Premedicants

Dec 30, 2018 by in ANESTHESIA Comments Off on Premedicants

INTRODUCTION Print Section Listen Anesthesiologists recognize the expanding role of premedication in optimizing patient’s condition prior to surgery. Important goals of premedication include reducing patient anxiety, providing analgesia as needed,…

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Implications of Obesity on Anesthetic Drug Behavior

Dec 30, 2018 by in ANESTHESIA Comments Off on Implications of Obesity on Anesthetic Drug Behavior

INTRODUCTION Print Section Listen Adverse physiologic changes in obese patients (Table 20–1) present multiple challenges in the operating room, including intravenous line placement, airway management, positioning, surgical exposure, and blood…

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Implications of Blood Loss on Anesthetic Drugs

Dec 30, 2018 by in ANESTHESIA Comments Off on Implications of Blood Loss on Anesthetic Drugs

INTRODUCTION Print Section Listen An interesting case report published in 2002 perhaps best sets the stage for understanding what anesthesiologists face when caring for a patient who suffers from severe…

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Anesthetic Considerations in Cancer Patients

Dec 30, 2018 by in ANESTHESIA Comments Off on Anesthetic Considerations in Cancer Patients

INTRODUCTION Print Section Listen Is it possible that particulars of perioperative anesthetic management (eg, using epidural local anesthetics during general anesthesia) might influence long-term recurrence risk after cancer surgery? Not…

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Anesthetic Implications of Poor Cardiac Function

Dec 30, 2018 by in ANESTHESIA Comments Off on Anesthetic Implications of Poor Cardiac Function

INTRODUCTION Print Section Listen Heart failure is increasingly being recognized as a growing health problem worldwide. It is estimated that the lifetime risk of developing heart failure is approximately 20%…

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Anesthetic Clinical Pharmacology in Pediatric Patients

Dec 30, 2018 by in ANESTHESIA Comments Off on Anesthetic Clinical Pharmacology in Pediatric Patients

INTRODUCTION Print Section Listen A common misconception of dosing anesthetics in pediatric patients is that children are miniature adults. Although there are substantial physiologic changes with early development and maturation…

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Drugs That Influence Renal Function

Dec 30, 2018 by in ANESTHESIA Comments Off on Drugs That Influence Renal Function

OVERVIEW Print Section Listen Kidneys perform a number of essential physiologic functions, including water management, electrolyte homeostasis, acid–base balance, and several neurohumoral and hormonal functions. Anesthesiologists are often called upon…

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Anticonvulsants in Anesthesia

Dec 30, 2018 by in ANESTHESIA Comments Off on Anticonvulsants in Anesthesia

INTRODUCTION Print Section Listen For anesthesiologists, a working knowledge of antiepileptic mechanisms of action is helpful when caring for patients with known or suspected seizure disorders. This chapter provides a…

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Perioperative Assessment of Diabetes

Dec 30, 2018 by in ANESTHESIA Comments Off on Perioperative Assessment of Diabetes

INTRODUCTION Print Section Listen Diabetes is a condition of elevated blood glucose caused by a number of factors and affects approximately 8% of the population.1 There are 2 types: type…

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