Summary
Sumario Anestesiología Raquídea Resumen
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Es un resumen para la colocación de anestesiología raquídea muy fácil
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💉Anestesia Raquídea
Creado en @20 de noviembre de 2023 21:07
Curso/materia Anestesiología
Tipo Clase
Estudiado
Secuencia Clínica de la Anestesia
bloqueo simpatico
menor sensacion de dolor y temperatura
perdida de propiosepcion
perida de sensacion de tacto y presion
paralisis motora
Posicion del px
paciente decubito lateral : obstetricia
paciente sentado : raices sacras , px obesos ,ginecologia y urologia
Anatomía
Entre aracnoides y piamadre
continuidad con ventriculos cerebrales y cisterna
Contenido : LCR, estructuras nerviosas , vasos que se dirigen a la medula
por debajo de L1 esta la cola de caballo o film terminale , por debajo de este
espacio no existe riesgo de trauma para la ME en el adulto (niños debajo de L3)
Anestesia Raquídea 1
, planos de la anestesia
1. l.supraespinoso
2. linterespinoso
3. l. amarillo
4. espacio peridural
5. duramadre
Agujas y anestésicos utilizados
agujas
Cortan fibras de la duramadre : quincke
las que separan fibras : witacre y sprotte (con forma punta de lapiz) , calibre
mas utilizados 27G
anestesicos
amidas
lidocaina
bupivacaina
ropivacaina
levobupivacaina
Técnica
Administracion de un AL en el espacio subaracnoideo
Introduccion de la aguja que atraviesa las siguientes estructuras : piel , tejido
subcutaneo , ligamentos supraespinoso , interespinoso , amarillo , espacio peridural
, duramadre y aracnoides
Se inyecta el anestesico que se distribuye por el LCR, penetra estructuras neurales
produciendo bloqueo sensitivo y motor
desinfeccion de la zona
infiltracion de la piel en espacio elegido
Anestesia Raquídea 2
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