ANESTHESIA

Electrical and Fire Safety

Aug 12, 2019 by in ANESTHESIA Comments Off on Electrical and Fire Safety

Chapter Outline PRINCIPLES OF ELECTRICITY Direct and Alternating Currents Impedance Capacitance Inductance ELECTRICAL SHOCK HAZARDS Alternating and Direct Currents Source of Shocks Grounding ELECTRICAL POWER: GROUNDED ELECTRICAL POWER: UNGROUNDED LINE…

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Machine Checkout and Quality Assurance

Aug 12, 2019 by in ANESTHESIA Comments Off on Machine Checkout and Quality Assurance

Chapter Outline OVERVIEW BACKGROUND PREANESTHESIA CHECKOUT Historical Perspective 2008 Recommendations for Preanesthesia Checkout Procedures Minimum PAC Checklist Automated Anesthesia Machine Checkout Procedures Machine-Embedded Preanesthesia Checklists Using Technicians to Perform Aspects…

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Hazards of the Anesthesia Delivery System

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Chapter Outline PERSPECTIVE Critical Incidents Adverse Outcomes COMPLICATIONS Hypoxemia Hyperoxia Hypercarbia Hypocarbia CIRCUIT PRESSURE AND VOLUME PROBLEMS Occlusions Insufficient Gas in the Breathing System Failure to Initiate Artificial Ventilation Leaks…

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Airway Equipment

Aug 12, 2019 by in ANESTHESIA Comments Off on Airway Equipment

Chapter Outline OVERVIEW ANESTHESIA FACE MASK ORAL AND NASOPHARYNGEAL AIRWAYS Supraglottic Airways Laryngeal Mask Airway ProSeal LMA LMA Supreme Fastrach LMA Paraesophageal Devices King Laryngeal Tracheal Tube I-Gel SLIPA Pharyngeal…

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Closed-Circuit Anesthesia

Aug 12, 2019 by in ANESTHESIA Comments Off on Closed-Circuit Anesthesia

Chapter Outline PRINCIPLES Introduction Closed-Circuit Anesthesia Partial Pressure, Tension, and Concentration Lowe Technique ANESTHESIA ADMINISTRATION AND MONITORING Limitations and Solutions Anesthesia Assessment and Adjustment High and Low Flows Semiclosed Circuit…

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Vigilance, Alarms, and Integrated Monitoring Systems

Aug 12, 2019 by in ANESTHESIA Comments Off on Vigilance, Alarms, and Integrated Monitoring Systems

Chapter Outline OVERVIEW ANESTHESIA MISHAPS Human Error VIGILANCE AND MONITORING PERFORMANCE Research on Vigilance in Anesthesia Factors that Affect Vigilance Environmental Factors Individual Factors Interpersonal and Team Factors Workload and…

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Perioperative Informatics

Aug 12, 2019 by in ANESTHESIA Comments Off on Perioperative Informatics

Chapter Outline OVERVIEW DATA Data Gathering Data Sources Monitor Interfaces NETWORKING CONCEPTS AND OPEN SYSTEM INTERCONNECTION Interface Languages Central Storage and Servers Local Versus Central Processing Presentation Decision Support Moving…

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Infection Prevention : Recommendations for Practice

Aug 12, 2019 by in ANESTHESIA Comments Off on Infection Prevention : Recommendations for Practice

Chapter Outline OVERVIEW HAND HYGIENE STANDARD PRECAUTIONS AND SAFE INJECTION PRACTICES REPROCESSING Spaulding System Critical Items Semicritical Items Noncritical Items Limitations Sterilization Disinfection ANESTHESIA MACHINE AND ANESTHESIA WORK SPACE EXPANDED…

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Respiratory Gas Monitoring

Aug 12, 2019 by in ANESTHESIA Comments Off on Respiratory Gas Monitoring

Chapter Outline OVERVIEW GAS SAMPLING SYSTEMS Nondiverting (Mainstream) Systems Sidestream (Diverting) Systems UNITS OF MEASUREMENT Number of Molecules (Partial Pressure) Measurement of Proportion (Volumes Percent) GAS ANALYSIS TECHNOLOGIES Mass Spectrometry…

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Anesthesia Ventilators

Aug 12, 2019 by in ANESTHESIA Comments Off on Anesthesia Ventilators

Chapter Outline OVERVIEW HISTORY PHYSIOLOGY AND MECHANICAL CONCEPTS Gas Exchange Carbon Dioxide Equilibrium Carbon Dioxide Production Carbon Dioxide Elimination Oxygen Uptake Net Effect of Respiratory Quotient PHYSICS OF GAS FLOW…

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