Postoperative care
Figure 9.1 Contributing factors for PONV. Reducing the baseline risk The management of PONV should start with prevention. After identifying patients at a higher risk for PONV, it is important…
Multimodal management of pain and postoperative nausea and vomiting (PONV) in ambulatory surgery
Figure 7.1. Algorithm for management of PONV. Reproduced with permission from Oxford University Press. G. Preventive strategies and pharmacotherapy Prevention of PONV is paramount in the management of PONV and…
Regional anesthesia for ambulatory surgery
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 6 Regional anesthesia for ambulatory surgery Ramprasad Sripada, MD, MMM, CPE, Shuchita Garg, MD, and Johan Raeder, MD, PhD Introduction Regional anesthesia techniques (peripheral nerve…
Anesthetic techniques
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 5 Anesthetic techniques Niraja Rajan, MBBS, Richard D. Urman, MD, and Johan Raeder, MD, PhD In this chapter, we will discuss the following anesthetic techniques:…
Oliguria and postoperative urinary obstruction
Figure 35.1 Initial evaluation of postoperative oliguria. Figure 35.2 Postoperative oliguria diagnosis and management. CVP, central venous pressure; PAP, pulmonary artery pressure; PPV, pulse pressure variation; US, ultrasound; MAP, mear…
Nausea and vomiting
Figure 19.1 Apfel criteria for PONV risk. Adapted from ref. [3]. Table 19.1 PONV risk factors Risk factors for PONV in adults Positive evidence Female sex History of PONV or…
Hypoglycemia
Figure 16.1 Hypoglycemia differential diagnosis algorithm. Many non-anesthetic pharmaceuticals have the potential to cause hypoglycemia in susceptible individuals; many more have drug–drug interactions that may potentiate the action of oral…
Jaundice
↑direct bilirubin = intra-hepatic or post-hepatic↔direct bilirubin = pre-hepatic causeAlanine transaminase (ALT)Aspartate transaminase (AST)Blood↑ALT & ↑AST = hepatocellular damage↑ALT<↑↑AST = ethanol↑↑↑ALT>↑↑AST = viral, shock liverAlkaline phosphatase (ALP)Blood↑↑ALP = cholestasisNon-specific, also…
