Anesthesia for Bariatric Surgery
Key Points ▪ In the United States more than two out of three people are overweight or obese. Worldwide, more people are obese than are malnourished. Obesity is becoming the…
ANESTHESIA
Perioperative Acid-Base Balance
Key Points ▪ The presence of a significant acid-base abnormality often signals a sinister underlying problem. ▪ All acid-base abnormalities result from alterations in the dissociation of water. ▪ Only…
Neuromuscular Monitoring
Key Points ▪ Good evidence-based practice dictates that clinicians always quantitate the extent of neuromuscular block by objective monitoring. ▪ The neuromuscular block should be adjusted to ensure optimal surgical…
Patient Blood Management: Transfusion Therapy
Key Points ▪ Blood transfusion is safer now than at any other time in history. Advances in donor screening, improved testing, automated data systems, and changes in transfusion medicine practices…
Basic Principles of Pharmacology
Key Wordsage, body habitus, clearance, interactions, patient characteristics, pharmacodynamics, pharmacokinetics, volumes of distribution Key Points ▪ Pharmacokinetics describes the relationship between drug dose and drug concentration in plasma or…
Management of the Patient with Chronic Pain
Key Points ▪ The normal physiology of neuronal function, receptors, and ion channels is altered by persistent pain. ▪ Because of the large number of sources and manifestation of chronic…
Anesthetic Implications of Concurrent Diseases
Key Points ▪ The history and physical examination most accurately predict the risks of anesthesia and the likelihood of required changes in monitoring or therapy. ▪ For diabetic patients, end-organ…
Implantable Cardiac Pulse Generators: Pacemakers and Cardioverter-Defibrillators
▪ Identify the type of cardiovascular implantable electronic device (CIED) (pacemaker, transvenous defibrillator, subcutaneous defibrillator), as well as the generator manufacturer and model of the CIED. ▪ Contact the physician…
Neuromuscular Disorders Including Malignant Hyperthermia and Other Genetic Disorders
Key WordsCharcot-Marie-Tooth Disease, Dantrolene, Guillain-Barre Syndrome, Malignant Hyperthermia, Multiple Sclerosis, Muscular Dystrophy, Ryanodine Key Points ▪ Malignant hyperthermia (MH) is a pharmacogenetic disorder inherited primarily in an autosomal dominant…
