14 Fluids, Electrolytes, and Acid–Base Physiology

Nov 25, 2016 by in ANESTHESIA Comments Off on 14 Fluids, Electrolytes, and Acid–Base Physiology

The Henderson–Hasselbalch equation describes the relationship between pH, PaCO2, and serum bicarbonate. The Henderson equation defines the previous relationship but substitutes hydrogen concentration for pH. The pathophysiology of metabolic alkalosis…

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56 Acute Pain Management

Nov 25, 2016 by in ANESTHESIA Comments Off on 56 Acute Pain Management

The inadequate relief of postoperative pain has adverse physiologic effects that can contribute to significant morbidity and mortality, resulting in the delay of patient recovery and return to daily activities….

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38 Anesthesia for Cardiac Surgery

Nov 25, 2016 by in ANESTHESIA Comments Off on 38 Anesthesia for Cardiac Surgery

When treating myocardial ischemia, decreasing O2 demand is more important than modifying O2 supply. Intraoperative ischemia is usually silent and is not usually accompanied by hemodynamic changes. Slow rate, small…

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16 Hemostasis and Transfusion Medicine

Nov 25, 2016 by in ANESTHESIA Comments Off on 16 Hemostasis and Transfusion Medicine

Perioperative blood component therapy accounts for at least 23% of transfusions. Blood must not only be maintained as a fluid in normal circulation, but also be capable of forming a…

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13 Inflammation, Wound Healing, and Infection

Nov 25, 2016 by in ANESTHESIA Comments Off on 13 Inflammation, Wound Healing, and Infection

The most crucial component of infection prevention is frequent and effective hand hygiene. The ideal hand hygiene agent kills a broad spectrum of microbes, has antimicrobial activity that persists for…

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23 Rare Coexisting Diseases

Nov 25, 2016 by in ANESTHESIA Comments Off on 23 Rare Coexisting Diseases

The cytoskeleton of the muscle membrane in patients with muscular dystrophy is abnormal and susceptible to damage. Massive release of intracellular contents, including potassium, may occur after exposure to succinylcholine…

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40 Obstetrical Anesthesia

Nov 25, 2016 by in ANESTHESIA Comments Off on 40 Obstetrical Anesthesia

As oxygen consumption increases during pregnancy, the maternal cardiovascular system adapts to meet the metabolic demands of a growing fetus. Airway edema may be particularly severe in women with preeclampsia,…

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11 Respiratory Function in Anesthesia

Nov 25, 2016 by in ANESTHESIA Comments Off on 11 Respiratory Function in Anesthesia

In a person with normal lungs, breathing can be performed exclusively by the diaphragm. In the adult, the tip of an orotracheal tube moves an average of 3.8 cm with…

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10 Cardiac Anatomy and Physiology

Nov 25, 2016 by in ANESTHESIA Comments Off on 10 Cardiac Anatomy and Physiology

The mechanical capabilities of the heart are determined by its cartilaginous skeleton, myocardial fiber orientation, valves, coronary blood supply, and conduction system. The cardiac myocyte is engineered for contraction and…

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