Educational Blog about Anesthesia, Intensive care and Pain management

Needle Misplacement during Caudal block

Needle Misplacement during Caudal block Sites of Misplacement: A-SubperiostealB-False decoy hiatusC-posterior sacral ligamentD-Anterior sacral wallE-BoneF-Lateral foramen...

Failed Epidural Block

Failed Epidural Block Introduction: ➧ Failure of epidural anesthesia and analgesia occurs in up to 30% of clinical practices.  ➧ Some technical factors can help to increase the primary and secondary success rates. A) Technical factors influencing block success: 1-Patient Position: ➧ Patient positioning potentially affects needle placement by changing the relationship...

Local Anesthetic Toxicity

Local Anesthetic Toxicity Clinical Manifestations & Management:  1-CNS manifestations:  ➧ Early signs: circumoral numbness (Earliest sign), tongue paresthesia, dizziness ➧ CNS Excitation: (restlessness and agitation) ➧ CNS Depression: (slurred speech, drowsiness, unconsciousness) ➧ Muscle twitching, tonic-clonic seizures ➧ Respiratory...

Masking Techniques in Pediatrics

Masking Techniques in Pediatrics ...

Bronchial Asthma

Anesthetic Management of Pt. with Bronchial Asthma Definition: ➧ It is an acute obstructive pulmonary disease. It is due to the hyperreactivity of the tracheobronchial tree, in which some exogenous or endogenous stimuli can produce reversible airway obstruction. ➧ Histamine and the leukotrienes are the most active chemical mediators, while acetylcholine contributes...

Pierre Robin syndrome

Pierre Robin syndrome: Manifestations: ➧ A rare syndrome in which there is a combination of: -Severe micrognathia -Posterior prolapse of the tongue Other congenital abnormalities: -Cleft palate -Esophageal atresia ➧ The term syndrome is now reserved for those errors of morphogenesis with the simultaneous presence of multiple anomalies caused...