Abnormalities of the Immune Response and Infection

Aug 19, 2016 by in ANESTHESIA Comments Off on Abnormalities of the Immune Response and Infection

   1.   While many patients with a diagnosis of asthma have relatively uneventful anesthetics, all children who carry that diagnosis should be carefully and thoroughly evaluated prior to induction and plans made…

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Ethical and Legal Considerations in Pediatric Anesthesia

Aug 19, 2016 by in ANESTHESIA Comments Off on Ethical and Legal Considerations in Pediatric Anesthesia

   1.   Informed consent is the process by which adult patients’ autonomy and agency are honored in medicine decision making.    2.   In pediatrics, parents are the surrogate decision makers for the children, and…

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Obstetric Anesthesia for Parturients with Respiratory Diseases

Aug 19, 2016 by in ANESTHESIA Comments Off on Obstetric Anesthesia for Parturients with Respiratory Diseases

         II.Asthma A. Introduction 1.   Asthma presentation and symptoms. Asthma causes episodic partially reversible airway obstruction resulting from bronchoconstriction, inflammation, hyperresponsiveness, and mucous plugging. Symptoms include wheezing, chest tightness, difficulty breathing, and…

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Cardiac Disease in the Obstetric Patient

Aug 19, 2016 by in ANESTHESIA Comments Off on Cardiac Disease in the Obstetric Patient

3.   Left heart obstruction (mitral valve area <2 cm2, aortic valve area <1.5 cm2, or peak left ventricular outflow tract gradient >30 mm Hg by echocardiography) 4.   Reduced left ventricular function (ejection…

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Neurologic Deficits Following Labor and Delivery

Aug 19, 2016 by in ANESTHESIA Comments Off on Neurologic Deficits Following Labor and Delivery

2.   Despite the very low incidence of neurologic injury, it represents a significant contributor to malpractice litigation. Davies et al.11 performed an obstetric anesthesia closed claims analysis of 426 claims from…

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Thrombophilias/Coagulopathies

Aug 19, 2016 by in ANESTHESIA Comments Off on Thrombophilias/Coagulopathies

Vascular spasm, mediated by vasoconstrictor substances released from platelets, reduces blood flow and occurs in the first stages of hemostasis. Damaged endothelium attracts platelets, which adhere to it, forming a…

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