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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > April, 2007 Vol. VIII, No. 4

Ideas That Work

Spinal anesthesia for obese patients

Morbidly obese patients present a clinical challenge for anesthesia staff performing subarachnoid punctures. Difficulties arise due to anatomic changes that obscure landmarks for guiding needle placement in the lumbar subarachnoid space. Here's an innovative technique you can use for placement of a continuous lumbar spinal catheter using a Touhy epidural needle with an open-ended epidural catheter. We call it the Sharpie Technique.

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Categories: Anesthesia, Ideas That Work, Spine/Neurosurgery
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Staffing Continuous Care; Ask for Post-post-op Evaluations; It's Not Lost, It's Scanned; Who's Who In a Code?; Randall W. Klotz, CRNA, MEd, MSN; Robert Miller, DO; Dick Farr, OPA-C, CASC; Jack Neary, CRNA; Maureen Harders,MD; Monica Ziegler, MSN; Anesthesia; Aseptically; CRNA Director; CRNA. Runs; Calls; Care Whenever; Code? The; Compare; Continuous Care Whenever; Coordinates; DO William Jennings Bryan Dorn; Difficulties; Dorn; Draw; Evaluations How; Harders,MD Director, Anesthesia; IV; Insert; Jennings Bryan Dorn; Lost, Scanned Lost; MSN Administrator; Maureen; Miller, DO William Jennings Bry... show all keywords
Staffing Continuous Care; Ask for Post-post-op Evaluations; It's Not Lost, It's Scanned; Who's Who In a Code?; Randall W. Klotz, CRNA, MEd, MSN; Robert Miller, DO; Dick Farr, OPA-C, CASC; Jack Neary, CRNA; Maureen Harders,MD; Monica Ziegler, MSN; Anesthesia; Aseptically; CRNA Director; CRNA. Runs; Calls; Care Whenever; Code? The; Compare; Continuous Care Whenever; Coordinates; DO William Jennings Bryan Dorn; Difficulties; Dorn; Draw; Evaluations How; Harders,MD Director, Anesthesia; IV; Insert; Jennings Bryan Dorn; Lost, Scanned Lost; MSN Administrator; Maureen; Miller, DO William Jennings Bryan Dorn; Morbidly; Neary, CRNA Director; Performs; Physicians; Post-post-op Evaluations How; RN(s). Administers; RN. Performs; RN. Readies; Randall; Readies; Runs; Scanned Lost; Sharpie; Sharpie Technique. With; Slowly; Sprotte; Technique. With; Touhy; Veterans; Ziegler, MSN Administrator; access; advance; anatomic; anesthesia; anesthetized; answers; approximately; approximating; arise; arrive; assign; assists; back; begin; beginning; big; busiest; call; calling; catheter; center; cephalad; cerebrospinal; challenge; choice; circulating; clinical; column; community; confusion; constantly; continuity; continuous; controls; covering; crash; crest; decided; decrease; defibrillator; degrees; delineates; direction; discuss; disrupted; document; drape; due; dura; efficient; emergency; encounters; entire; epidural; events; expedient; expedited; experience; expose; face; facility; family; feel; fluid; fold; follow; foot; good; greatly; guide; guiding; head; heme-free; horizontal; idea; iliac; illustrated; illustrative; image; impossible; inch; inches; incidence; increased; information; innovative; introducer; invite; issues; landmarks; leads; learn; length; line; list; lose; lumbar; marker; mater; measuring; midline; missing; monitoring; month; morbidly; multi-specialty; needle; nurse; obese; obscure; obtain; office; open-ended; operations; operative; osseous; outpatient; palpate; paper; paperwork; parallel; paresthesia; part; participate; patient; patients; people; performing; permanent; permit; phones; pierce; place; placement; places; pole; postdural; prep; prepped; present; problem; procedure; program; provided; puncture; quick; randomly; recent; redirect; reduction; region; reinsert; reliably; remarkable; remember; roles; rotate; run; sacroanal; satisfaction; scanned; selected; serving; shifted; side; single-specialty; sitting; smiling; specialize; spinal; staff; staff,documents; standard-size; starts; steadily; stood; subarachnoid; subcutaneous; suite; superior; surgeon's; surgeons; surgery; surveys; tape; technique; tend; thing; time; tip; tracking; vertebral; views; virtually; visitors; wait; waste; withdraw

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