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Pain During Cesarean Delivery
November 2024 OA-SOAP Fellows Webinar Series
Spotlight on Ketamine: From Pain Relief to Public Concern
Next SPPM Visual Pearls episode with Dr. Deepa Kattail now available!
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Summary of the Day
Pharmacological Changes with Aging: Inhalational and Intravenous Anesthetics
Read SummaryQuestion of the Day
A 22-year-old G2P1 woman at 39-weeks gestation is in labor and requests analgesia for labor via epidural. To provide analgesia, an opioid administered via the epidural route must terminate in which of the following sites?
Explanation
During the placement of an epidural catheter for labor analgesia, local anesthetic and an opioid analgesic agent are injected into the epidural space. These medications exert their actions by diffusing across the dura mater into the subarachnoid space and act on the spinal nerve roots, spinal cord and paravertebral nerves. From the outside to inside, the path through layers of tissue and ligaments that are necessary to be crossed to correctly place an epidural progress is: skin, subcutaneous tissue, supraspinous ligaments, interspinous ligament, ligamentum flavum, epidural space, dura mater, subarachnoid space.
OA Series: November 2024
43:14
OA-SOAP Fellows Webinar Series
Pain During Cesarean DeliveryMark Zakowski, MD, FASA, Cedars-Sinai Medical Center, Los Angeles, CA
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05:08
SPPM Visual Pearls
Spotlight on Ketamine: From Pain Relief to Public ConcernDeepa Kattail, MD MHS FAAP, The Hospital for Sick Children, Toronto, ON, Canada
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35:32
OA Global Health Equity Ask the Expert
Health Equity Curriculum for Anesthesia ResidentsSamuel Percy, MD, Children's Hospital Colorado, Aurora, CO
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