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    Regional Anesthesia Head Neck Slides 060524

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    The document discusses the advantages and disadvantages of local anesthesia for otolaryngology procedures. It provides details on various local anesthesia techniques for different regions of the head and neck, including scalp blocks, trigeminal nerve blocks, mandibular nerve blocks, maxillary nerve blocks, laryngeal blocks, and cervical blocks. It also reviews commonly used local anesthetic agents and their dosages.

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    Regional Anesthesia Head Neck Slides 060524

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    srisaivimala
    27 views84 pages
    The document discusses the advantages and disadvantages of local anesthesia for otolaryngology procedures. It provides details on various local anesthesia techniques for different regions of the head and neck, including scalp blocks, trigeminal nerve blocks, mandibular nerve blocks, maxillary nerve blocks, laryngeal blocks, and cervical blocks. It also reviews commonly used local anesthetic agents and their dosages.

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    REGIONAL ANAESTHESIA IN ENT

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    The document discusses the advantages and disadvantages of local anesthesia for otolaryngology procedures. It provides details on various local anesthesia techniques for different regions of the head and neck, including scalp blocks, trigeminal nerve blocks, mandibular nerve blocks, maxillary nerve blocks, laryngeal blocks, and cervical blocks. It also reviews commonly used local anesthetic agents and their dosages.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    27 views84 pages

    Regional Anesthesia Head Neck Slides 060524

    Uploaded by

    srisaivimala
    The document discusses the advantages and disadvantages of local anesthesia for otolaryngology procedures. It provides details on various local anesthesia techniques for different regions of the head and neck, including scalp blocks, trigeminal nerve blocks, mandibular nerve blocks, maxillary nerve blocks, laryngeal blocks, and cervical blocks. It also reviews commonly used local anesthetic agents and their dosages.

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    of 84

    Regional Anesthesia In

    Otolaryngology
    Jacques Peltier, MD
    Faculty Advisor: Francis B. Quinn, Jr., MD
    The University of Texas Medical Branch
    Department of Otolaryngology
    Grand Rounds Presentation
    May 24, 2006

    1
    Advantages of Local Anesthesia
    The patient is conscious during surgery.
    Smooth postoperative course.
    Patient awake and maintains his own airway.
    Less pain needs less narcotics, lighter
    anesthesia in general cases.
    Less nursing care after procedures, less
    admissions.
    Less expensive

    2
    Disadvantages of Local Anesthesia

    The patient may prefer to be asleep


    Specialized skill necessary.
    Some blocks require up to 30 minutes to
    be fully effective.
    Analgesia may not always be totally
    effective, and general anesthesia may be
    required anyway.

    3
    Disadvantages of Local Anesthesia

    Generalized toxicity may occur if local


    anesthetic drugs are given intravenously
    by mistake or an overdose is given.
    Widespread sympathetic blockade can
    result in hypotension.
    There is a small but definite incidence of
    prolonged nerve damage.

    4
    Local Anesthetics

    Agent: Dose: Onset/Duration:


    Lidocaine with epi (1 or 2%) 7mg/kg Fast/medium
    Lidocaine without epi 4.5mg/kg Fast/short
    Mepivacaine without epi (3%) 5.5mg/kg Fast/short
    Bupivacaine with epi (0.5%) 1.3mg/kg Long/long
    Articaine with epi (4.0%) 7mg/kg Fast/medium

    *ADULT DOSES IN PATIENTS WITHOUT CARDIAC HISTORY

    5
    Scalp Blocks

    6
    Scalp Blocks

    7
    Scalp Blocks

    8
    Scalp Blocks

    9
    Scalp Blocks

    10
    Trigeminal Nerve Blocks

    11
    Gasserian Ganglion Block

    12
    Mandibular Nerve Blocks

    13
    Mandibular Nerve Blocks

    14
    Mandibular Nerve Blocks

    15
    Mandibular Nerve Blocks

    16
    Mandibular Nerve Blocks

    17
    Mandibular Nerve Blocks

    18
    Mandibular Nerve Blocks

    19
    Mandibular Nerve Blocks

    20
    Mandibular Nerve Blocks

    21
    Mandibular Nerve Blocks

    22
    Mandibular Nerve Blocks

    23
    Inferior Alveolar Nerve Block

    24
    Inferior Alveolar Nerve Block

    25
    Inferior Alveolar Nerve Block

    26
    Inferior Alveolar Nerve Block

    27
    Inferior Alveolar Nerve Block

    28
    Inferior Alveolar Nerve Block

    29
    30
    31
    Mental Nerve Block

    32
    Mental Nerve Block

    33
    Mental Nerve Block

    34
    Maxillary Nerve Blocks

    35
    Maxillary Nerve Blocks

    36
    Maxillary Nerve Blocks

    37
    Maxillary Nerve Blocks

    38
    Maxillary Nerve Blocks

    39
    Maxillary Nerve Blocks

    40
    Local Blocks

    41
    Supraorbital Nerve Blocks

    42
    Supratrochlear Nerve Blocks

    43
    Infraorbital Nerve Blocks

    44
    Nasociliary and Anterior
    Ethmoidal Nerve Blocks

    45
    Local Blocks for Nasal Surgery

    46
    Maxillary Nerve Blocks

    47
    48
    49
    50
    Local Blocks for Nasal Surgery

    51
    52
    53
    54
    Local Ear Blocks

    55
    Local Ear Blocks

    56
    Local Ear Blocks

    57
    Local Ear Blocks

    58
    Local Ear Blocks

    59
    Cervical Blocks

    60
    Cervical Blocks

    61
    Cervical Blocks

    62
    Cervical Blocks

    63
    Cervical Blocks

    64
    Cervical Blocks

    65
    Cervical Blocks

    66
    Spinal Accessory Nerve Block

    67
    Glossopharyngeal Nerve Block

    68
    Glossopharyngeal Nerve Block

    69
    Glossopharyngeal Nerve Block

    70
    Glossopharyngeal Nerve Block

    71
    Airway and Laryngeal Blocks

    72
    Laryngeal Anesthesia

    73
    Laryngeal Anesthesia

    74
    Laryngeal Anesthesia

    75
    Laryngeal Anesthesia

    76
    Laryngeal Anesthesia

    77
    Laryngeal Anesthesia

    78
    Laryngeal Anesthesia

    79
    Laryngeal Anesthesia

    80
    Laryngeal Anesthesia

    81
    Laryngeal Anesthesia

    82
    Laryngeal Anesthesia

    83
    References
    Atlas of Regional Anesthesia, Katz et. al, Multiple pages,
    Appleton and Lange 1994
    Techniques of Regional Anaesthesia, Scott et. al,
    Appleton and Lange, 1989
    Regional Anesthesia of the oral cavity, Jastak and
    yagiela, The Mosby Company 1981
    Illustrated Handbook in Local Anaesthesia, Eriksson,
    W.B. Saunders Company 1979

    84

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