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Chapter 91 - Peripheral Nerve Blocks

from Section 13 - Acute and Chronic Pain

Published online by Cambridge University Press:  03 August 2023

By
Lori Ann Oliver  and
Jodi-Ann Oliver
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 35-year-old 110 kg, 180 cm male presents for a right total knee replacement. A heavy smoker at two packs per day for 30 years, his past medical history also shows chronic bronchitis and type 2 diabetes, initially managed with oral antiglycemics such as metformin. He is now insulin-dependent and hypertensive. His medications include NPH with Novolog, lisinopril-HCTZ and fluticasone/salmeterol (Advair) Diskus and montelukast (Singulair) daily with albuterol as a rescue inhaler. HR 90, BP 160/75, RR 20, temperature 36 °C. EKG shows normal sinus rhythm, with a heart rate of 75 beats/min with nonspecific ST–T wave changes in V3–V5 and Hgb 14 g/dL.

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 379 - 384
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1583–98.Google Scholar
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Mulroy, MF. Regional anesthesia: when to say yes, when to say no. ASA Annual Meeting Refresher Course Lectures, 2007, p. 507.Google Scholar
Second Consensus Conference on Neuraxial Anesthesia and Anticoagulation. Regional anesthesia in the anticoagulated patient: defining the risks. 2002.Google Scholar

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