Trauma and Orthopedic Surgery
Trends revealed from the National Trauma Data Bank 1. The majority of reported traumas occur in young males 2. Case fatality rises with age at time of injury 3. Motor…
Clinical Simulation in Anesthesia Education
Figure 33.1 A simulation mannequin Figure 33.2 A typical set-up of a full-body mannequin on a hospital gurney, with the computer monitor in the background displaying the vitals Figure 33.3…
Perioperative Acute and Chronic Pain Management
Fiber class Diameter (μm) Myelin Conduction velocity (m/s) Innervation Function A alpha 12–20 +++ 75–120 Afferent to skeletal muscle Motor and reflexes A beta 5–12 +++ 30–75 Afferent from cutaneous…
Physiology and Anesthesia for General and Bariatric Surgery
Obesity class BMI Health risk Class I (overweight) 25–30 Low Class II (obese) 30–35 Moderate Class III (severely obese) 35–40 High Class IV (morbidly obese) >40 Very high There are…
Physiology and Anesthesia for Neurologic, ENT, and Ophthalmologic Surgery
Figure 19.1 Cerebral blood flow /carbon dioxide diagram (Image courtesy J. Ehrenfeld) Blood Brain Barrier (BBB) Brain capillaries contain tight-junctions that limit the passive diffusion of many substances into the…
Intraoperative Problems
and Matthew D. McEvoy1 (1) Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, TN, USA Matthew D. McEvoy Email: matthew.d.mcevoy@vanderbilt.edu KeywordsIntraoperative problemsUnstable surgical patientEmergenceExtubationPost operative complicationsCardiac adverse eventsHypotensionHypertensionHypoxemiaFailure to ventilateHigh airway…
Physiology and Anesthesia for Elderly Patients
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…
Quality Assurance, Patient and Provider Safety
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…
Ethical and Legal Issues in Anesthesia
© 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 …
Professionalism, Safety, and Teamwork
(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…
