spinal block, subarachnoid block, intradural block and intrathecal block, [1] is a form of neuraxial regional anaesthesia involving the injection of a local anaesthetic or opioid into the subarachnoid space, generally through a fine needle, usually 9 cm (3.5 in) long.
Intrathecal administration is a route of administration for drugs via an injection into the spinal canal, or into the subarachnoid space so that it reaches the cerebrospinal fluid (CSF). It is useful in several applications, such as for spinal anesthesia, chemotherapy, or pain management. This route is also used to introduce drugs that fight ...
Combined spinal-epidural anaesthesia is a highly specialised technique which should only be administered by a properly trained anaesthetic practitioner working with full aseptic technique. [citation needed] The needle-through-needle technique involves the introduction of a Tuohy needle (epidural needle) into the epidural space. The standard ...
The following outline is provided as an overview of and topical guide to anesthesia: . Anesthesia – pharmacologically induced and reversible state of amnesia, analgesia, loss of responsiveness, loss of skeletal muscle reflexes or decreased sympathetic nervous system, or all simultaneously.
Once the appropriate location is palpated, local anaesthetic is infiltrated under the skin and then injected along the intended path of the spinal needle. A spinal needle is inserted between the lumbar vertebrae L3/L4, L4/L5 [10] or L5/S1 [10] and pushed in until there is a "give" as it enters the lumbar cistern wherein the ligamentum flavum is
The Rexed laminae (singular: Rexed lamina) comprise a system of ten layers of grey matter (I–X), identified in the early 1950s by Bror Rexed to label portions of the grey columns of the spinal cord. [1] [2]
Uses [1] [2] Continuous-flow anaesthetic machine: used to provide a measured and continuous supply of gases (oxygen, nitrous oxide, etc.), mixed with a required concentration of anesthetic vapor to the patient at a required pressure and rate; video link: Anesthetic vaporizers: vaporizes the anesthetic Oxygen mask
The Certification for Neurophysiological Intraoperative Monitoring (CNIM) is awarded by the American Board of Electroencephalographic and Evoked Potential Technologists. As of 2010, minimum requirements include 1) a B.A., B.S. [Path 2] 2) R.EP.T or R.EEG.T Credential [Path 1] 3) A minimum of 150 surgeries. Path 1 is a 200 question exam costing ...