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Wednesday, September 14, 2016

EXAMPLES OF 'SMALL' THINGS WHICH CAN SIGNIFICANTLY IMPAIR PATIENT'S SATISFACTION

The Risk Factors as per EuroSCORE II System used for risk stratification of patients undergoing Cardiac Surgery


๐Ÿ“ŠPatient factors 

• Sex: Female 
• Age: >60 years 
• Co-morbidities including renal, neurological and extra-cardiac arterial disease 

๐Ÿ“ŠDisease factors 

• Recent MI 
• Left ventricular dysfunction 
• Unstable angina 

๐Ÿ“ŠOperative factors 

• Redo or emergency surgery 
• Non-isolated coronary artery bypass grafting


EPIDURAL NEEDLE & CATHETER : KNOW THE MEASUREMENTS

๐Ÿ“ The adult needle is 10 cms long ( shaft measures 8 cms ). 15 cms long needles are also available for obese patients 

๐Ÿ“ The markings are 1 cm apart for the adult needle and 0.5 cm for the pediatric one

๐Ÿ“ For the adult 16 & 18 G are the commonly used ones, whereas for the pediatric 19 G needles are available 

๐Ÿ“ Touhy is the commonly used needle

๐Ÿ“ Regarding the tip: ✔️The bevel is angled at 20 degree with the shaft ✔️ It is known as Huber point ✔️ It's blunt ✔️ All these features aid in the effectiveness of Loss of Resistance Technique 

๐Ÿ“ Regarding the catheter: ✔️ It's made of nylon or teflon ✔️ The distal tip is rounded and closed ✔️So fluid can escape only through the side ports. All these features helps to reduce chances of dural puncture and vascular injury

๐Ÿ“ The adult catheter is 90 cms long

#anaesthesia , #anesthesia