Landmark-Guided Midline Spinal Anesthesia (Step-by-Step Technique) скачать в хорошем качестве

Landmark-Guided Midline Spinal Anesthesia (Step-by-Step Technique)

This illustrates how I personally perform surface-landmark-guided midline spinal anesthesia in the sitting position. The main points to highlight and watch for, which are critical when faced with a "difficult" spine and small narrow spaces, are: finger and hand positions (practice until it is second nature). how to control the overlying skin (fix it, make parallel shifts, over underlying bony spine). the small, subtle and controlled incremental changes in trajectory when making redirections acquiring a tactile sense ("feel") of the different tissues that the needle tip passes through. developing a relaxed yet controlled grip and handling of the needle and introducer, ensuring that they travel in a straight line without applying any torque that might cause them to deviate from the intended trajectory.