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17 Cards in this Set

  • Front
  • Back

Local anesthesia

Aminoesters


Aminamides


Aminoesters

First local anesthetics


Cocaine


Procaine (Novocaine)


Others


Benzocaine


Tetracaine

Cocaine

4% and 10%


Topical only


Vasoconstrictor

Tetracaine

.5% solution used in cataract surgery

Aminoamides

lidocaine (Xylocaine)


bupivacaine(Marcaine)


ropivacaine (Naropin)


mepivicaine (Carbocaine)

Which local anesthetic does not cause some vasodilation?

ropivacaine (Naropin)

lidocaine

Xylocaine


Most common local anesthetic used


Duration 30-60min


Duration with epi 2-3hrs


.5%, 1%,1.5%,2%


4%topical

Bupivacaine

Marcaine


Sensorcaine


4x more potent and longer duration than lidocaine


3-7hrs


.25%, 0.5%, 0.75%


Ropivacaine (Naropin)

Similar to bupivacaine


Comes in sterile packs so it can be drawn from back table


.2%, 0.5%, 0.75%

Mepivacaine

Carbocaine


Polocaine


Similar potency to lidocaine


Not topical


1%, 1.5%, 2%, 3%

Regional blocks

Spinal


Epidural


Caudal block


Peripheral Nerve Block


Bier block


Retrobulbar block

Spinal

Through the dura mater into Subarachnoid space



Prostate, bladder, lower leg,lower orthopedic, cesarean sections



Drop in no may occur

Epidural

Injected into space surrounding dura mater


Labor


C-section


Post op pain


"Walking epidurals"

Caudal block

Epidural block


In epidural space via the sacral canal

Peripheral Nerve Block

Extremity block


Arms, legs, fingers, feet, hands


Biracial plexus most common at axillary

Bier block

Intravenous Regional Anesthesia


Faster and easier than brachial


Immediate onset


Requires exsanguination (with Esmarch)

Retrobulbar block

Injected behind the eye into muscle cone


Blocks oculomotor nerve