Term
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Definition
| injection of a LA around a nerve or group of nerves with blockade of nerve impulse conduction, causing temporary analgesia and loss of SENSORY AND MOTORO FUNCTION. (not necessarily both) |
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Term
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Definition
improved analgesia
decreased need for narcotics
decreased PACU/hospital stay
decreased PONV
improved blood flow to extremity
improved function recovery
patient satisfaction
improved cognitive recovery |
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Term
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Definition
PONV
ileus
resp depression
hypotension
bradycardia
lethargy
confusion/delirium
allergic reactions |
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Term
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Definition
patient refusal
patient's cognitive function
infection/burn at injection site
exisiting neryologic injury
LA allergy
vascular grafts
coagulopathy |
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Term
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Definition
consider: duration, onset, toxicity profile, cost, site
usually lidocaine or bupivicaine |
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Term
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Definition
increases duration
local vasoconstriction, decreased vascular uptake
improved quality (d/t alpha 2 agonism)
decreased LA blood conc.
concerns: worsening neurologic injury, systemic absorption (HOTN/tachycardia) |
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Term
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Definition
MECHANICAL damage to nerve
HEMATOMA formation |
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Term
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Definition
surgical injury
positioning
tourniquet injury
ISCHEMIA
COMPRESSION |
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Term
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Definition
PRESSURE injury from positioning
COMPRESSION (cast)
ischemia (loss of blood flow) |
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