Acute Pain Service: Organization, Function, & Implementation.
In 2004, a Canadian survey showed that the percentage of academic hospitals with an APS increased from 53% in 1993 to 92% in 2004.26 However, an APS with anesthesiologists as…
Sedation-Analgesia during Local & Regional Anesthesia.
Sedative-hypnotic drugs as well as narcotics are commonly used perioperatively to make regional anesthesia more tolerable for patients by reducing anxiety and providing an appropriate degree of sedation, amnesia, and…
from Mechanical Ventilation: What Strategies Do Randomized Controlled Trials Recommend?
GCS = Glasgow coma scale; Hgb = hemoglobin; HR = heart rate. Adapted from MacIntyre NR, Cook DJ, Ely EW Jr, et al. Evidence-based guidelines for weaning and discontinuing ventilatory…
Prone Ventilation
The physiology is as follows: when a patient is moved right and left through an arc, injurious cytokines are distributed diffusely throughout the lungs. The blood flow can shift around…
Ventilation and Cardiovascular Support: The Heart-Lung Connection
Returning to the case study mentioned at the beginning of this article, the patient presented initially received PPV and then was extubated to spontaneous ventilation. Thus, the patient’s already depressed…
Ventilation in Neurologically Ill Patients
Neuromuscular weakness from spinal cord injury, peripheral nerve disease processes such as Guillain-Barré syndrome, the neuromuscular junction like myasthenia gravis, or myopathy can be assessed with a negative inspiratory force…
Lung Injury: Implications for Clinical Practice
PEEP, positive end-expiratory pressure; ARDS, acute respiratory distress syndrome; LIS, lung injury score; ALI, acute lung injury; PAOP, pulmonary artery occlusion pressure; LV, left ventricle. aSum scores from each domain…
