Case 33: Glioblastoma

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 33: Glioblastoma

(33.1) It is a measurement for the time needed to exhale air. The unit is seconds. The normal value in healthy patients is 0.2 s, in ventilated patients 0.3 s….

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Case 26: Aortic Aneurysm

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 26: Aortic Aneurysm

  Before puncture/catheter removala After puncture/catheter removala Check lab values Unfractionated heparins (prophylaxis ≤15,000 IE/day) 4 h 1 h Platelets, if therapy >5 days Unfractionated heparins (therapy) IV 4–6 h…

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Case 24: Tibia Fracture

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 24: Tibia Fracture

Fig. 24.1 ECG 24.1.4 Which Rhythm Disorder Is Present? What Causes It? There is an irregular rhythm with a heart rate of >100 beats/min, in other words, irregular supraventricular tachycardia….

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Case 32: Angiography

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 32: Angiography

Fig. 32.1 The MRI clearly shows a hyperdensity in the right occipital lobe. An arteriovenous malformation was the cause of the bleeding After the MRI, the neurosurgeon Dr. Faith came…

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Case 2: Elbow Dislocation with Fracture

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 2: Elbow Dislocation with Fracture

WFNS classification [7] Grade Classification Hunt and Hess [4] Clinical appearance Glasgow Coma Scale  15 0 Asymptomatic recognition of an unruptured aneurysm No motor deficit 15 1 Asymptomatic with minimal…

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Case 27: Dyspnea

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 27: Dyspnea

Clinical characteristic Point value Malignancy 1 Paralysis/immobilization of a lower extremity 1 Bedridden >3 days or extensive surgery <12 weeks earlier 1 Pain/swelling localized along the deep venous system 1…

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Case 13: Spinal Stenosis

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 13: Spinal Stenosis

Fig. 13.1 Pressure–volume curve of the left ventricle In diastolic heart failure, there is a relaxation disorder of the left ventricle, which causes diastolic pressure increases during ventricle filling (d…

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Case 5: TUR of the Prostate

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 5: TUR of the Prostate

TURP syndrome Na+ (mEq/l) Low 135–125 Moderate 125–120 Moderately critical 110–120 Critical <110 Rough calculations of the absorbed volume can be done with (Eq. 5.1): (5.1) (ECF = extracellular fluid ≈ 20 % of…

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Tips to Reduce Human Errors

Sep 18, 2016 by in ANESTHESIA Comments Off on Tips to Reduce Human Errors

Human factors Description Examples Possible problem-solving strategies Actionism Spontaneous acts without consideration of goals Thereby neglecting to perform necessary steps and overlooking relevant information Case 24 Extubation of a patient…

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Case 28: Strabismus Surgery

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 28: Strabismus Surgery

Fig. 28.1 Schematic presentation of the oculocardiac reflex. The afferents (dotted line) travel via the ophthalmic branch of the trigeminal nerve. After synapsing at the brain stem, the efferent impulse…

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