Veterinary Medicine - January 2009 - (Page 40)

Anesthesia techniques PEER-REVIEWED 43. White PF, Rawal S, Latham P, et al. Use of a continuous local anesthetic infusion for pain management after median sternotomy. Anesthesiology 2003;99(4):918-923. 44. Gottschalk A, Burmeister MA, Radtke P, et al. Continuous wound in ltration with ropivacaine reduces pain and analgesic requirement after shoulder surgery. Anesth Analg 2003;97(4):10861091. 45. Mecklem DW, Humphrey MD, Hicks RW. Ef cacy of bupivacaine delivered by wound catheter for post-Caesarean section analgesia. Aust N Z J Obstet Gynaecol 1995;35(4):416–421. 46. Baig MK, Zmora O, Derdemezi J, et al. Use of the ON-Q pain management system is associated with decreased postoperative analgesic requirement: double blind randomized placebo pilot study. J Am Coll Surg 2006;202(2):297-305. 47. Boss AP, Maurer T, Seiler S, et al. Continuous subacromial bupivacaine infusion for postoperative analgesia after open acromioplasty and rotator cuff repair: preliminary results. J Shoulder Elbow Surg 2004;13(6):630-634. 48. Fredman B, Zohar E, Tarabykin A, et al. Bupivacaine wound instillation via an electronic patient-controlled analgesia device and a double-catheter system does not decrease postoperative pain or opioid requirements after major abdominal surgery. Anesth Analg 2001;92(1):189-193. 49. Magnano D, Montalbano R, Lamarra M, et al. Ineffectiveness of local wound anesthesia to reduce postoperative pain after median sternotomy. J Card Surg 2005;20(4):314-318. 50. Polglase AL, McMurrick PJ, Simpson PJ, et al. Continuous wound infusion of local anesthetic for the control of pain after elective abdominal colorectal surgery. Dis Colon Rectum 2007;50(12):2158-2167. 51. Singh K, Phillips FM, Kuo E, et al. A prospective, randomized, double-blind study of the ef cacy of postoperative continuous local anesthetic infusion at the iliac crest bone graft site after posterior spinal arthrodesis: a minimum of 4-year follow-up. Spine 2007;32(25):2790-2796. 52. Hansen B. Management of pain in the critically ill, in Proceedings. Int Vet Emerg Crit Care Symposium 2003. 53. Lascelles BDX. Pain management in acute cancer care: use of wound analgesic catheters, in Proceedings. Br Small Anim Vet Congress 2007. CE You can earn two hours of Continuing Education credit from Kansas State University by answering the following questions on anesthesia techniques. Circle only the best answer for each question, and transfer your answers to the form on page 46 or take the test online at https://outreach.ksu.edu/ce/. This test expires Feb. 1, 2010. 1. Which is not a potential side effect of local anesthetic administration? a. Seizures b. Fever c. Respiratory arrest d. Hypotension e. Coma 6. Which anesthetic technique would be indicated after excision of a large tumor? a. Inﬁltration analgesia b. Digital nerve block c. Intravenous regional block d. Soaker-type catheter e. None of the above 2. Which order of nerve impulse blockade is accurate for local anesthetics? a. Autonomic, sensory, motor, pain b. Pain, sensory, autonomic, motor c. Autonomic, pain, sensory, motor (skeletal muscle) d. Sensory, motor, pain, autonomic e. Pain, motor (proprioception), autonomic, sensory 7. Which anesthetic technique would be most effective for amputating a digit? a. Inﬁltration analgesia b. Splash block c. Intravenous regional block d. Soaker-type catheter e. None of the above Have you checked out the 2008 Veterinary Medicine annual index? With just a click of the mouse, read articles you might have missed, watch your favorite videos again, and listen to practical audio clips. Find it at dvm360.com/VMIndex. 3. Which plays a role in how quickly a local anesthetic is absorbed? a. Vasoconstrictor use b. Injection site vascularity c. The drug’s protein binding and lipid solubility d. The volume and concentration of the drug administered e. All of the above 8. Which anesthetic technique would be indicated to excise a small mass? a. Inﬁltration anesthesia b. Digital nerve block c. Splash block d. Soaker-type catheter e. None of the above 9. Which anesthetic technique would be indicated for an onychectomy? a. Inﬁltration analgesia b. Digital nerve block c. Splash block d. Soaker-type catheter e. None of the above 4. Which is not a beneﬁt of adding an opioid to a local anesthetic? a. Vasoconstriction b. Minimal adverse effects c. Extension of duration of the block d. Anti-inﬂammatory effects e. Additional analgesia 5. Which local anesthetic should never be given intravenously? a. Mepivacaine b. Articaine c. Lidocaine d. Procaine e. Bupivacaine 10. Which local anesthetic would be most effective for intermittent administration through a soakertype catheter? a. Mepivacaine b. Articaine c. Lidocaine d. Procaine e. Bupivacaine 40 January 2009 VETERINARY MEDICINE https://outreach.ksu.edu/ce/ http://www.dvm360.com/VMIndex http://www.dvm360.com/VMIndex

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Veterinary Medicine - January 2009 Contents Leading Off Letters Research Updates Idea Exchange A Modified Subconjunctival Enucleation Technique in Dogs and Cats Local and Regional Anesthesia Techniques Author Guidelines Product Preview CE Form/Advertiser Index Marketplace/Classifieds Mind Over Miller

Veterinary Medicine - January 2009

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