others

Question 1

Bier’s block

Answer 1

inflate tourniquet to 50-100 above sbp
note time of inflation
ensure not loose
when dr check for radial pulse, shld be absent
dr inject lignociune
observe for blotchy/mottling skin

Answer 2

1. remove iv cannue on affected limb
2. m and r carried out
3. backslab applied
4. repeat xray for confirmation of bone placement
5. ensure tourniq in place for at least 20mins aft anesth given
6. grafual release of pressure of tourniquet
   (deflate and inflate at least 5 cycles at 10d interval), to minimise risk of toxicity

Question 3

antidote for lignocaine toxicity

Answer 3

IV lipid emulsion

Question 4

post bier’s block procedure

Answer 4

monitor VS and NV circulation

observe for at least 2hrs depending on case

eg if propofol is given, longer monitoring time