Anesthesia Key

Fig. 24.1 The often disturbing appearance of facial injuries tends to be distracting. Attention must be paid first to proper trauma management including stabilization of the c-spine and airway management…

Fig. 2.1 Three different types of percutaneously placed endoscopic enteral tubes: (a) typical PEG with inner and outer flange, single port, (b) PEG with jejunal tube extension, double port for…

Fig. 32.1 Median raphe incision Fig. 32.2 Entry into the tunica vaginalis The affected testicle is then brought out of the scrotum. Generally, there is a 360° twist in the…

Fig. 3.1 Polyp encountered at 3 o’clock Fig. 3.2 Polyp positioned at 5 o’clock Once the lesion is determined to be resectable and is properly positioned, determination should be made…

Fig. 22.1 Indications for surgery for acute epidural hematoma Volume of hematoma >30 mL regardless of GCS Midline shift >5 mm GCS <9 Thickness of hematoma >15 mm Timing of…

Fig. 1.1 Forrest classification can be summarized as grade: (Aa) Arterial hemorrhage (“spurting”). (Ab) Diffuse hemorrhage (“oozing”). (Ba) Non-bleeding visible vessel. (Bb) Adherent clot. (Bc) Flat pigmented spot. (C) Ulcer…

Trauma  Craniofacial trauma  Nasal/nasoseptal fracture  Digital trauma (nose picking)  Foreign body  Nasal instrumentation (Nasogastric tubes, nasal intubation)  Barotrauma  Postsurgical trauma Structural  Nasal septal deviation  Septal spur  Septal perforation  Necrosis of…

Fig. 23.1 Optimal patient positioning for tracheostomy Fig. 23.2 Important neck anatomy for tracheostomy Tracheostomy Operative Technique A transverse incision is made two finger breadths above the sternal notch. This…

Age group RR (breaths per min) HR (beats per min) BP (systolic; mmHg) Newborn (birth to 28 days) 40 140  60 Infant (under 1 year) 30 120  80 Child (approx…

Fig. 28.1 Algorithm for diagnosing ectopic pregnancy In patients with hemodynamic instability or hematoperitoneum without a strong indication of an ectopic pregnancy, the possibility of other causes such as a…