By Warren C. Hammert MD, Martin I. Boyer MD FRCS(C), David J. Bozentka MD, Ryan Patrick Calfee MD
Published along side the yank Society for surgical procedure of the Hand (ASSH), the ASSH handbook of Hand Surgery is a pragmatic, finished guide at the prognosis and administration of hand difficulties. each one bankruptcy starts off with a piece at the anatomy of the sector in query. info is gifted in easy-to-scan bullet issues, with quite a few lists and algorithms. every one bankruptcy ends with board-type questions and solutions, annotated references, and an inventory of what junior and senior point citizens have to know.
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Extra resources for ASSH Manual of Hand Surgery
Five centimeters above the wrist crease, the median nerve becomes superficial and travels just radial to the palmaris longus (PL) tendon before entering the carpal tunnel. TABLE 3-3 Recommended maximum dosages Maximum Daily Dose (with/without Epinephrine) Drug Max Single Dose (Plain) Max Single Dose (with Vasoconstrictor) Lidocaine 5 mg/kg 8 mg/kg 300/500 mg Bupivacaine 2 mg/kg 3 mg/kg 400 mg Despite considerable variability, these are accepted “maximums” for local anesthetics. indd 30 2/13/2010 3:46:45 PM Chapter 3 • Anesthesia 31 1.
They diminish physiologic cardiac demand by lowering preload, peripheral resistance, and heart rate. Other medications used to treat heart failure increase the contractility of the heart. These drugs are referred to as positive inotropic agents. They include cardiac glycosides such as digoxin as well as bipyridines such as amrinone and milrinone. Cardiac glycosides increase free intracellular calcium. This calcium is free to interact with actin and myosin in the cardiac sarcomere causing increased contractility.
The radial nerve travels down the arm in the posterior compartment, crossing from medial to lateral across the posterior humerus at the level of the deltoid insertion. The radial nerve continues to travel distally, piercing the lateral intermuscular septum approximately 11 cm proximal to the lateral epicondyle. The nerve then lies in the interval between the brachialis and the brachioradialis muscles. As the radial nerve passes anterior to the lateral epicondyle and enters the forearm, it divides into its terminal branches—the posterior interosseous nerve (PIN) and the superficial branch of the radial nerve.
ASSH Manual of Hand Surgery by Warren C. Hammert MD, Martin I. Boyer MD FRCS(C), David J. Bozentka MD, Ryan Patrick Calfee MD