Emergence from Anesthesia

Dec 30, 2018 by in ANESTHESIA Comments Off on Emergence from Anesthesia

INTRODUCTION Print Section Listen Emergence from anesthesia is complex period where, as with induction, several competing interests influence an anesthesiologist’s course of action. Timely emergence from anesthesia, adequate ventilatory function,…

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Considerations for the Maintenance of Anesthesia

Dec 30, 2018 by in ANESTHESIA Comments Off on Considerations for the Maintenance of Anesthesia

INTRODUCTION Print Section Listen Anesthetic technique has expanded and improved with the advent of newer drugs, methods to deliver them, and drug displays that present real-time anesthetic drug interactions. This…

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Considerations for the Induction of Anesthesia

Dec 30, 2018 by in ANESTHESIA Comments Off on Considerations for the Induction of Anesthesia

INTRODUCTION Print Section Listen Anesthesiologists often consider competing interests when formulating a plan for induction of anesthesia. Of particular concern is the onset and duration of various effects for combinations…

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Key Concepts in Safe Sedation

Dec 30, 2018 by in ANESTHESIA Comments Off on Key Concepts in Safe Sedation

INTRODUCTION Print Section Listen Although widely utilized in a variety of clinical venues and delivered by nurses and physicians with a broad range of clinical training and experience, core principles…

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Premedicants

Dec 30, 2018 by in ANESTHESIA Comments Off on Premedicants

INTRODUCTION Print Section Listen Anesthesiologists recognize the expanding role of premedication in optimizing patient’s condition prior to surgery. Important goals of premedication include reducing patient anxiety, providing analgesia as needed,…

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Implications of Obesity on Anesthetic Drug Behavior

Dec 30, 2018 by in ANESTHESIA Comments Off on Implications of Obesity on Anesthetic Drug Behavior

INTRODUCTION Print Section Listen Adverse physiologic changes in obese patients (Table 20–1) present multiple challenges in the operating room, including intravenous line placement, airway management, positioning, surgical exposure, and blood…

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Implications of Blood Loss on Anesthetic Drugs

Dec 30, 2018 by in ANESTHESIA Comments Off on Implications of Blood Loss on Anesthetic Drugs

INTRODUCTION Print Section Listen An interesting case report published in 2002 perhaps best sets the stage for understanding what anesthesiologists face when caring for a patient who suffers from severe…

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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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