FOR ORTHOPEDIC SURGERY
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…
DRUGS RELEVANT TO PRACTICE OF ANESTHESIA
Dolasetron (Anzemet): See 5HT3 Antagonists. Droperidol (Inapsine) Indication: (1) Prevention/treatment of postoperative nausea and vomiting. Also used for (2) sedation, GA adjunct, treatment of delirium although alternate drugs are preferred…
INTERPRETATION
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…
Management of Malignant Hyperthermia
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 Machine Checkout & Setting Up the Or
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…
FOR AESTHETIC SURGERY & SURGERY OUTSIDE OF THE OPERATING ROOM
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…
FOR THE ELDERLY
• 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…
FOR VASCULAR SURGERY
(lower should remain OFF until after reperfusion & stabilization) • Foley catheter: Goal urine output >0.5 mL/kg/hr • PRBC in the OR; may also need FFP • Management before clamping…
INHALED ANESTHETICS
MAJOR FACTORS AFFECTING UPTAKE Solubility • Partition coefficients express relative solubility of anesthetic gas at equilibrium • Lower partition coefficients imply ↓ solubility, faster equilibration of partial pressure (alveolus ↔…
IN ANESTHESIA
• In pediatric patients a 20–24 gauge needle may be used for the first cannulation and then exchanged with a larger gauge over a guidewire • Proceed as described in…
