BIMS 201 Lecture Notes - Lecture 16: Tuohy Needle, Levobupivacaine, Epidural Space
7 Jan 2018
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Document Summary
Catheter placement is possible which offers the duration of anaesthesia to match the duration of surgery either by intermittent boluses or continuous infusion. Local anaesthetics are administered in the epidural space outside dura. The spa(cid:272)e is identified (cid:271)y (cid:862) loss of resistan(cid:272)e to inje(cid:272)tion of either air or saline(cid:863). It can be used for any procedurs from neck downwards. This is marked at 1cm intervals and has a. Huber point which allows the catheter to be directed along the long axis of the epidural space. It can be preformed at any level the vertebral column to give segmental analgesiaover an area that can be predetermined with reasonable success. Bupivacaine 0. 5% plain, 0. 25% plain, 0. 75% more cardiotoxic. Fentanyl 50 mcg bolus & 2mcg /ml infusion along with local anaesthetics. 0. 1% to 0. 125, 0. 167% of chirocaine (levobupivacaine) or bupivacaine with fentanyl 2mcg/ml infusion at a rate of 2-7ml/hour infusion for.
