(1) Vanderbilt University School of Medicine, Nashville, TN, USA KeywordsUrological surgeryUrinary system anatomyRenal dysfunctionGenitourinary systemCystoscopyUreteroscopyTURBTTransuretheral resection of the prostate (TURP)Laser surgeryRadical prostatectomyRadical cystectomyNephrectomyRenal transplantationOrchiectomyOrchidopexyPenile surgeryExtracorporeal shock wave lithotripsyLithotomy position…
Caregiver available for transport home and postoperative evaluation Patient willingness to go home the day of surgery Co-morbidities: obesity, obstructive sleep apnea, poorly compensated cardiopulmonary disease, chronic pain, renal failure,…
Presence of a beard BMI > 26 kg/m2 Missing teeth Age > 55 History of snoring Adapted from Langeron [10] The second most common airway complication involves patient dentition. It is imperative to discuss…
Figure 3.1 Zero vs. first order kinetics (Image Courtesy J. Ehrenfeld) First-order pharmacokinetics : Most drugs are metabolized via processes that obey first-order kinetics, meaning that the rate of drug metabolism…
where EBV represents estimated blood volume, Hcti is initial hematocrit and Hctt is threshold hematocrit for transfusion. EBV is estimated to be 75 mL/kg for men and 65 mL/kg for…
M → Machine S → Suction M → Monitors A → Airway I → IV D → Drugs S → Special The first “M” stands for the anesthesia Machine. In performing a machine check, one should use a written check list in order to…
Receptor Receptor site action α-1 Glycogenolysis, gluconeogenesis, constricts vascular smooth muscle, relaxes GI tract α-2 Constricts vascular smooth muscle, decreases insulin secretion and norepinephrine release β-1 Increases heart rate and…
Figure 2.1 “Ether day, 1846” pictured are Gilbert Abbott (the patient), John Collins Warren, M.D. (the surgeon), William T. G. Morton (the anesthetist) and Henry J. Bigelow, M.D. (the junior…
Fiber type Local anesthetic sensitivity Size Myelination A + Large Yes B ++ Medium Yes C +++ Small No pH: Most local anesthetics are weak bases that exist as an equilibrium…
, John W. Wolfe2 and Jesse M. Ehrenfeld3 (1) Department of Anesthesia, Indiana University School of Medicine, Wishard Memorial Hospital, Indianapolis, IN, USA (2) Department of Anesthesiology, Indiana University Hospital, Indiana University School of…
