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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Anticoagulant and Antiplatelet Drugs

Dec 30, 2018 by in ANESTHESIA Comments Off on Anticoagulant and Antiplatelet Drugs

INTRODUCTION Print Section Listen Anticoagulants are widely used in the perioperative period. The anesthesia consultant must have an understanding of their pharmacology and the implications of their use in a…

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Antiemetics

Dec 30, 2018 by in ANESTHESIA Comments Off on Antiemetics

INTRODUCTION Print Section Listen Postoperative nausea and vomiting (PONV) is the most common complication associated with anesthesia and surgery, occurring in approximately one-third of all patients and up to 70%…

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Vasoactive Agents

Dec 30, 2018 by in ANESTHESIA Comments Off on Vasoactive Agents

INTRODUCTION Print Section Listen Vasoactive agents were recognized in 1895 by H.D. Rollerston, when he described a suprarenal extract as a “powerful vascular tonic.”1 Today, these drugs have an important…

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Neuromuscular Blocking Agents

Dec 30, 2018 by in ANESTHESIA Comments Off on Neuromuscular Blocking Agents

HISTORY OF DEVELOPMENT Print Section Listen Neuromuscular blocking agents (NMBAs) were first “discovered” by the native Indian populations of South America and were used for hunting game. They called their…

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