Special considerations for mechanical ventilation

Jan 21, 2017 by in ANESTHESIA Comments Off on Special considerations for mechanical ventilation

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 43 Special considerations for mechanical ventilation Yousef Hamdeh, Zara Y. Mergan, and James W. Heitz Post-Anesthesia Care: Symptoms, Diagnosis, and Management, ed. James W. Heitz….

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Intraoperative awareness

Jan 21, 2017 by in ANESTHESIA Comments Off on Intraoperative awareness

Figure 42.1 Postoperative management of intraoperative awareness. It is important that healthcare providers refer the patient back to the anesthesiologist for evaluation. Dismissing reports of awareness as merely dreaming because…

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Hemorrhage

Jan 21, 2017 by in ANESTHESIA Comments Off on Hemorrhage

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 41 Hemorrhage Jeremy L. Hensley and Stephen O. Bader Post-Anesthesia Care: Symptoms, Diagnosis, and Management, ed. James W. Heitz. Published by Cambridge University Press. ©…

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Shoulder pain

Jan 21, 2017 by in ANESTHESIA Comments Off on Shoulder pain

Figure 39.1 Differential diagnosis of postoperative shoulder pain. Intrinsic shoulder pain Patients with intrinsic shoulder injury will present with pain, stiffness, weakness, and instability of the shoulder joint. Pain is…

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Pain

Jan 21, 2017 by in ANESTHESIA Comments Off on Pain

7.5/32510/3254–64–8Oxycodone/Acetaminophen5/3257.5/3254–63–4Acetaminophen/Codeine300/304–63–4Hydromorphone4–83–43–4 Oral analgesics are most effective for mild to moderate pain. The World Health Organization Pain Ladder recommends non-opioid analgesics for mild pain and a weak opioid or weak opioid/non-opioid…

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Abnormal urine color

Jan 21, 2017 by in ANESTHESIA Comments Off on Abnormal urine color

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 37 Abnormal urine color James W. Heitz Post-Anesthesia Care: Symptoms, Diagnosis, and Management, ed. James W. Heitz. Published by Cambridge University Press. © Cambridge University…

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Polyuria

Jan 21, 2017 by in ANESTHESIA Comments Off on Polyuria

Absorption of irrigation fluidsUrine osmolality <250 mOsm/kgSerum hyponatremiaVariably presentObservationHyperglycemiaCommonDiabetes mellitusStress hyperglycemiaSteroid administrationGlucosuriaPseudohyponatremiaHypokalemiaAcidosis (DKA)↑osmolality (HHNK)Insulin, potassium supplementationMannitolOccasionalReduction of intracranial pressure (ICP), renal protection during rhabdomyolysisSerum hyponatremia, increased osmolality, hypokalemia; rarely hyperkalemiaSelf-limitedPost-obstruction…

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Shivering

Jan 21, 2017 by in ANESTHESIA Comments Off on Shivering

Caution in renal failure owing to renally eliminated metabolite (normeperidine), but small doses probably safe.Contraindicated with monoamine oxidase inhibitorsMorphine0.5 mg IV q 5 minutes (max 2.5 mg)μ-receptor agonistNot as efficacious…

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Neuropathy

Jan 21, 2017 by in ANESTHESIA Comments Off on Neuropathy

Figure 33.1 Algorithm for determining the cause of postoperative paresthesia. Postoperative neuropathy When a patient complains of pain, weakness, or numbness/paresthesia, the first question is whether the symptom began before…

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Visual disturbance

Jan 21, 2017 by in ANESTHESIA Comments Off on Visual disturbance

Figure 32.1 Corneal abrasion. Corneal abrasion management: Although prevention is preferable to treatment, most corneal abrasions heal spontaneously within 48 hours without sequela. Ophthalmological treatment may consist of antibiotic drops…

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