ANESTHESIA

Reversal Agents

Sep 18, 2016 by in ANESTHESIA Comments Off on Reversal Agents

Chemical Structure 13.1 Neostigmine Chemical Structure 13.2 Physostigmine Chemical Structure 13.3 Pyridostigmine Chemical Structure 13.4 Acetylcholine References 1. Glick DB. The autonomic nervous system. In: Miller RD, editor. Miller’s anesthesia….

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Perioperative Considerations in Pharmacology

Sep 18, 2016 by in ANESTHESIA Comments Off on Perioperative Considerations in Pharmacology

Drug Weight used for dosing Propofol  Induction IBW  Maintenance TBW Fentanyl TBW Sufentanil TBW Remifentanil IBW Alfentanil IBW Morphine IBW Midazolam TBW Rocuronium IBW Vecuronium IBW Succinylcholine TBW IBW ideal…

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Anesthetic Induction Agents

Sep 18, 2016 by in ANESTHESIA Comments Off on Anesthetic Induction Agents

Chemical Structure 6.1 Propofol Chemical Structure 6.2 Ketamine Chemical Structure 6.3 Etomidate References 1. Stoelting RK, Miller RD. Basics of anesthesia. 5th ed. Philadelphia: Churchill Livingstone, Elsevier; 2007. 2. Calvey…

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Case 4: A Day in the PACU

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 4: A Day in the PACU

ECG monitor Required Pulse oximetry Required 12-lead ECG Recommended Noninvasive blood pressure Required Invasive blood pressure Recommended Oxygen Required Temperature measurement Required Suction Required Defibrillator Required Crash cart with medications/supplies…

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Case 15: Cosmetic Surgery

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 15: Cosmetic Surgery

Fig. 15.1 Side view of Linda with pronounced mandibular prognathism, which led to the corresponding dental malocclusion Finally the time had come! She was 17 years old; the bony growth…

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Case 31: Prostatectomy

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 31: Prostatectomy

Fig. 31.1 Trendelenburg positioning for a da Vinci prostatectomy. The angle of the joint of the OR table emphasizes the extreme head-down-feet-up position. The knees are bent; legs are raised,…

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Case 29: Thoracic CT Scan

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 29: Thoracic CT Scan

(29.1) The formula uses pounds per square inch for pressure, volume in l, and flow rate in l/min. V r is the volume of the E-cylinder (660 l) and P…

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Case 21: Colectomy

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 21: Colectomy

Do not use HES solutions in critically ill adult patients including those with sepsis and those admitted to the ICU Avoid use in patients with preexisting renal dysfunction Discontinue use…

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Case 20: Forearm Fracture

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 20: Forearm Fracture

Local anesthetic Without epinephrine With epinephrine (1:200,000) Lidocaine 3–4 mg/kg (300 mg) 7 mg/kg (500 mg) Mepivacaine 4 mg/kg (300 mg) 7 mg/kg (500 mg) Prilocaine 5–6 mg/kg (400 mg)…

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Case 30: Cerebrovascular Accident

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 30: Cerebrovascular Accident

Fig. 30.1 Digital subtraction angiography (DSA) 30.1.7 What Do You See on the DSA Image? The digital subtraction angiography shows the aortic arch with a catheter clearly visible. Further on,…

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