Uteroplacental Circulation and Respiratory Gas Exchange Mark I. Zakowski Sivam Ramanathan Revised from the fourth edition, written by Julian T. Parer, Mark A. Rosen, and Gershon Levinson. The placenta is…
Physiologic Changes of Pregnancy Brenda A. Bucklin Andrea J. Fuller Unique anatomic and physiologic modifications occur during pregnancy, labor, delivery, and the postpartum period. Every organ system undergoes changes—from the…
Peripheral Nerve Blocks ▪Common Local Anesthetics Lidocaine 0.5%, 0.75%, 1%, 1.5%, 2%, 4%, 5% Chloroprocaine 1%, 2%, 3% Ropivacaine 0.2%, 0.5%, 0.75%, 1% Mepivacaine 1 %, 1.5%, 2%, 3% Prilocaine…
Cardiovascular ▪ACLS 2005 AHA Guidelines VF and Pulseless VT: CPR; manual biphasic 200 J, or monophasic 360 J; intubate; epinephrine 1 mg IV/IO q 3-5 min ◊ 1 (no max)…
Spinals and Epidurals ▪General Information Spinal Needles Quincke: Cutting needle; end injection. Whitacre: Pencil point rounded; side injxn; decr incidence of PDSH. Sprotte: Long opening at end; side injxn; increases…
Local Anesthetics ▪Ester Local Anesthetics Metabolized by pseudocholinesterase to PABA; have incr risk of allergy. Procaine (Novocaine) 0.5-1% Onset fast, SDOA 25-30 min, low potency. Spinal, PNB. Cloroprocaine (Nesacaine) 1%-3%…
Pediatric Anesthesiology ▪General Guidelines for Pediatric Patients General Guidelines Preemie Birth 6 mo 1 yo 2 yo 3 yo 4 yo 5 yo 6 yo 7 yo 8 yo 10…
Obstetric Anesthesia ▪Obstetric Patient and Anesthesia Decr in overall anesthetic requirements; MAC decreased by 40%. Decr gastric motility w/incompetent gastroesophageal junction leads to regurgitation of gastric contents. All OB pts…
Anesthesia Information ▪Anesthesia Gas Machine Check Verify that backup equipment is available and functioning. Ambu bag (with mask) Check flashlight (working?) Suction on and ready Transtracheal Jet Ventilator, and 14…
