Mayo Clinic Analgesic Pathway: Peripheral Nerve Blockade for Major Orthopedic Surgery

by Lennon; Robert L.

• ISBN13: 9780849395727
• ISBN10: 0849395720
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2005-11-01
• Publisher: CRC Press

Summary

Resolving to expedite the recovery process, this reference describes a comprehensive multimodal approach to intraoperative regional anesthesia and postoperative analgesia in patients undergoing major lower extremity orthopedic surgery-spanning the entire selection of regional anesthesia equipment, strategies in pain management, and practical treatment guidelines for the management of inpatient and ambulatory peripheral nerve catheters.The authors' systematic approach to regional anesthesia and analgesia in patients undergoing total joint replacement has been recognized for its scientific and educational value by the American Academy of Orthopaedic Surgeons and the American Society of AnesthesiologistsThis guide helps readers by:· offering prudent, practical management guidelines for optimal medical care· describing needle redirection cues for each block· illustrating anatomical landmarks for selecting the needle insertion site· supplying detailed medical illustrations of proper positioning for the patient and proceduralist

Author Biography

Robert L. Lennon is Supplemental Consultant, Department of Anesthesiology, Mayo Clinic; Associate Professor of Anesthesiology, Mayo Clinic College of Medicine; Rochester, Minnesota Terese T. Horlocker is Consultant, Department of Anesthesiology, Mayo Clinic; Professor of Anesthesiology and of Orthopedics, Mayo Clinic College of Medicine; Rochester, Minnesota

Table of Contents

Section I: Principles of Lower Extremity Peripheral Nerve Block	1	(32)
1. Neural Anatomy	3	(8)
2. Dermatomes and Osteotomes	11	(4)
3. Preoperative Assessment and Monitoring	15	(4)
4. Techniques and Equipment for Neural Localization	19	(6)
5. Selection of Local Anesthetic and Adjuvants	25	(6)
6. Neurologic Complications	31	(2)
Section II: Lumbar Plexus Block	33	(32)
7. Psoas Compartment Approach	35	(8)
8. Fascia Iliaca Approach	43	(4)
9. Femoral Nerve Block	47	(4)
10. Lateral Femoral Cutaneous Nerve Block	51	(4)
11. Obturator Nerve Block	55	(4)
12. Saphenous Nerve Blocks	59	(6)
Section III: Sciatic Nerve Block	65	(36)
13. Classic Posterior Approach of Labat	67	(4)
14. Parasacral Approach	71	(4)
15. Subgluteal Approach	75	(4)
16. Anterior Approach	79	(4)
17. Lateral Popliteal Approach	83	(4)
18. Posterior Popliteal Approach	87	(4)
19. Ankle Block	91	(10)
Section IV: Mayo Clinic Analgesic Pathway	101
20. Mayo Clinic Total Joint Anesthesia and Analgesic Pathway	103	(10)
21. Regional Anesthesia and Analgesia in the Patient Receiving Thromboprophylaxis	113	(4)
22. Management of Inpatient Peripheral Nerve Catheters	117	(4)
23. Management of Ambulatory Peripheral Nerve Catheters	121	(4)
24. Nursing Management of Peripheral Nerve Catheters	125	(2)
25. Future Directions	127