Local Anesthetics
Local Anesthetics ▪Ester Local Anesthetics Metabolized by pseudocholinesterase to PABA; have incr risk of allergy. Procaine (Novocaine) 0.5-1% Onset fast, SDOA 25-30 min, low potency. Spinal, PNB. Cloroprocaine (Nesacaine) 1%-3%…
Pediatric Anesthesiology
Pediatric Anesthesiology ▪General Guidelines for Pediatric Patients General Guidelines Preemie Birth 6 mo 1 yo 2 yo 3 yo 4 yo 5 yo 6 yo 7 yo 8 yo 10…
Obstetric Anesthesia
Obstetric Anesthesia ▪Obstetric Patient and Anesthesia Decr in overall anesthetic requirements; MAC decreased by 40%. Decr gastric motility w/incompetent gastroesophageal junction leads to regurgitation of gastric contents. All OB pts…
Anesthesia Information
Anesthesia Information ▪Anesthesia Gas Machine Check Verify that backup equipment is available and functioning. Ambu bag (with mask) Check flashlight (working?) Suction on and ready Transtracheal Jet Ventilator, and 14…
Pharmacology
Pharmacology ▪Minimal Alveolar Concentration (MAC) Effects of Common Anesthetics on MAC Halothane Isoflurane Enflurane Sevoflurane Desflurane Nitrous Oxide Odor − + − − ++ − MAC 0.75 1.17 1.63 1.80…
Intravenous Fluids
Intravenous Fluids ▪Fluid Maintenance Maintenance rate Maintenance requirements: (4-2-1 Rule) 1-10 kg = 4 cc/kg/hr 40 cc (110 cc for a 70 kg pt) 11-20 kg = 2 cc/kg/hr 20…
Ethical and Legal Aspects Applicable to the Neurological Intensive Care Unit
Ethical and Legal Aspects Applicable to the Neurological Intensive Care Unit Neurologists and neurosurgeons in the neurological intensive care unit (neuro-ICU) frequently must decide on the level of care to…
Spinal Cord Injury
Spinal Cord Injury Approximately 10,000 patients a year in the United States are rendered paraplegic or quadriplegic as a result or injuries to the spinal cord. There are an estimated…
Viral Encephalitis and Bacterial Meningitis
Viral Encephalitis and Bacterial Meningitis In the past 20 years the complexity of caring for patients with acute encephalitis and meningitis in the critical care setting has increased. This is…
