Open Urologic Procedures: Radical Cystectomy with Diversion, Radical Prostatectomy, and Radical Nephrectomy Anesthetic Considerations

Jan 8, 2017 by in ANESTHESIA Comments Off on Open Urologic Procedures: Radical Cystectomy with Diversion, Radical Prostatectomy, and Radical Nephrectomy Anesthetic Considerations

  Advantages Limitations Radical retropubic prostatectomy Superb surgical exposure Challenging in obese patients Facilitates nerve-sparing surgery Vascular field Allows simultaneous staging Increased blood loss Increased blood transfusion rate Perineal prostatectomy…

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Extracorporeal Shock Wave Therapy and Percutaneous Nephrolithotripsy

Jan 8, 2017 by in ANESTHESIA Comments Off on Extracorporeal Shock Wave Therapy and Percutaneous Nephrolithotripsy

Pregnancy Severe skeletal deformities Severe obesity Aortic or renal artery aneurysm? Urinary obstruction distal to stone Uncontrolled anticoagulation Uncontrolled hypertension Uncontrolled urinary tract infection Procedure Techniques Classically, PCNL is done…

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Anesthesia for Renal Transplantation: Donor and Recipient Care

Jan 8, 2017 by in ANESTHESIA Comments Off on Anesthesia for Renal Transplantation: Donor and Recipient Care

Glomerulopathies Primary glomerular disease Focal glomerulosclerosis Membranous nephropathy Immunoglobulin A nephropathy Membranoproliferative glomerulonephritis Glomerulopathies associated with systemic disease Amyloidosis Postinfectious glomerulonephritis Systemic lupus erythematosus Wegener’s granulomatosis Tubulointerstitial disease Analgesic nephropathy…

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Anesthesia for Urological Endoscopic Procedures

Jan 8, 2017 by in ANESTHESIA Comments Off on Anesthesia for Urological Endoscopic Procedures

Absorption of irrigating fluid Circulatory overload and hypoosmolality Hyponatremia Glycine and ammonia toxicity Bladder perforation Transient bacteremia and septicemia Hypothermia Bleeding and coagulopathy TURP syndrome The Surgical Procedure The TURP…

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Principles of Critical Care Ultrasonography

Dec 22, 2016 by in CRITICAL CARE Comments Off on Principles of Critical Care Ultrasonography

Principles of Critical Care Ultrasonography Phillips Perera, Laleh Gharahbaghian, Thomas “Tom” Mailhot, Sarah R. Williams, and Diku P. Mandavia BACKGROUND Traditionally, clinicians have divided shock into four distinct categories. In…

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Infections in the Immunocompromised Host

Dec 22, 2016 by in CRITICAL CARE Comments Off on Infections in the Immunocompromised Host

Infections in the Immunocompromised Host M. Cristina Vazquez-Guillamet, Joshua J. Mooney, and Joe L. Hsu BACKGROUND Recent decades have challenged the emergency physician to manage an evolving spectrum of infections…

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Principles of Antimicrobial Therapy

Dec 22, 2016 by in CRITICAL CARE Comments Off on Principles of Antimicrobial Therapy

Principles of Antimicrobial Therapy Chanu Rhee and Michael Klompas BACKGROUND In the past several decades, advances in the development of antimicrobial agents have supplied the physician with dozens of drugs…

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