Create a perfect diagrammatic ppt and in a systemic way to explain it All content only from actual textbook of surgery ( ajay gupta) SLIDE 15 :-- INDICATION ; The T10 Boundary ( Obst and gynae Urology Lower limb Anorectal / perineal analgaria ) These represent diagrammatic SLIDE 16 :-- ABSOLUTE CONTRADICTION :-- Hard stops contradiction PATHOLOGICAL MECHANISM , CATASTROPIC RISK. Bleeding disorder Hypervolumic inc.intracranial pressure AS/MS sever fixed Cardiac output lession Also include : -- patient refusal Local infection Infection site SLIDE 17 :-- RELATIVE CONTRADICTION PROCEED WITH CAUTION Sepsis ( sever spinal deformities ) ,pre - existing neurological deficit ( uncooperative patient ) SLIDE 18 DRUGS LIGNOCAINE SLIDE 19 :--BUPIVACAINE 0-----------------0 datawise scale of 0.5 % of bupivacaine and 5% lignocaine Conc. 0.5 % and dextrose 8% ( hyperbaric ) Key drivers Favourable sensory block profile and suprior safety margin mention SLIDE 20 :"__ spinal agents fact sheet -------- SLIDE 21 :-- PROCEDURE OF S.A SLIDE 22 :-- PATIENT POSITIONING : MECHANISM OF ACCESS SITTING POSITION (figure ) Mechanism Clinical use Obies patient / hyperbaric Soln -for sadle blocks LATERAL DECUBITUS POSITION (figure ) Mechanism - side leying fetal position with knees to chest SLIDE 23 :-THE PHYSICS OF BARICITY DENSITY Vs CSF ( FIGURE ) Label in diagram hyperbaric , isobaric and hypobaric SLIDE 24 :-- FLUID MECHANISM CONCENTRATION Hyperbaric Isobaric Hypobaric with examples SLIDE 25 ;-- PHYSIOLOGICAL CHANGE AND COMPLICATION IN CVS ( Figure and diagrammatic explain ) SLIDE 26:-- IN NERVOUS SYSTEM (CNS Vs PNS ) SLIDE 27 ;-- RESPIRATORY SYSTEM (High phrenic nerve origin spare the ...........) SLIDE 28 :-- GIT (Unopposed vagal tone drives GI hypermotlity and nausea The autonomic shift Clinical features Physiological effect ) SLIDE 29 :-- Genito- Urinary system (urinary retension) SLIDE 30 :- HYPOTENSION is the primary hemodynamic threat. (Gradually down graphic representation of eg. 1 prophylaxus -1.5 of crystalloid , 2 positioning , 3 fluid 4 vasopressure , 5 isotropes ) SLIDE 31 :- conditions of bradychardia VS condition of cardiac arrest represtation on figure with their action drugs and action like PCR and more SLIDE 32 :- MULTI -MODAL MANAGEMENT OF INTRAOPERATIVE SHIVERING ( Respiratory support , thermal reguklation, pharmacvoplogy like petnidine , termadol etc ) SLIDE 33:- NAVIGATION RARE BUT CRITICAL ACCIDENTAL EMERGENCY ( LAST ,LOCAL ANESTHESIA , SYSTEMIC TOXICITY , BROKEN NIDDLE , COMPLICATION ) SLIDE 34 :- POSTOPERATIVE COMPLICATION SPAM UROLOGICAL TO NEUROLOGICAL SYSTEM ( The representation like demographic of 1 neurotoxic , 2 mechanism and pressure ( PDPH ), and cervical nerve paralysis ,3 inf. And traumatic , like paraplegia and meningitis , 4 urological like urine retension ) SLIDE 35 :- CLINICAL SIGN OF PDPH SLIDE 36 :- NEEDLE GAUGE AND DETERMINE PRESENTATION SLIDE 37 :- PREVENT BA
Create a perfect diagrammatic ppt and in a systemic way to explain it All content only from actual textbook of surgery ( ajay gupta) SLIDE 15 :-- INDICATION ; The T10 Boundary ( Obst and gynae Urology Lower limb Anorectal / perineal analgaria ) These represent diagrammatic SLIDE 16 :-- ABSOLUTE CONTRADICTION :-- Hard stops contradiction PATHOLOGICAL MECHANISM , CATASTROPIC RISK. Bleeding disorder Hypervolumic inc.intracranial pressure AS/MS sever fixed Cardiac output lession Also include : -- patient refusal Local infection Infection site SLIDE 17 :-- RELATIVE CONTRADICTION PROCEED WITH CAUTION Sepsis ( sever spinal deformities ) ,pre - existing neurological deficit ( uncooperative patient ) SLIDE 18 DRUGS LIGNOCAINE SLIDE 19 :--BUPIVACAINE 0-----------------0 datawise scale of 0.5 % of bupivacaine and 5% lignocaine Conc. 0.5 % and dextrose 8% ( hyperbaric ) Key drivers Favourable sensory block profile and suprior safety margin mention SLIDE 20 :"__ spinal agents fact sheet -------- SLIDE 21 :-- PROCEDURE OF S.A SLIDE 22 :-- PATIENT POSITIONING : MECHANISM OF ACCESS SITTING POSITION (figure ) Mechanism Clinical use Obies patient / hyperbaric Soln -for sadle blocks LATERAL DECUBITUS POSITION (figure ) Mechanism - side leying fetal position with knees to chest SLIDE 23 :-THE PHYSICS OF BARICITY DENSITY Vs CSF ( FIGURE ) Label in diagram hyperbaric , isobaric and hypobaric SLIDE 24 :-- FLUID MECHANISM CONCENTRATION Hyperbaric Isobaric Hypobaric with examples SLIDE 25 ;-- PHYSIOLOGICAL CHANGE AND COMPLICATION IN CVS ( Figure and diagrammatic explain ) SLIDE 26:-- IN NERVOUS SYSTEM (CNS Vs PNS ) SLIDE 27 ;-- RESPIRATORY SYSTEM (High phrenic nerve origin spare the ...........) SLIDE 28 :-- GIT (Unopposed vagal tone drives GI hypermotlity and nausea The autonomic shift Clinical features Physiological effect ) SLIDE 29 :-- Genito- Urinary system (urinary retension) SLIDE 30 :- HYPOTENSION is the primary hemodynamic threat. (Gradually down graphic representation of eg. 1 prophylaxus -1.5 of crystalloid , 2 positioning , 3 fluid 4 vasopressure , 5 isotropes ) SLIDE 31 :- conditions of bradychardia VS condition of cardiac arrest represtation on figure with their action drugs and action like PCR and more SLIDE 32 :- MULTI -MODAL MANAGEMENT OF INTRAOPERATIVE SHIVERING ( Respiratory support , thermal reguklation, pharmacvoplogy like petnidine , termadol etc ) SLIDE 33:- NAVIGATION RARE BUT CRITICAL ACCIDENTAL EMERGENCY ( LAST ,LOCAL ANESTHESIA , SYSTEMIC TOXICITY , BROKEN NIDDLE , COMPLICATION ) SLIDE 34 :- POSTOPERATIVE COMPLICATION SPAM UROLOGICAL TO NEUROLOGICAL SYSTEM ( The representation like demographic of 1 neurotoxic , 2 mechanism and pressure ( PDPH ), and cervical nerve paralysis ,3 inf. And traumatic , like paraplegia and meningitis , 4 urological like urine retension ) SLIDE 35 :- CLINICAL SIGN OF PDPH SLIDE 36 :- NEEDLE GAUGE AND DETERMINE PRESENTATION SLIDE 37 :- PREVENT BA
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This guide covers essential aspects of anaesthesia, including indications and contraindications for drug selection, focusing on the T10 boundary and decision-making processes. It details the technique and positioning for spinal anaesthesia, highlighting physiological effects across various systems. Additionally, it addresses potential complications, offering pathways for rescue and prevention strategies, including management of hypotension and neurological issues, alongside a checklist for...