Regional Anesthesia Victor Pauchets Technique By B Sherwood Dunn With 22
Regional Anesthesia Victor Pauchets Technique By B Sherwood Dunn With 22
Berkeley Sherwood Dunn
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The needle should be with- drawn and inclined slightly outward. This acci- dent, likewise, presents the disadvantage that the 150 REGIONAL ANESTHESIA. anesthetic is absorbed without producing anesthe- sia. To obviate it, one should avoid introducing the needle more than i centimeter after having Fig. 110. Paravertebral injection of the dorsal and lumbar region. (Pauchet. ) The needle enters at a point 3^ centi- meters outside of the dorsal spinous process. Reaching the lower border of the rib, ...it then inclines slightly inward, ad- vances 1 centimeter, and attains the anastomosis of the sympa- thetic, thus anesthetizing the viscera. passed the transverse process, or at a distance of ^2 centimeter below the rib itself. For the Lumbar Nerves. The needle is intro- duced at a" distance of 3 centimeters from the median line. After the transverse process has been found, at a depth of 4 to 5 centimeters, the THORAX AND ABDOMEN. 151 superior border is followed around, the point pushed in for another centimeter, and the injec- tion made (Figs.
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