Local Anesthetic Pharmacology

Nov 11, 2018 by in ANESTHESIA Comments Off on Local Anesthetic Pharmacology

Local Anesthetic Pharmacology Francis V. Salinas KEY POINTS 1. Local anesthetics must penetrate through several extraneural connective tissue layers to reach the axonal membrane. 2. Local anesthetics provide anesthesia and…

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Ultrasound-Guided Regional Anesthesiology

Nov 11, 2018 by in ANESTHESIA Comments Off on Ultrasound-Guided Regional Anesthesiology

Ultrasound-Guided Regional Anesthesiology Michael D. Herrick Brian D. Sites KEY POINTS 1. Ultrasound technology allows the intimate imaging of nerves, needle, and surrounding structures. 2. Ultrasound images are generated when…

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Premedication, Monitoring, and Multimodal Analgesia

Nov 11, 2018 by in ANESTHESIA Comments Off on Premedication, Monitoring, and Multimodal Analgesia

Premedication, Monitoring, and Multimodal Analgesia Rebecca L. Johnson Michael F. Mulroy KEY POINTS 1. Preoperative optimization of the patient’s perioperative pain management with the use of multimodal analgesia has emerged…

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Equipment

Nov 11, 2018 by in ANESTHESIA Comments Off on Equipment

Equipment Andrew T. Gray KEY POINTS 1. Nerve stimulation can be used to locate peripheral nerves for regional blocks. Short-duration impulses (0.1 ms) are effective in stimulating motor fibers, whereas…

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Regional Anesthesia Systems

Nov 11, 2018 by in ANESTHESIA Comments Off on Regional Anesthesia Systems

Regional Anesthesia Systems Edward R. Mariano KEY POINTS 1. Health-care is about value, not volume. Every new program or service will be evaluated based on its value contribution. 2. The…

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Nonpharmaceutical Toxidromes

Nov 8, 2018 by in CRITICAL CARE Comments Off on Nonpharmaceutical Toxidromes

Nonpharmaceutical Toxidromes This chapter describes toxic syndromes that are not the result of medications, and includes poisonings caused by carbon monoxide, cyanide, the toxic alcohols (methanol and ethylene glycol), and…

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Pharmaceutical Drug Overdoses

Nov 8, 2018 by in CRITICAL CARE Comments Off on Pharmaceutical Drug Overdoses

Pharmaceutical Drug Overdoses This chapter describes the manifestations and management of overdoses with the following pharmaceutical agents: acetaminophen, benzodiazepines, β-receptor antagonists, opioids, and salicylates. Each is presented in alphabetical order….

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Hemodynamic Drugs

Nov 8, 2018 by in CRITICAL CARE Comments Off on Hemodynamic Drugs

Hemodynamic Drugs This chapter focuses on drugs that are given by intravenous infusion to modulate blood pressure and blood flow. The following drugs are described: dobutamine, dopamine, epinephrine, nicardipine, nitroglycerin,…

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Antimicrobial Therapy

Nov 8, 2018 by in CRITICAL CARE Comments Off on Antimicrobial Therapy

Antimicrobial Therapy This chapter describes the intravenous antibiotics you are most likely to use in the ICU. Each is presented in the order shown below. Aminoglycosides (gentamicin, tobramycin, amikacin) Antifungal…

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Analgesia & Sedation

Nov 8, 2018 by in CRITICAL CARE Comments Off on Analgesia & Sedation

Analgesia & Sedation Our principal role in caring for the sick is not to save lives (since this is impossible on a consistent basis), but to relieve pain and suffering….

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