History of Anesthesia
William E. Clarke January 1842, Rochester, NY Teeth extraction of Ms. Hobbie by dentist E. Pope Crawford W. Long March 1842, Jefferson, Georgia Neck tumor excision of Mr. Venable. Fee…
Operating Room Management
Case duration The time from when the patient enters the OR to when the patient exits the OR Turnover time The time from when a patient exits the OR to…
Hazards of Working in the Operating Room
• Exposure limit of 2 ppm of halogenated anesthetic used alone or 0.5 ppm of halogenated anesthetic combined with 25 ppm of nitrous oxide • Proper functioning scavenging system • Low pressure leaks…
Vascular Anesthesia
Fig. 27.1 Abdominal aortic aneurysm and insert showing a graft repair Most abdominal aortic aneurysms (AAA) are silent clinically and are discovered incidentally during physical examination. Symptoms, if present, may…
Endocrine Diseases
Type I/juvenile/insulin dependent Type II/maturity onset/non-insulin dependent Gestational Stress related Age Children, young adults Adults Pregnant women Usually adults Etiology Immune mediated/idiopathic Resistance/deficiency to insulin Hormones/lack of insulin Stress…
Pulmonary Aspiration and Postoperative Nausea and Vomiting
Fig. 44.1 An assistant applies cricoid pressure to prevent aspiration during rapid sequence intubation Another means that could eventually screen for patients at high risk of aspiration is gastric sonography….
Robotic Surgery
Advantages Disadvantages Technical precision Loss of force and tactile perception Less pain Decreased natural hand-eye coordination Less blood loss Fixed/immobile robot Smaller incisions and better cosmetic results Effects of CO2…
Residency Requirements and Guidelines
Fig. 57.1 Career pathway of an anesthesiologist. PGY postgraduate year, CA clinical anesthesia year Throughout the clinical anesthesia years, there are mandatory rotations residents must complete throughout their residency. These…
Cosmetic Surgery
© Springer Science+Business Media New York 2015Paul K. Sikka, Shawn T. Beaman and James A. Street (eds.)Basic Clinical Anesthesia10.1007/978-1-4939-1737-2_54 54. Cosmetic Surgery Jessica O’Connor2 and Patricia L. Dalby1 (1) Department of Anesthesiology, University of Pittsburgh Medical Center, 300 Halket…
Alternative Medicine and Anesthesia
© Springer Science+Business Media New York 2015Paul K. Sikka, Shawn T. Beaman and James A. Street (eds.)Basic Clinical Anesthesia10.1007/978-1-4939-1737-2_53 53. Alternative Medicine and Anesthesia E. Gail Shaffer1 and Patricia L. Dalby2 (1) Department of Anesthesiology, Children’s Hospital of Pittsburgh, Pittsburgh,…
