Electrical and Fire Safety
B. Source of Shocks 1. Electrical accidents or shocks occur when a person becomes part of or completes an electrical circuit (Fig. 8-1). 2. Damage from electrical current is caused…
Preoperative Patient Assessment and Management
4. Neurologic System. The patient’s ability to answer health history questions practically ensures a normal mental status (exclude the presence of increased intracranial pressure, cerebrovascular disease, seizure history, pre-existing neuromuscular…
Anesthesia for Thoracic Surgery
TABLE 37-1 PATIENT MEDICAL HISTORY THAT SHOULD BE OBTAINED BEFORE THORACIC SURGERY Dyspnea: quantitate as to activity required to produce; presence may warn of the need for postoperative ventilation) Cough…
Nonoperating Room Anesthesia (NORA)
TABLE 32-1 PATIENT FACTORS REQUIRING SEDATION OR ANESTHESIA FOR NONOPERATING ROOM PROCEDURES Claustrophobia, anxiety, and panic disorders Cerebral palsy, developmental delay, and learning difficulties Seizure disorders, movement disorders, and muscular…
Anesthesia for Vascular Surgery
FIGURE 39-2. Typical overlap in vascular disease affecting different organ systems. PAD = peripheral arterial disease. 2. In the first 6 weeks after coronary stent placement, noncardiac surgery carries considerable…
Echocardiography
F. Goals of the Two-Dimensional Examination. A comprehensive evaluation is preferred with each cardiac chamber and valve imaged in at least two orthogonal planes. However, in an emergency situation, such…
Anesthesia for Ophthalmologic Surgery
II. OCULAR PHYSIOLOGY A. Formation and Drainage of Aqueous Humor 1. Aqueous humor is formed in the posterior chamber by the ciliary body in an active secretory process involving carbonic…
Cardiac Anatomy and Physiology
TABLE 10-1 AREAS AT RISK FOR MYOCARDIAL ISCHEMIA BASED ON CORONARY ARTERY DISTRIBUTION Left Anterior Descending Coronary Artery Medial left ventricular anterior wall Anterior two-thirds of the interventricular septum Left…
Inflammation, Wound Healing, and Infection
5. Wearing rings does not increase overall bacterial levels measured on the hands of health care workers. Therefore, it remains unclear whether transmission of infection could be reduced by prohibiting…
Ambulatory Anesthesia
5. Hospital admission by itself is not necessarily bad if it results in a better quality of care or uncovers the need for more extensive surgery. E. Obese patients are…
