ANESTHESIA FOR KIDNEY TRANSPLANTATION Indications • Polycystic kidney disease • Diabetes mellitus–related kidney failure • Hypertensive kidney disease • Glomerular disease • Tubulointerstitial disease • Other familial or congenital diseases…
POSITIONING • Important to prevent tissue & nerve injury, especially in pts with arthritis & spine dz • Common peripheral nerve injuries occur with the following frequency: ulnar > brachial…
ATRIOVENTRICULAR CONDUCTION SYSTEM • 1st-degree AV block—PR interval increased >0.2 sec • 2nd-degree AV block • Mobitz type I (Wenckebach)—AV delay (PR interval) increases with each beat, until QRS is…
• Advance directive → instructions given by an individual specifying what should be done for his or her health should he or she no longer be able to make decisions…
AIRWAY/DENTAL COMPLICATIONS Airway Complications Incidence • Unknown owing to varying significance/detection of injuries • Minor trauma to larynx & pharynx may be as common as 6% • Damage typically ↑…
APPENDIX C: MANAGEMENT OF MALIGNANT HYPERTHERMIA EMERGENCY THERAPY FOR MALIGNANT HYPERTHERMIA MH Hotline 1-800-644-9737; website: WWW.MHAUS.ORG Outside the US: 1-315-464-7079 DIAGNOSIS VS. ASSOCIATED PROBLEMS Signs of MH • Increasing ETCO2…
ANESTHESIA OUTSIDE THE OPERATING ROOM General Considerations/Safety • Thorough preoperative evaluation of every pt is essential • All patients receiving any form of anesthesia must have ASA monitors during anesthesia…
APPENDIX B: ANESTHESIA MACHINE CHECKOUT & SETTING UP THE OR ANESTHESIA MACHINE CHECKOUT Checkout only valid for an anesthesia system that conforms to current standards and includes an ascending bellows…
Bronchial Blockers • Bronchial blockers: May require longer to position & more intraop repositioning • Univent tracheal tube (provides CPAP, but cannot ventilate while isolating the lung) • Fogarty catheter…
• Take into account longer duration of action in elderly • Neuromuscular blocking agents • Duration prolonged by ↑ age (if steroid based), mild hypothermia, increased density of block (train-of-four…
