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Chloroprocaine
Chloroprocaine, sold under the brand name Nesacaine among others is a local anesthetic given by injection. It is used as the hydrochloride salt. Chloroprocaine is a local anesthetic. Medical uses Chloroprocaine (Nesacaine) is indicated for the production of local anesthesia by infiltration and peripheral nerve block; and for the production of local anesthesia by infiltration, peripheral and central nerve block, including lumbar and caudal epidural blocks. Chloroprocaine (Clorotekal) is indicated for intrathecal injection in adults for the production of subarachnoid block (spinal anesthesia). Chloroprocaine is used for regional anesthesia including spinal anesthesia, caudal anesthesia and epidural anesthesia. It is also indicated for local anesthesia including brachial plexus block, cervical nerve block, occipital nerve block. mandibular nerve block or maxillary nerve block for dental anesthesia, ophthalmic anesthesia via infraorbital nerve block, ulnar nerve block, para ...
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Pudendal Nerve Block
Background Pudendal anesthesia (pudendal nerve block, pudendal block or saddle block) is a form of local anesthesia. Pudendal anesthesia can be used to diagnose as well as treat illnesses. A nerve block is the use of local anesthetic (e.g lidocaine) to inhibit the sensation of pain caused by one or multiple nerves. A nerve block can help doctors confirm what nerve is causing the pain to support a diagnosis. A nerve block can also be used to prevent pain before a procedure, or relieve chronic pain. The pudendal block gets its name because a local anesthetic, such as lidocaine or chloroprocaine, is injected into the pudendal canal where the pudendal nerve is located. The pudendal nerve branches off of the sacral plexus and is both a sensory and motor nerve. The pudendal nerve provides sensation information (i.e. innervates) for the anal canal, external anal sphincter, and the perineum. Pudendal nerve blocks can be used to provide pain relief to this region for about 30 days, but ha ...
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Local Anesthetic
A local anesthetic (LA) is a medication that causes absence of all sensation (including pain) in a specific body part without loss of consciousness, providing local anesthesia, as opposed to a general anesthetic, which eliminates all sensation in the entire body and causes unconsciousness. Local anesthetics are most commonly used to eliminate pain during or after surgery. When it is used on specific nerve pathways ( local anesthetic nerve block), paralysis (loss of muscle function) also can be induced. Classification LAs are of 2 types: *Clinical LAs: ** amino amide LAs ** amino ester LAs *Synthetic LAs **Cocaine derivatives Synthetic cocaine-derived LAs differ from cocaine because they have a much lower abuse potential and do not cause hypertension vasoconstriction (with few exceptions). The suffix "-caine" at the ends of these medication names is derived from the word "cocaine", because cocaine was formerly used as a local anesthetic. Examples Short Duration of Act ...
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Intrathecal
Intrathecal administration is a route of administration for drugs via an injection into the spinal canal, or into the subarachnoid space (sin. ''intrathecal space'') so that it reaches the cerebrospinal fluid (CSF). It is useful in several applications, such as for spinal anesthesia, chemotherapy, or pain management. This route is also used to introduce drugs that fight certain infections, particularly post-neurosurgical. Typically, the drug is given this way to avoid being stopped by the blood–brain barrier, as it may not be able to pass into the brain when given orally. Drugs given by the intrathecal route often have to be compounded specially by a pharmacist or technician because they cannot contain any preservative or other potentially harmful inactive ingredients that are sometimes found in standard injectable drug preparations. Intrathecal pseudodelivery is a technique where the drug is encapsulated in a porous capsule that is placed in communication with the CSF. In this ...
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Infraorbital Nerve
The infraorbital nerve is a branch of the maxillary nerve (itself a branch of the trigeminal nerve (CN V)). It arises in the pterygopalatine fossa. It passes through the inferior orbital fissure to enter the orbit. It travels through the orbit, then enters and traverses the infraorbital canal, exiting the canal at the infraorbital foramen to reach the face. It provides sensory innervation to the skin and mucous membranes around the middle of the face. Structure Origin The infraorbital nerve is a branch of the maxillary nerve (CN V2), itself a branch of the trigeminal nerve (CN V); it may be considered as the terminal branch of the maxillary nerve. It arises from the maxillary nerve in the pterygopalatine fossa. Course It travels through the inferior orbital fissure to enter the orbit. It runs anteriorly along the floor of the orbit in the infraorbital groove to the infraorbital canal of the maxilla. Within the infraorbital canal it has three branches, the posterior ...
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Sodium Bisulfite
Sodium bisulfite (or sodium bisulphite, sodium hydrogen sulfite) is a chemical mixture with the approximate chemical formula NaHSO3. Sodium bisulfite is not a real compound, but a mixture of salts that dissolve in water to give solutions composed of sodium and bisulfite ions. It appears in form of white or yellowish-white crystals with an odor of sulfur dioxide. Sodium bisulfite is used in a variety industries such as a food additive with E number E222 in the food industry. It is a reducing agent in the cosmetic and in the bleaching applications. Synthesis Sodium bisulfite solutions can be prepared by treating a solution of suitable base, such as sodium hydroxide or sodium bicarbonate with sulfur dioxide. :SO2 + NaOH → NaHSO3 :SO2 + NaHCO3 → NaHSO3 + CO2 Attempts to crystallize the product yield sodium metabisulfite (also called sodium disulfite), Na2S2O5. Upon dissolution of the metabisulfite in water, bisulfite is regenerated: :Na2S2O5 + H2O → 2 Na+ + 2 HSO3� ...
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Subarachnoid
In anatomy, the meninges (; meninx ; ) are the three membranes that envelop the brain and spinal cord. In mammals, the meninges are the dura mater, the arachnoid mater, and the pia mater. Cerebrospinal fluid is located in the subarachnoid space between the arachnoid mater and the pia mater. The primary function of the meninges is to protect the central nervous system. Structure Dura mater The dura mater (), is a thick, durable membrane, closest to the skull and vertebrae. The dura mater, the outermost part, is a loosely arranged, fibroelastic layer of cells, characterized by multiple interdigitating cell processes, no extracellular collagen, and significant extracellular spaces. The middle region is a mostly fibrous portion. It consists of two layers: the endosteal layer, which lies closest to the skull, and the inner meningeal layer, which lies closer to the brain. It contains larger blood vessels that split into the capillaries in the pia mater. It is composed of dense ...
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Paracervical Block
A paracervical block is an anesthetic procedure used in obstetrics and gynecology, in which a local anesthetic is injected into between two and six sites at a depth of 3–7 mm alongside the vaginal portion of the cervix in the vaginal fornices. In the United States, the paracervical block is underutilized during insertion of intrauterine devices (IUDs). There is speculation that this is related to the disproportionate under-researching of women's health. It is used for various obstetric and gynecologic procedures, such as hysteroscopy and vacuum aspiration. It is as efficient as intracervical block, according to a study on women undergoing vacuum aspiration with lidocaine as anesthetic agent. The majority of surgical abortions in the United States are performed with a paracervical block with or without the addition of other pain medications. The best specific technique has yet to be defined and there is still a lot of procedure related pain. The choice of the best anesthe ...
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Obstetric Anesthesia
Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field. Main areas Prenatal care Prenatal care is important in screening for various complications of pregnancy. This includes routine office visits with physical exams and routine lab tests along with telehealth care for women with low-risk pregnancies: Image:Ultrasound_image_of_a_fetus.jpg, 3D ultrasound of fetus (about 14 weeks gestational age) Image:Sucking his thumb and waving.jpg, Fetus at 17 weeks Image:3dultrasound 20 weeks.jpg, Fetus at 20 weeks First trimester Routine tests in the first trimester of pregnancy generally include: * Complete blood count * Blood type ** Rh-negative antenatal patients should receive RhoGAM at 28 weeks to prevent Rh disease. * Indirect Coombs test (AGT) to assess risk of hemolytic dise ...
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Interdigital
InterDigital, Inc. is an American technology research and development company that provides wireless and video technologies for mobile devices, networks, and services worldwide. Founded in 1972, InterDigital is listed on the Nasdaq and is included in the S&P 600 index. InterDigital had 2020 revenue of $359 million and a portfolio of about 32,000 U.S. and foreign issued patents and patent applications. Corporate history Key Dates: * 1972: Company is incorporated as International Mobile Machines Corporation. * 1981: Company goes public. * 1992: Name is changed to InterDigital Communications Corp. * 1998: Alliance with Nokia is established. * 2003: Patent infringement suit is settled with Ericsson. * 2012: Moved corporate headquarters from King of Prussia, Pennsylvania to Wilmington, Delaware. * 2014: Samsung and InterDigital sign a patent license agreement. * 2016: InterDigital signs license agreements with Apple and Huawei. * 2016: InterDigital acquires sensor processing technol ...
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Lumbar
In tetrapod anatomy, lumbar is an adjective that means of or pertaining to the abdominal segment of the torso, between the diaphragm (anatomy), diaphragm and the sacrum. Naming and location The lumbar region is sometimes referred to as the lower vertebral column, spine, or as an area of the back in its proximity. In human anatomy the five lumbar vertebrae (vertebrae in the lumbar region of the back) are the largest and strongest in the movable part of the spinal column, and can be distinguished by the absence of a foramen transversarium, foramen in the transverse process, and by the absence of facets on the sides of the body. In most mammals, the lumbar region of the spine curves outward. Description The actual spinal cord terminates between vertebrae one and two of this series, called L1 and L2. The central nervous system, nervous tissue that extends below this point are individual strands that collectively form the cauda equina. In between each lumbar vertebra a nerve root exi ...
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Stellate Ganglion
The stellate ganglion (or cervicothoracic ganglion) is a sympathetic ganglion formed by the fusion of the inferior cervical ganglion and the first thoracic (superior thoracic sympathetic) ganglion, which is present in 80% of individuals. Sometimes, the second and the third thoracic ganglia are included in this fusion. Anatomy The stellate ganglion is polygonal in shape (). It is relatively big compared to the much smaller thoracic, lumbar, and sacral ganglia. Relations Stellate ganglion is located at the level of C7, anterior to the transverse process of C7 and the neck of the first rib, superior to the cervical pleura and just below the subclavian artery. It is superiorly covered by the prevertebral lamina of the cervical fascia and anteriorly in relation with common carotid artery, subclavian artery and the beginning of vertebral artery which sometimes leaves a groove at the apex of this ganglion (this groove can sometimes even separate the stellate ganglion into so call ...
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