Please enable JavaScript.

Coggle requires JavaScript to display documents.

Anasthesia & analgesia - Coggle Diagram

- - - - Epidural
        
        Side effect
        
        Hypotention
        
        Post-dural puncture headache 🤕
        
        Transient fetal heart rate deceleration
        
        Indications
        
        Difficult to intubate
        
        Malignant hyperthermia
        
        Cardiac / respiratory disease 🦠
        
        Prevention / trearment of autonomic hyper-reflexia in high spinal cord injury
        
        C/S
        
        Post-partum tubal ligation
        
        Combination of low dose local anesthesia ((bupivacaine)) with opioids ; :arrow_down: motor blockade and result in :arrow_up: rate of SVD
        
        Side effect
        
        Hematoma
        
        Abcess
        
        Total spinal blocked
        
        Pruritis (itchy skin)
        
        Transient neurological symptoms ((Painful sensation in buttocks / legs ))
        
        Neurotoxicity
        
        ⏱
        
        Very early placement may :arrow_up: risk of CS
        
        Delaying of placement :arrow_down: risk of CS
        
        Nulliparity should delayed until cervical os 4-5cm
      - Spinal with / without opioids
        
        Indications
        
        C/S
        
        Postpartum tubal ligation
        
        2nd stage of labour
        
        Limited use :!?: inability to extend the action
      - Combined spinal epidural (rapid onset, prolonged duration)
        
        Side effect
        
        Emergency C/S (FETAL BRADYCARDIA) “risk :arrow_up: compared with epidural
    - - Entonox supplement + low concentration of halogenated gas
      - Side effect
        
        Inhaled agents cross the placenta (neonatal depression)
        
        Induction < 8 min.
        
        High concentration-> uterine relaxant
        
        :arrow_up: 🩸 blood loss during C/S
      - useful in:
        
        Uterine inversion
        
        Fetal entrapment
        
        IV NGT
- - - - Nausea / vomiting 🤮
      - Dizziness 😵‍💫
      - Sleepiness 😴
    - - Drowiness and impaired breathing in 👶🏻 (Treatable with Naloxone)
  - - - Hypotension
      - Delay of 2nd stage of labor