SYSTEM AND ANESTHESIA FOR UROLOGIC SURGERY
Acute Renal Failure • ↑ of Cr by ≥0.5 mg/dL or ↑ of Cr by ≥20% over 2 wks • Prerenal • Renal hypoperfusion resulting in ↓ GFR • Causes…
TRANSPLANTATION
ANESTHESIA FOR KIDNEY TRANSPLANTATION Indications • Polycystic kidney disease • Diabetes mellitus–related kidney failure • Hypertensive kidney disease • Glomerular disease • Tubulointerstitial disease • Other familial or congenital diseases…
OF ANESTHESIA
AIRWAY/DENTAL COMPLICATIONS Airway Complications Incidence • Unknown owing to varying significance/detection of injuries • Minor trauma to larynx & pharynx may be as common as 6% • Damage typically ↑…
ISSUES & EVENT DISCLOSURE
• Advance directive → instructions given by an individual specifying what should be done for his or her health should he or she no longer be able to make decisions…
FOR ORTHOPEDIC SURGERY
POSITIONING • Important to prevent tissue & nerve injury, especially in pts with arthritis & spine dz • Common peripheral nerve injuries occur with the following frequency: ulnar > brachial…
FOR THORACIC SURGERY
Bronchial Blockers • Bronchial blockers: May require longer to position & more intraop repositioning • Univent tracheal tube (provides CPAP, but cannot ventilate while isolating the lung) • Fogarty catheter…
DRUGS RELEVANT TO PRACTICE OF ANESTHESIA
Dolasetron (Anzemet): See 5HT3 Antagonists. Droperidol (Inapsine) Indication: (1) Prevention/treatment of postoperative nausea and vomiting. Also used for (2) sedation, GA adjunct, treatment of delirium although alternate drugs are preferred…
INTERPRETATION
ATRIOVENTRICULAR CONDUCTION SYSTEM • 1st-degree AV block—PR interval increased >0.2 sec • 2nd-degree AV block • Mobitz type I (Wenckebach)—AV delay (PR interval) increases with each beat, until QRS is…
Management of Malignant Hyperthermia
APPENDIX C: MANAGEMENT OF MALIGNANT HYPERTHERMIA EMERGENCY THERAPY FOR MALIGNANT HYPERTHERMIA MH Hotline 1-800-644-9737; website: WWW.MHAUS.ORG Outside the US: 1-315-464-7079 DIAGNOSIS VS. ASSOCIATED PROBLEMS Signs of MH • Increasing ETCO2…
