SlideShare uma empresa Scribd logo

Combined Spinal Epidural Anesthesia

•Transferir como PPT, PDF•
•
B
Bilal Baig
Saúde e medicina
1 de 55
Combined Spinal Epidural Anesthesia By Capt Bilal Baig Graded Anesthetist Supervised by Col Manzoor Ahmed Faridi Classified Anesthetist
CASE REPORT ,[object Object],[object Object],[object Object],[object Object]
Presenting complaints ,[object Object]
Past history ,[object Object],[object Object]
[object Object],[object Object],[object Object]
Obstetrical history ,[object Object],[object Object],[object Object],[object Object]
Genral Physical Examination ,[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Pre-Anesthesia Assesment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre-Anesthesia Assesment(contd) ,[object Object],[object Object],[object Object],[object Object]
Anesthetic management ,[object Object],[object Object],[object Object]
Anesthetic management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthetic management ,[object Object],[object Object]
Anesthetic management
Anesthetic management ,[object Object],[object Object]
Anesthetic management ,[object Object],[object Object]
Anesthetic management ,[object Object]
Anesthetic management ,[object Object]
Anesthetic management ,[object Object],[object Object]
Anesthetic management ,[object Object],[object Object],[object Object],[object Object]
Anesthetic management ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
DISCUSSION
Background ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of CSE
Anatomy ,[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physiology of Regional Anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Organ system effects of regional anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Organ system effects of regional anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Organ system effects of regional anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Organ system effects of regional anesthesia ,[object Object],[object Object],[object Object]
Organ system effects of regional anesthesia ,[object Object],[object Object]
Advantages of regional anesthesia over general anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages of epidural over spinal ,[object Object],[object Object],[object Object],[object Object]
Disadvantages of epidural compared to spinal ,[object Object],[object Object],[object Object]
The twin theory ,[object Object],[object Object],[object Object],[object Object]
Advantages of CSEA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Techniques ,[object Object]
Techniques (cont) ,[object Object],[object Object]
Techniques (cont) ,[object Object],[object Object]
Techniques (cont) ,[object Object]
Technique (cont) ,[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre-requisites ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recomendados

Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Ashwin Haridas
 
Supraglottic airway device
Supraglottic airway deviceSupraglottic airway device
Supraglottic airway deviceDebojyoti Dutta
 
epidural anesthesia
epidural anesthesiaepidural anesthesia
epidural anesthesiaShibinath VM
 
Caudal anesthesia
Caudal anesthesiaCaudal anesthesia
Caudal anesthesiaArjun Chhetri
 
General anesthesia & obstetrics- c-section part I
General anesthesia & obstetrics- c-section part IGeneral anesthesia & obstetrics- c-section part I
General anesthesia & obstetrics- c-section part ISandro Zorzi
 
Total Intravenous Anesthesia(TIVA), recent updates
Total Intravenous Anesthesia(TIVA), recent updatesTotal Intravenous Anesthesia(TIVA), recent updates
Total Intravenous Anesthesia(TIVA), recent updatesdr tushar chokshi
 
Total Intravenous Anaesthesia
Total Intravenous AnaesthesiaTotal Intravenous Anaesthesia
Total Intravenous AnaesthesiaBrijesh Savidhan
 
Interscalene & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocksInterscalene & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocksDavis Kurian
 

Recomendados

Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Ashwin Haridas
 
Supraglottic airway device
Supraglottic airway deviceSupraglottic airway device
Supraglottic airway deviceDebojyoti Dutta
 
epidural anesthesia
epidural anesthesiaepidural anesthesia
epidural anesthesiaShibinath VM
 
Caudal anesthesia
Caudal anesthesiaCaudal anesthesia
Caudal anesthesiaArjun Chhetri
 
General anesthesia & obstetrics- c-section part I
General anesthesia & obstetrics- c-section part IGeneral anesthesia & obstetrics- c-section part I
General anesthesia & obstetrics- c-section part ISandro Zorzi
 
Total Intravenous Anesthesia(TIVA), recent updates
Total Intravenous Anesthesia(TIVA), recent updatesTotal Intravenous Anesthesia(TIVA), recent updates
Total Intravenous Anesthesia(TIVA), recent updatesdr tushar chokshi
 
Total Intravenous Anaesthesia
Total Intravenous AnaesthesiaTotal Intravenous Anaesthesia
Total Intravenous AnaesthesiaBrijesh Savidhan
 
Interscalene & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocksInterscalene & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocksDavis Kurian
 
Spinal & epidural needle
Spinal & epidural needleSpinal & epidural needle
Spinal & epidural needleZIKRULLAH MALLICK
 
Labor analgesia
Labor analgesiaLabor analgesia
Labor analgesiaKundan Ghimire
 
Epidural anesthesia
Epidural anesthesiaEpidural anesthesia
Epidural anesthesiarahulverma1194
 
Monitoring in anaesthesia ro
Monitoring in anaesthesia roMonitoring in anaesthesia ro
Monitoring in anaesthesia rofarranajwa
 
Obstetric anaesthesia
Obstetric anaesthesiaObstetric anaesthesia
Obstetric anaesthesiaIsmail Abdelgawad
 
Neuraxial block
Neuraxial blockNeuraxial block
Neuraxial blockdivyagautam21
 
Safety features in anesthesia machine
Safety features in anesthesia machineSafety features in anesthesia machine
Safety features in anesthesia machineomar143
 
Dexmedetomidine
DexmedetomidineDexmedetomidine
DexmedetomidineSai Divya Varre
 
Anaesthetic considerations for laser surgery
Anaesthetic considerations for laser surgeryAnaesthetic considerations for laser surgery
Anaesthetic considerations for laser surgeryAnamika yadav
 
Ultrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockUltrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockSaeid Safari
 
Spinal Anesthesia - A Comprehensive Approach
Spinal Anesthesia - A Comprehensive ApproachSpinal Anesthesia - A Comprehensive Approach
Spinal Anesthesia - A Comprehensive ApproachMohtasib Madaoo
 
Intravenous induction agents
Intravenous induction agentsIntravenous induction agents
Intravenous induction agentsanaesthesiology-mgmcri
 
Raj care laryngospasm ppt
Raj care laryngospasm pptRaj care laryngospasm ppt
Raj care laryngospasm pptdr rajkumarr titarmare
 
Difficult airway
Difficult airwayDifficult airway
Difficult airwayimran80
 
Anaesthesia for hypothyroid patient
Anaesthesia for hypothyroid patientAnaesthesia for hypothyroid patient
Anaesthesia for hypothyroid patientTorrentz Tiku
 
Spinal anesthesia
Spinal anesthesiaSpinal anesthesia
Spinal anesthesiadr anurag giri
 
Anaesthesia for LSCS
Anaesthesia for LSCSAnaesthesia for LSCS
Anaesthesia for LSCSHimanshu Jangid
 
Day case anesthesia
Day case anesthesia Day case anesthesia
Day case anesthesiaOmar Danfour
 
The canister (the absorber)
The canister (the absorber)The canister (the absorber)
The canister (the absorber)Mohammad Abdeljawad
 
Laryngeal mask-airway
Laryngeal mask-airwayLaryngeal mask-airway
Laryngeal mask-airwayHarith Daggupati
 
regional anesthesia and beir block
regional anesthesia and beir blockregional anesthesia and beir block
regional anesthesia and beir blockAhmed Almumtin
 
Anesthesia for spine surgery
Anesthesia for spine surgeryAnesthesia for spine surgery
Anesthesia for spine surgeryAshraf Abdulhalim
 

Mais conteúdo relacionado

Mais procurados

Monitoring in anaesthesia ro
Monitoring in anaesthesia roMonitoring in anaesthesia ro
Monitoring in anaesthesia rofarranajwa
 
Safety features in anesthesia machine
Safety features in anesthesia machineSafety features in anesthesia machine
Safety features in anesthesia machineomar143
 
Anaesthetic considerations for laser surgery
Anaesthetic considerations for laser surgeryAnaesthetic considerations for laser surgery
Anaesthetic considerations for laser surgeryAnamika yadav
 
Ultrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockUltrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockSaeid Safari
 
Spinal Anesthesia - A Comprehensive Approach
Spinal Anesthesia - A Comprehensive ApproachSpinal Anesthesia - A Comprehensive Approach
Spinal Anesthesia - A Comprehensive ApproachMohtasib Madaoo
 
Difficult airway
Difficult airwayDifficult airway
Difficult airwayimran80
 
Anaesthesia for hypothyroid patient
Anaesthesia for hypothyroid patientAnaesthesia for hypothyroid patient
Anaesthesia for hypothyroid patientTorrentz Tiku
 
Day case anesthesia
Day case anesthesia Day case anesthesia
Day case anesthesiaOmar Danfour
 

Mais procurados (20)

Spinal & epidural needle
Spinal & epidural needleSpinal & epidural needle
Spinal & epidural needle
 
Labor analgesia
Labor analgesiaLabor analgesia
Labor analgesia
 
Epidural anesthesia
Epidural anesthesiaEpidural anesthesia
Epidural anesthesia
 
Monitoring in anaesthesia ro
Monitoring in anaesthesia roMonitoring in anaesthesia ro
Monitoring in anaesthesia ro
 
Obstetric anaesthesia
Obstetric anaesthesiaObstetric anaesthesia
Obstetric anaesthesia
 
Neuraxial block
Neuraxial blockNeuraxial block
Neuraxial block
 
Safety features in anesthesia machine
Safety features in anesthesia machineSafety features in anesthesia machine
Safety features in anesthesia machine
 
Dexmedetomidine
DexmedetomidineDexmedetomidine
Dexmedetomidine
 
Anaesthetic considerations for laser surgery
Anaesthetic considerations for laser surgeryAnaesthetic considerations for laser surgery
Anaesthetic considerations for laser surgery
 
Ultrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockUltrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) Block
 
Spinal Anesthesia - A Comprehensive Approach
Spinal Anesthesia - A Comprehensive ApproachSpinal Anesthesia - A Comprehensive Approach
Spinal Anesthesia - A Comprehensive Approach
 
Intravenous induction agents
Intravenous induction agentsIntravenous induction agents
Intravenous induction agents
 
Raj care laryngospasm ppt
Raj care laryngospasm pptRaj care laryngospasm ppt
Raj care laryngospasm ppt
 
Difficult airway
Difficult airwayDifficult airway
Difficult airway
 
Anaesthesia for hypothyroid patient
Anaesthesia for hypothyroid patientAnaesthesia for hypothyroid patient
Anaesthesia for hypothyroid patient
 
Spinal anesthesia
Spinal anesthesiaSpinal anesthesia
Spinal anesthesia
 
Anaesthesia for LSCS
Anaesthesia for LSCSAnaesthesia for LSCS
Anaesthesia for LSCS
 
Day case anesthesia
Day case anesthesia Day case anesthesia
Day case anesthesia
 
The canister (the absorber)
The canister (the absorber)The canister (the absorber)
The canister (the absorber)
 
Laryngeal mask-airway
Laryngeal mask-airwayLaryngeal mask-airway
Laryngeal mask-airway
 

Semelhante a Combined Spinal Epidural Anesthesia

regional anesthesia and beir block
regional anesthesia and beir blockregional anesthesia and beir block
regional anesthesia and beir blockAhmed Almumtin
 
Anesthesia for spine surgery
Anesthesia for spine surgeryAnesthesia for spine surgery
Anesthesia for spine surgeryAshraf Abdulhalim
 
centralneuroaxialblockadembbs-pranav-.ppt
centralneuroaxialblockadembbs-pranav-.pptcentralneuroaxialblockadembbs-pranav-.ppt
centralneuroaxialblockadembbs-pranav-.pptdocanaesthesia2015
 
Anesthetic considerations for spinal surgery
Anesthetic considerations for spinal surgeryAnesthetic considerations for spinal surgery
Anesthetic considerations for spinal surgeryDhritiman Chakrabarti
 
Case_Studies_in_Emergency_Medicine_Trauma_-_Lisa_Yosten,_MD.pdf
Case_Studies_in_Emergency_Medicine_Trauma_-_Lisa_Yosten,_MD.pdfCase_Studies_in_Emergency_Medicine_Trauma_-_Lisa_Yosten,_MD.pdf
Case_Studies_in_Emergency_Medicine_Trauma_-_Lisa_Yosten,_MD.pdfKristaHickerson
 
Administration of general anesthesia
Administration of general anesthesiaAdministration of general anesthesia
Administration of general anesthesiaSumit Prajapati
 
Retrosternal SZISACON aug 11.pptx
Retrosternal SZISACON aug 11.pptxRetrosternal SZISACON aug 11.pptx
Retrosternal SZISACON aug 11.pptxUmaKumar14
 
Emergency Ultrasound In Trauma
Emergency Ultrasound In TraumaEmergency Ultrasound In Trauma
Emergency Ultrasound In Traumau.surgery
 
fiberoptic bronchoscopy - airway securing FOI
fiberoptic bronchoscopy - airway securing FOIfiberoptic bronchoscopy - airway securing FOI
fiberoptic bronchoscopy - airway securing FOIZIKRULLAH MALLICK
 
Congenital Diaphragmatic Hernia.pptx
Congenital Diaphragmatic Hernia.pptxCongenital Diaphragmatic Hernia.pptx
Congenital Diaphragmatic Hernia.pptxPradeepJoshua4
 
Retrosternal ppt workshop GAS.pptx
Retrosternal ppt workshop GAS.pptxRetrosternal ppt workshop GAS.pptx
Retrosternal ppt workshop GAS.pptxUmaKumar14
 
Anaesthesia for Kidney Transplant
Anaesthesia for Kidney TransplantAnaesthesia for Kidney Transplant
Anaesthesia for Kidney TransplantMd Rabiul Alam
 
Severe Aortic Stenosis with Ischemic Heart Disease. (Management of TAVI) - Pa...
Severe Aortic Stenosis with Ischemic Heart Disease. (Management of TAVI) - Pa...Severe Aortic Stenosis with Ischemic Heart Disease. (Management of TAVI) - Pa...
Severe Aortic Stenosis with Ischemic Heart Disease. (Management of TAVI) - Pa...Yukta Wankhede
 
Anaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correctionAnaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correctionNaveen Kumar Ch
 

Semelhante a Combined Spinal Epidural Anesthesia (20)

regional anesthesia and beir block
regional anesthesia and beir blockregional anesthesia and beir block
regional anesthesia and beir block
 
Anesthesia for spine surgery
Anesthesia for spine surgeryAnesthesia for spine surgery
Anesthesia for spine surgery
 
centralneuroaxialblockadembbs-pranav-.ppt
centralneuroaxialblockadembbs-pranav-.pptcentralneuroaxialblockadembbs-pranav-.ppt
centralneuroaxialblockadembbs-pranav-.ppt
 
Advanced airway
Advanced airwayAdvanced airway
Advanced airway
 
Anesthetic considerations for spinal surgery
Anesthetic considerations for spinal surgeryAnesthetic considerations for spinal surgery
Anesthetic considerations for spinal surgery
 
Pitu
PituPitu
Pitu
 
Case_Studies_in_Emergency_Medicine_Trauma_-_Lisa_Yosten,_MD.pdf
Case_Studies_in_Emergency_Medicine_Trauma_-_Lisa_Yosten,_MD.pdfCase_Studies_in_Emergency_Medicine_Trauma_-_Lisa_Yosten,_MD.pdf
Case_Studies_in_Emergency_Medicine_Trauma_-_Lisa_Yosten,_MD.pdf
 
Post Anesthesia Care Unit
Post Anesthesia Care UnitPost Anesthesia Care Unit
Post Anesthesia Care Unit
 
Administration of general anesthesia
Administration of general anesthesiaAdministration of general anesthesia
Administration of general anesthesia
 
Approach to the emergency patient
Approach to the emergency patientApproach to the emergency patient
Approach to the emergency patient
 
Retrosternal SZISACON aug 11.pptx
Retrosternal SZISACON aug 11.pptxRetrosternal SZISACON aug 11.pptx
Retrosternal SZISACON aug 11.pptx
 
Emergency Ultrasound In Trauma
Emergency Ultrasound In TraumaEmergency Ultrasound In Trauma
Emergency Ultrasound In Trauma
 
fiberoptic bronchoscopy - airway securing FOI
fiberoptic bronchoscopy - airway securing FOIfiberoptic bronchoscopy - airway securing FOI
fiberoptic bronchoscopy - airway securing FOI
 
Congenital Diaphragmatic Hernia.pptx
Congenital Diaphragmatic Hernia.pptxCongenital Diaphragmatic Hernia.pptx
Congenital Diaphragmatic Hernia.pptx
 
Congenital diaphragmatic hernia
Congenital diaphragmatic herniaCongenital diaphragmatic hernia
Congenital diaphragmatic hernia
 
Neuraxial anaesthesia
Neuraxial anaesthesiaNeuraxial anaesthesia
Neuraxial anaesthesia
 
Retrosternal ppt workshop GAS.pptx
Retrosternal ppt workshop GAS.pptxRetrosternal ppt workshop GAS.pptx
Retrosternal ppt workshop GAS.pptx
 
Anaesthesia for Kidney Transplant
Anaesthesia for Kidney TransplantAnaesthesia for Kidney Transplant
Anaesthesia for Kidney Transplant
 
Severe Aortic Stenosis with Ischemic Heart Disease. (Management of TAVI) - Pa...
Severe Aortic Stenosis with Ischemic Heart Disease. (Management of TAVI) - Pa...Severe Aortic Stenosis with Ischemic Heart Disease. (Management of TAVI) - Pa...
Severe Aortic Stenosis with Ischemic Heart Disease. (Management of TAVI) - Pa...
 
Anaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correctionAnaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correction
 

Último

Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxsaranpratha12
 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...GENUINE ESCORT AGENCY
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Sheetaleventcompany
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Sheetaleventcompany
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Oleg Kshivets
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service DehradunDehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service DehradunSheetaleventcompany
 
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...soniya pandit
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...GENUINE ESCORT AGENCY
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...Sheetaleventcompany
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Sheetaleventcompany
 
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...Sheetaleventcompany
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...dishamehta3332
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Namrata Singh
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
 
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Sheetaleventcompany
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 

Último (20)

Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptx
 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service DehradunDehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
 
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
 
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 

Combined Spinal Epidural Anesthesia

  • 1. Combined Spinal Epidural Anesthesia By Capt Bilal Baig Graded Anesthetist Supervised by Col Manzoor Ahmed Faridi Classified Anesthetist
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 27.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.