Cardiovascular
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
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
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
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 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 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…
Pharmacology
Pharmacology ▪Minimal Alveolar Concentration (MAC) Effects of Common Anesthetics on MAC Halothane Isoflurane Enflurane Sevoflurane Desflurane Nitrous Oxide Odor − + − − ++ − MAC 0.75 1.17 1.63 1.80…
Intravenous Fluids
Intravenous Fluids ▪Fluid Maintenance Maintenance rate Maintenance requirements: (4-2-1 Rule) 1-10 kg = 4 cc/kg/hr 40 cc (110 cc for a 70 kg pt) 11-20 kg = 2 cc/kg/hr 20…
Ethical and Legal Aspects Applicable to the Neurological Intensive Care Unit
Ethical and Legal Aspects Applicable to the Neurological Intensive Care Unit Neurologists and neurosurgeons in the neurological intensive care unit (neuro-ICU) frequently must decide on the level of care to…
