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Anaesthesiology
Pumps pain management and regional anaesthesia
Built from Al-Shaikh — Essentials of Equipment in Anaesthesia, Critical Care and Peri-operative Medicine, 6e
What’s inside
9 sections · 96 slides
Overview
- What this session covers
- Two jobs, one chapter
Infusion Pumps for Pain Relief
Letting the patient, or the clock, control the dose
- Patient-controlled analgesia (PCA): the idea
- PCA: the three essential parts
- Patient-controlled analgesia pump
- PCA: modes of delivery
- PCA: the settings the anaesthetist programmes
- PCA: safety features and pitfalls
- Ambulatory patient-controlled analgesia pump
- Syringe pumps
- Syringe infusion pumps
- Syringe pumps: preventing free flow
- Syringe pumps: smart safety and back-off
- Volumetric pumps
- Volumetric infusion pump
- Target-controlled infusion (TCI) pumps
- Elastomeric pumps: the disposable balloon
- Elastomeric infusion pump
- Elastomeric pumps: build and behaviour
- Elastomeric pumps: what changes the flow
- Hard-shell elastomeric pump with rate selector
The Penthrox Inhaler
Self-administered vapour for short-term pain relief
- Penthrox: the 'green whistle'
- Disposable methoxyflurane inhaler
- Penthrox: what is inside
- Inside the methoxyflurane inhaler
- Penthrox: how it works and its limits
NRFit: Safer Connections
Stopping drugs from going down the wrong route
- Why NRFit exists
- NRFit: how it is designed to be safe
- NRFit versus standard Luer connectors
- NRFit epidural set
Epidural Equipment
Reaching and cannulating the epidural space
- Epidural needles: the Tuohy
- Tuohy epidural needle
- Tuohy needle: the components
- Tuohy needle: why the design works
- Needle and catheter through a Tuohy needle
- The combined spinal-epidural (CSE) technique
- Combined spinal-epidural set
- Seeing the needle: echogenic and navigation aids
- Echogenic epidural needle
- Handheld ultrasound spine-navigation system
- Epidural needles: problems and safety
- The epidural catheter: components
- Epidural catheter and filter
- Epidural catheter: use and fixing
- Epidural catheter fixing device
- Epidural catheter: problems in practice
- Knotted epidural catheter
- The filter and the loss-of-resistance device
Spinal Needles
Reaching the subarachnoid space, and the headache problem
- Spinal needles: purpose
- Spinal needles
- Spinal needles: sizes and bevels
- Spinal needle bevel designs
- Pencil-point versus cutting bevel
- Spinal needles: handling and continuous block
- Post-dural-puncture headache: what drives it
- Why the pencil-point needle helps
- Spinal microcatheters and an exam pointer
- Key-points summary marker
Nerve Block Needles
Finding a nerve without piercing it
- Nerve block needles: the idea
- Stimulating nerve block needle
- Nerve block needles: sizes for the job
- Locating the nerve with current
- Nerve block needles: injecting safely
- In-line nerve injection pressure limiter
- Two-operator technique and continuous blocks
- Needle and catheter set for continuous blocks
- Insulated versus non-insulated needles
- Insulated versus non-insulated needles
The Nerve Stimulator
Making a nerve twitch without touching it
- The nerve stimulator: what it does
- Peripheral nerve stimulator
- The ideal nerve stimulator
- Nerve stimulator: how the current works
- Nerve stimulator remote control
- Percutaneous nerve localisation
- Percutaneous nerve localisation device
- Nerve stimulator: problems and safety
Ultrasound Guidance
Seeing the nerve and the needle in real time
- Ultrasound in regional anaesthesia
- Echogenic single-shot nerve block needles
- Reflector technology on a block needle
- Ultrasound: frequencies and transducers
- Choosing the probe, and going continuous
- Continuous ultrasound-guided nerve block set
- Why is a fine, pencil-point spinal needle preferred over a large cutting one?
- Numbers worth remembering
- Three things to carry away
- References
- Essentials of Equipment in Anaesthesia, Critical Care, and Perioperative Medicine