Patient related risk to ponv
Anesthesia related risks for ponv
Surgery related risks for ponv
What does b12 deficiency lead to?
Bariatric surgery
Megaloblastic anemia
What is a baclofen pump used for and the population?
For severe spasticity of cord or CNS origin over 4 years old.
For cerebral palsy, cord injury, TBI, MS
Pump is implanted into abdomen or chest wall
1000 x smaller than oral baclofen dose
When can baclofen overdose occur?
Signs of toxicity
Can occur with refilling pump, or if there is a pump failure, or during pump dose titration
S/S-
Drowsiness, vertigo, somnolence, hypothermia, respiratory depression, hypotonia
S/S of baclofen withdrawal
High fever
Decreased loc
Rebound spasticity
Muscle rigidity
What are S
S/S of high regional blocks
T1-t4
C7-C6
C5-C3
Intracranial
What position do you want to place patients in high spinal block?
Reverse trendelenberg
Treatment for high total spinal
Iv fluid bolus
Atropine or ephedrine if Brady
