Clara Lobo ๐Ÿ‡ต๐Ÿ‡น๐Ÿ‡บ๐Ÿ‡ฆ๐Ÿ‡ช๐Ÿ‡บ
Clara Lobo ๐Ÿ‡ต๐Ÿ‡น๐Ÿ‡บ๐Ÿ‡ฆ๐Ÿ‡ช๐Ÿ‡บ

@claralexlobo

6 Tweets 7 reads Sep 30, 2022
#ESRAwebinar about #regionalanestehsia in the vulnerable, Chair: Guy Weinberg ๐Ÿ‡บ๐Ÿ‡ธ
Speakers: Jeff Gadsden ๐Ÿ‡บ๐Ÿ‡ธ & Karen Boretsky ๐Ÿ‡บ๐Ÿ‡ธ โฆ@ESRA_Societyโฉ
Karen sharing some #funfacts about #localanesthetics
Beware of infusion of #localanesthetics in children! Infusion of ropivacaine in very early age (days) is contraindicated!
But there are some good newsโ€ฆ caudal block can be performed using USG! ๐Ÿ˜ƒ
Which are the โ€œbadโ€ blocks:
-performed in vascular spaces
- performed without US = โฌ†๏ธLAST
Not controversial in pediatrics - a sleep #regionalanesthesia!
So LAST symptoms are delayed, low incidence of CNS signsโ€ฆ however it manifests as apnea - keep spontaneous ventilation for prompt detection!
We reverse LAST better in children!
Is the anesthesia provider important?
Surgeons > dentists go for the reco max dose!!
Anesthesiologist do it better!!
Great lecture!! Thank you Karen!

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