ANESTHESIA

Vigilance, Alarms, and Integrated Monitoring Systems

Aug 12, 2019 by in ANESTHESIA Comments Off on Vigilance, Alarms, and Integrated Monitoring Systems

Chapter Outline OVERVIEW ANESTHESIA MISHAPS Human Error VIGILANCE AND MONITORING PERFORMANCE Research on Vigilance in Anesthesia Factors that Affect Vigilance Environmental Factors Individual Factors Interpersonal and Team Factors Workload and…

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Perioperative Informatics

Aug 12, 2019 by in ANESTHESIA Comments Off on Perioperative Informatics

Chapter Outline OVERVIEW DATA Data Gathering Data Sources Monitor Interfaces NETWORKING CONCEPTS AND OPEN SYSTEM INTERCONNECTION Interface Languages Central Storage and Servers Local Versus Central Processing Presentation Decision Support Moving…

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Infection Prevention : Recommendations for Practice

Aug 12, 2019 by in ANESTHESIA Comments Off on Infection Prevention : Recommendations for Practice

Chapter Outline OVERVIEW HAND HYGIENE STANDARD PRECAUTIONS AND SAFE INJECTION PRACTICES REPROCESSING Spaulding System Critical Items Semicritical Items Noncritical Items Limitations Sterilization Disinfection ANESTHESIA MACHINE AND ANESTHESIA WORK SPACE EXPANDED…

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Respiratory Gas Monitoring

Aug 12, 2019 by in ANESTHESIA Comments Off on Respiratory Gas Monitoring

Chapter Outline OVERVIEW GAS SAMPLING SYSTEMS Nondiverting (Mainstream) Systems Sidestream (Diverting) Systems UNITS OF MEASUREMENT Number of Molecules (Partial Pressure) Measurement of Proportion (Volumes Percent) GAS ANALYSIS TECHNOLOGIES Mass Spectrometry…

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Anesthesia Ventilators

Aug 12, 2019 by in ANESTHESIA Comments Off on Anesthesia Ventilators

Chapter Outline OVERVIEW HISTORY PHYSIOLOGY AND MECHANICAL CONCEPTS Gas Exchange Carbon Dioxide Equilibrium Carbon Dioxide Production Carbon Dioxide Elimination Oxygen Uptake Net Effect of Respiratory Quotient PHYSICS OF GAS FLOW…

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Ergonomics of the Anesthesia Workspace

Aug 12, 2019 by in ANESTHESIA Comments Off on Ergonomics of the Anesthesia Workspace

Chapter Outline HISTORY WHAT IS ERGONOMICS? Scope of Ergonomics ERGONOMICS RESEARCH IN ANESTHESIOLOGY Task Analysis Studies Workload Studies Attention Studies Automation and New Technologies Critical Incident Studies ERGONOMICS GUIDELINES Principles…

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Anesthesia in Difficult Locations and in Developing Countries

Aug 12, 2019 by in ANESTHESIA Comments Off on Anesthesia in Difficult Locations and in Developing Countries

Chapter Outline INHALATIONAL ANESTHESIA IN DIFFICULT LOCATIONS DRAW-OVER BREATHING SYSTEM OXYGEN CONCENTRATOR Function MECHANICAL VENTILATORS Function RECENT DEVELOPMENTS VAPORIZERS Valves PORTABLE ANESTHESIA MACHINES TOTAL INTRAVENOUS ANESTHESIA REGIONAL AND LOCAL ANESTHESIA…

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Pediatric Anesthesia Systems and Equipment

Aug 12, 2019 by in ANESTHESIA Comments Off on Pediatric Anesthesia Systems and Equipment

Chapter Outline OVERVIEW PHYSIOLOGY Work of Breathing Under Anesthesia PEDIATRIC ANESTHESIA EQUIPMENT Face Masks Tracheal Tubes Cuffed Versus Uncuffed Endotracheal Tubes Uncuffed Tubes Selecting the Correct Insertion Depth Using the…

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Anesthesia Vaporizers

Aug 12, 2019 by in ANESTHESIA Comments Off on Anesthesia Vaporizers

Chapter Outline GENERAL PRINCIPLES VAPOR, EVAPORATION, AND VAPOR PRESSURE Measurement of Vapor Pressure and Saturated Vapor Pressure Boiling Point Units of Vapor Concentration Dalton’s Law of Partial Pressures Minimum Alveolar Concentration…

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Monitoring Neuromuscular Blockade

Aug 12, 2019 by in ANESTHESIA Comments Off on Monitoring Neuromuscular Blockade

Chapter Outline OVERVIEW NEUROMUSCULAR PHYSIOLOGY Nerve Conduction Neuromuscular Junction Neuromuscular Blocking Drugs EXOGENOUS MODES OF NEUROSTIMULATION Effect of Stimulus Frequency PATTERNS OF STIMULATION Single Repetitive Stimulation: Single Twitch Train-of-Four Stimulation…

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