Infectious Diseases

Sep 18, 2016 by in ANESTHESIA Comments Off on Infectious Diseases

© 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_52 52. Infectious Diseases Seth R. Cohen1   and Kristin Ondecko Ligda1   (1) Department of Anesthesiology, University of Pittsburgh Medical Center, 1400 Locust…

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Awareness Under Anesthesia

Sep 18, 2016 by in ANESTHESIA Comments Off on Awareness Under 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_51 51. Awareness Under Anesthesia Tiffany Lonchena1 and Cynthia Wells2   (1) Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh,…

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Substance Abuse

Sep 18, 2016 by in ANESTHESIA Comments Off on Substance Abuse

Drug Effect on MAC Detection in urine Effect on fetus Alcohol Acute, decrease; chronic, increase Blood level measured Fetal alcohol syndrome (FAS) Opioids Acute, decrease; chronic, increase 1–3 days Neonatal…

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Cardiovascular Pharmacology

Sep 18, 2016 by in ANESTHESIA Comments Off on Cardiovascular Pharmacology

Fig. 17.1 Mechanism of action of nitrates (NO nitric oxide, GC guanylyl cyclase, cGMP cyclic guanosine monophosphate) Clinical Effects NTG improves myocardial oxygen delivery and reduces oxygen demand. Unlike nitroprusside,…

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Ophthalmic Surgery

Sep 18, 2016 by in ANESTHESIA Comments Off on Ophthalmic Surgery

Fig. 36.1 The oculocardiac reflex. The trigeminal nerve is the afferent limb, and the vagus nerve is the efferent limb The oculocardiac reflex is more prominent in the pediatric population,…

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Spine Surgery

Sep 18, 2016 by in ANESTHESIA Comments Off on Spine Surgery

Factor Rheumatoid arthritis Ankylosing spondylitis Pathophysiology Autoimmune disease causing chronic inflammation and destruction of synovial membranes (flexible joints), morning stiffness of joints Autoimmune disease, chronic inflammatory arthritis Joints affected Small-…

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Mechanisms of Anesthetic Action

Sep 18, 2016 by in ANESTHESIA Comments Off on Mechanisms of Anesthetic Action

Fig. 9.1 Basic mechanisms of anesthetic action, a working hypothesis The action of general anesthetics on the brain is responsible for loss of consciousness and amnesia. More specifically, the inhibition…

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Trauma

Sep 18, 2016 by in ANESTHESIA Comments Off on Trauma

Anatomic area Abbreviated injury score Square of top 3 Head and neck 1  Face 1  Chest 0  Abdomen 4 16 Extremity 3  9 External 2  4 ISS 29 Table illustrating…

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Non-operating Room Anesthesia

Sep 18, 2016 by in ANESTHESIA Comments Off on Non-operating Room Anesthesia

Anesthetic equipment • Self-inflating bag for PPV providing at least 90 % oxygen • Drugs, supplies, and equipment for intended level of anesthetic • Monitoring equipment to allow adherence to…

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