Ortho Oracle - orthopaedic operative atlas

Bretylium/Bretylol

  * Adrenergic blocker and Antiarrhythmic; * For Acute Treatment of Resistant VF or VT (LIDOCAINE, Defibrillation, PROCAINAMIDE Failure) * Dose: 5-10 mg/kg IV rapid injection (1 minute); * may repeat w/ 10mg/kg IV push repeated q15-30 min w/ 10mg/kg * (max = 30 mg/kg) – given undiluted w/ life threatening arrhythmia, but w/ hemodynamically … Read more

Brevital: (Methohexital Sodium)

– For IV induction of anesthesia prior to the use of other anesthetic meds;  – For IV induction of anesthesia and as adunct to inhalation anesthetic meds (such as nitrous oxide) for short surgical procedures;  – Brevital may be given by infusion or injection;  – Dosing:  – 1% Brevital, is diluted in D5W or NaCl, … Read more

Broaching for THR

– Broaching:           – broaching for cementless stems      – is usually started w/ the smaller broach or w/ broach 2 sizes smaller than templated during preop planning      – determination of anteversion      – exposure considerations:            – with smaller incisions, there will be a tendency of the broach to abraid … Read more

Broden’s Views

– See: X-rays of the Foot – Broden’s View: – used to better visualize the subtal joint; – pt is supine w/ knee slightly flexed and supported by sandbag; – foot rests on the film cassette with neutral dorsiflexion; – entire lower leg and foot is internally rotated 45 deg; – central beam directed toward … Read more

Broken Femoral Stems

– Discussion: Stem Failure     – stem fractures are much less common now with stronger alloys;     – cracks commonly begin on anterolateral surface of femoral component;            – frx usually begins in the middle 1/3 of anterolateral aspect of the stem and progresses medially;     – factors … Read more

Brachial Plexus

– Work Up for Brachial Plexus Injuries – Brachial Neuritis: – Erb’s Palsy – Leffert Classification  of Brachial Plexus Injuries; – Lower Root Injury: (Klumpke) – Obstetrical Paralysis: – Parsonage-Turner Syndrome: – Traumatic Brachial Plexus Palsy in Children – Stinger / Upper Trunk Injuries – Work Up for Brachial Plexus Injuries: – Anatomy: – roots: – … Read more

Brachialis Muscle

– Anatomy:     – origin: lower 1/2 of the anterior surface of the humerus;     – insertion: tuberosity and coronoid process of the ulna;     – action: flexes the forearm at the elbow;     – nerve supply: branches of musculocutaneous, C5, C6;     – synergist: brachioradialis, biceps brachi

Brachioradialis

– origin:     – proximal 2/3 of the lateral supracondylar ridge of the humerus and lateral intermuscular septum; – insertion:     – inserts into lateral surface of distal radius, immediately above styloid process; – synergist:  Brachialis ,   biceps brachi ; – nerve supply: radial  –   C6  >   C5 – function: … Read more