Is a Preoperative Screening Clinic Cost-Effective?

Mar 2, 2019 by in ANESTHESIA Comments Off on Is a Preoperative Screening Clinic Cost-Effective?

Introduction Each year, between $11 and $30 million are spent on preoperative testing; this includes the cost of laboratory tests and related consultations. For an anesthesiologist, the preoperative evaluation is…

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Update on Preprocedure Testing

Mar 2, 2019 by in ANESTHESIA Comments Off on Update on Preprocedure Testing

Introduction High-quality preprocedure assessment requires evidence-based risk assessment and management in a setting of efficiency and cost containment. Preprocedure testing should be targeted such that the results will enable the…

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Invasive monitoring

Mar 2, 2019 by in ANESTHESIA Comments Off on Invasive monitoring

Invasive arterial pressure monitoring Invasive arterial pressure monitoring provides beat-to-beat real-time information with sustained accuracy. Components 1. An indwelling Teflon arterial cannula (20G or 22G) is used ( Fig. 11.1…

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Non-invasive monitoring

Mar 2, 2019 by in ANESTHESIA Comments Off on Non-invasive monitoring

Clinical observation provides vital information regarding the patient. Observations gained from the use of the various monitors should augment that information; skin perfusion, capillary refill, cyanosis, pallor, skin temperature and…

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Pumps, pain management and regional anaesthesia

Mar 2, 2019 by in ANESTHESIA Comments Off on Pumps, pain management and regional anaesthesia

Patient-controlled analgesia (PCA) PCA represents one of the most significant advances in the treatment of postoperative pain. Improved technology enables pumps to accurately deliver boluses of opioid when a demand…

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Electrical safety

Mar 2, 2019 by in ANESTHESIA Comments Off on Electrical safety

The electrical equipment used in the operating theatre and intensive care unit is designed to improve patient care and safety. At the same time, however, there is the potential of…

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Tracheal tubes, tracheostomy tubes and airways

Mar 2, 2019 by in ANESTHESIA Comments Off on Tracheal tubes, tracheostomy tubes and airways

Tracheal tubes Tracheal tubes provide a means of securing the patienÅ¥s airway, allowing spontaneous and controlled ventilation. These disposable plastic tubes are made of polyvinyl chloride (PVC) which could be…

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Point-of-care testing

Mar 2, 2019 by in ANESTHESIA Comments Off on Point-of-care testing

Introduction Point-of-care testing is a rapidly expanding area of biomedical science and is now essential to efficient patient care. As the name implies, the goal is to collect the specimen…

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