Figure 24.1 Relationship between age and organ function Physiological Changes with Aging Cardiovascular System The cardiovascular system undergoes considerable changes with age and is responsible for most of the perioperative…
Adverse outcome (N = 7,740) % of claims Median payment ($) Range of payment ($) Death 29 338,000 353–17,934,000 Nerve damage 19 92,650 394–10,716,000 Permanent brain damage 10 1,216,950 5,950–35,960,000 Airway trauma…
© Springer International Publishing Switzerland 2016Jesse M. Ehrenfeld, Richard D. Urman and Scott Segal (eds.)Anesthesia Student Survival Guide10.1007/978-3-319-11083-7_32 32. Ethical and Legal Issues in Anesthesia Jesse M. Ehrenfeld1 (1) Vanderbilt University School of Medicine, Nashville, TN, USA …
(1) Competence in the fundamental elements necessary for the safe delivery of anesthesia, including both technical and non technical aspects (2) Assumes responsibility for the care of individual patients and…
Preop history Medications, allergies, past medical history Underlying diagnosis Premedications Intra-operative history Procedure Anesthesia type Medications & fluids given Estimated blood loss, urine output Intra-operative events/problems Vital sign ranges Patient…
(1) Vanderbilt University School of Medicine, Nashville, TN, USA KeywordsUrological surgeryUrinary system anatomyRenal dysfunctionGenitourinary systemCystoscopyUreteroscopyTURBTTransuretheral resection of the prostate (TURP)Laser surgeryRadical prostatectomyRadical cystectomyNephrectomyRenal transplantationOrchiectomyOrchidopexyPenile surgeryExtracorporeal shock wave lithotripsyLithotomy position…
Caregiver available for transport home and postoperative evaluation Patient willingness to go home the day of surgery Co-morbidities: obesity, obstructive sleep apnea, poorly compensated cardiopulmonary disease, chronic pain, renal failure,…
Presence of a beard BMI > 26 kg/m2 Missing teeth Age > 55 History of snoring Adapted from Langeron [10] The second most common airway complication involves patient dentition. It is imperative to discuss…
Figure 3.1 Zero vs. first order kinetics (Image Courtesy J. Ehrenfeld) First-order pharmacokinetics : Most drugs are metabolized via processes that obey first-order kinetics, meaning that the rate of drug metabolism…
where EBV represents estimated blood volume, Hcti is initial hematocrit and Hctt is threshold hematocrit for transfusion. EBV is estimated to be 75 mL/kg for men and 65 mL/kg for…
