Modified stellate ganglion block

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Ashok Jadon

stellate ganglion block by modified approach

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Disclaimer A written informed consent has been taken from all the patients in this presentation regarding photography and display of photographs for scientific presentation.

Modified Stellate Ganglion Block Dr Ashok Jadon , MD DNB MNAMS Asculap Fellowship IPM Sr. Consultant & HOD Anaesthesia Tata Motors Hospital, Jamshedpur

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Modified Stellate Ganglion Block. Abdi et al. Pain Physician. 2004;7:327-331

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Fractures Description A disruption or break in the continuity of the structure of boneTraumatic injuries account for the majority of fractures Description Described and classified according to: Type Communication or noncommunication with external environment Anatomic location Types of Fractures Fig. 61-4 Classification by Communication with External Environment Fig. 61-5 Classification by Fracture Location Fig. 61-6 Description Described and classified according to: Appearance, position, and alignment of the fragments Classic names Stable or unstable Description Closed (also called simple) skin remain intactOpen (also called compound) skin is breeched. Description Stable fractures Occur when a piece of the periosteum is intact across the fracture External or internal fixation has rendered the fragments stationary Description Unstable fractures Grossly displaced Poor fixation Clinical Manifestations Immediate localized pain  Function Inability to bear weight or use affected part Guarding May or may not see obvious bone deformity Fracture HealingReparative process of self-healing (union) occurs in the following stages: Fracture hematoma (d/t bleeding, edema) Granulation tissue → osteoid (3 – 14 days post injury) Callus formation (minerals deposited in osteoid) Fracture HealingReparative process of self-healing (union) occurs in the following stages: Ossification (3 wks – 6 mos) Consolidation (distance between fragments decreases → closes). Remodeling (union completed; remodels to original shape, strength) Bone Healing Fig. 61-7 Collaborative CareOverall goals of treatment: Anatomic realignment of bone fragments (reduction) Immobilization to maintain alignment (fixation) Restoration of normal function Collaborative Care Fracture ReductionClosed reduction Nonsurgical, manual realignmentOpen reduction Correction of bone alignment through a surgical incision Collaborative Care Fracture ReductionTraction (with simultaneous counter-traction) Application of pulling force to attain realignment Skin traction (short-term: 48-72 hrs) Skeletal traction (longer periods) See Table 61-7 Collaborative Care Fracture ImmobilizationCasts Temporary circumferential immobilization device Common following closed reduction Casts Fig. 61-9 Collaborative Care Fracture ImmobilizationExternal fixation Metallic device composed of pins that are inserted into the bone and attached to external rods Collaborative Care Fracture ImmobilizationInternal fixation Pins, plates, intramedullary rods, and screws Surgically inserted at the time of realignment Collaborative Care Fracture ImmobilizationTraction Application of a pulling force to an injured part of the body while countertraction pulls in the opposite direction Collaborative Care Fracture ImmobilizationPurpose of traction: Prevent or reduce muscle spasm Immobilization Reduction Treat a pathologic condition Nursing Manage ...

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