Occupational Health
Occupational Health Jonathan D. Katz Robert S. Holzman Key Points Exposure to waste anesthetic gases can be reduced to levels below those recommended by the National Institute for Occupational Safety…
ANESTHESIA
Anesthetic Risk, Quality Improvement, and Liability
Anesthetic Risk, Quality Improvement, and Liability Karen L. Posner Saint Adeogba Karen B. Domino Key Points Anesthetic mortality has decreased, but accidental deaths and disabling complications still occur. Risk management…
Scope of Practice
Scope of Practice John H. Eichhorn Jay S. Grider Key Points Anesthesia trainees, and many postgraduates also, tend to lack sufficient knowledge (with sometimes unfortunate results) about modes of practice…
The History of Anesthesia
The History of Anesthesia Adam K. Jacob Sandra L. Kopp Douglas R. Bacon Hugh M. Smith Key Points Anesthesiology is a young specialty historically, especially when compared with surgery or…
FOR OBSTETRIC AND GYNECOLOGIC SURGERY
ANESTHESIA FOR LABOR AND DELIVERY • Nonpharmacologic analgesia choices: Hypnotherapy, hydrotherapy, and transcutaneous electrical nerve stimulation (TENS) • Pharmacologic analgesia: Inhalation analgesia, parenteral opioid analgesia (fentanyl, nalbuphine), pudendal block, paracervical…
ELECTROLYTES, & TRANSFUSION THERAPY
(LR, NS, & hetastarch → shown to ↑ neutrophil activation; blood, 7.5% hypertonic saline, & albumin did not have this effect) Figure 9-1. Assessment of volume status. Colloid osmotic pressure (COP)…
MONITORING
Figure 7-1. The hemoglobin-oxygen (Hb-O2) dissociation curve. NONINVASIVE BLOOD PRESSURE MONITORING (OSCILLOMETRIC SPHYGMOMANOMETRY) Basis: Air cuff inflated around extremity, transducer reads oscillations from systolic pulsation • Inflation pressure raised above systolic…
ANESTHESIA
• Infant chest wall deforms easily → because of cartilaginous structure • Accessory muscles provide limited support (poor anatomic rib configuration) • Infantile diaphragm contains 20–25% of fatigue-resistant type I…
PAIN MANAGEMENT
Acute pain: 0 to 4–6 wks Subacute pain: 1 to 3 mos Chronic pain: Persistent pain >3 mos without biologic value Figure 29-1. Algorithm for pharmacologic management of chronic pain. LOW…
FOR ENDOCRINE SURGERY
Hyperthyroidism Anesthesia for Hyperthyroidism • Preop • General: Euthyroid status preferred (risk of thyroid storm), check TFTs, continue antithyroid meds & β-blockers to the day of surgery • Airway: Check…
