Pediatric intravenous fluid and blood therapy

Dec 2, 2016 by in ANESTHESIA Comments Off on Pediatric intravenous fluid and blood therapy

c) Preoperative fluid deficits develop during the period of time in which the child has not received oral or IV maintenance fluids. d) The preoperative fluid deficit is calculated by determining the…

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Pediatric pharmacologic considerations

Dec 2, 2016 by in ANESTHESIA Comments Off on Pediatric pharmacologic considerations

2. Volume of drug distribution a) Infants have a larger extracellular fluid compartment and greater TBW content. b) There is a greater adipose content and a higher ratio of water to lipid. Fat…

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Abdominal aortic aneurysm

Dec 2, 2016 by in ANESTHESIA Comments Off on Abdominal aortic aneurysm

Modified from Roizen MF, Beaupre PN, Alpert RA, et al. Monitoring with two-dimensional transesophageal echocardiography: comparison of myocardial function in patients undergoing supraceliac, suprarenal-infraceliac, or infrarenal aortic occlusion. J Vasc…

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Preoperative assessment

Dec 2, 2016 by in ANESTHESIA Comments Off on Preoperative assessment

CNS, central nervous system; FO, foramen ovale; G/A, general anesthesia; PDA, patent ductus arteriosus; RPO, retinopathy of prematurity; V./Q., ventilation/perfusion. 5. System review and examination a) When performing a physical assessment, one…

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Burns

Dec 2, 2016 by in ANESTHESIA Comments Off on Burns

IV, Intravenous; NPO, nothing by mouth. 2. Preoperative assessment a) Burn patients require a thorough and complete preoperative assessment. A complete medical history, including laboratory studies, and a brief physical examination with…

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Obesity

Dec 2, 2016 by in ANESTHESIA Comments Off on Obesity

Classification of Overweight and Obesity by Body Mass Index Data from National Institute of Health. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: the…

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Operating room fire

Dec 2, 2016 by in ANESTHESIA Comments Off on Operating room fire

C Operating room fire 1. Introduction a) Fires in the operating room are a relatively rare event. The classic fire triangle requires the presence of three elements: fuel, an ignition source, and…

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Adverse cognitive impairment

Dec 2, 2016 by in ANESTHESIA Comments Off on Adverse cognitive impairment

A Adverse cognitive impairment 1. Introduction     Impairments in cognitive functioning from disturbances in the brain’s physiology can easily occur in the surgical patient. Neurologic impairment can be devastating in postanesthesia patients…

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Thoracic aortic aneurysm

Dec 2, 2016 by in ANESTHESIA Comments Off on Thoracic aortic aneurysm

G Thoracic aortic aneurysm 1. Introduction     The mortality rate associated with thoracic aneurysms is well established. Patients with aortic dissections have only a 3-month survival time if they do not undergo…

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Portosystemic shunts

Dec 2, 2016 by in ANESTHESIA Comments Off on Portosystemic shunts

F Portosystemic shunts 1. Introduction     Portosystemic shunt procedures are performed to prevent or cease variceal hemorrhage resulting from portal hypertension in patients with liver disease, cirrhosis, ascites, and hypersplenism. The redistribution…

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