Standards and Regulatory Considerations
Chapter Outline OVERVIEW What Is a Standard? REGULATION OF MEDICAL DEVICES Global Harmonization Task Force Medical Device Regulation in the United States Definition of Terms Medical Device Regulation in the…
ANESTHESIA
Anesthesia Delivery in the MRI Environment
Chapter Outline OVERVIEW MRI PHYSICS AND CLINICAL APPLICATIONS MRI ANESTHESIA EQUIPMENT AND PHYSIOLOGIC MONITORS Physiologic Monitors Invivo Medrad Intravenous Infusion Delivery Systems Anesthesia Machines Ohmeda MRI VIDEO GOGGLES Overview Familiarity…
Anesthesia at High Altitude
Chapter Outline OVERVIEW GASES AROUND THE BODY REDUCED ENVIRONMENTAL PRESSURE Acclimatization Other Effects High-Altitude Illness Gamow Bag Pregnancy and Altitude ANESTHETIC PROBLEMS AND ALTITUDE Pressure Considerations Machine Considerations Vapors and…
Monitoring Ventilation
Chapter Outline OVERVIEW RESPIRATORY RATE Automated Determination of Respiratory Rate Thoracic Impedance and Inductance Electrocardiograph-Based Respiratory Monitoring Other Techniques AIRWAY PRESSURES Principles Overview Sensors Applications Breathing Circuit Low-Pressure Alarms Sensor…
Noninvasive Temporary Pacemakers and Defibrillators
Chapter Outline OVERVIEW NONINVASIVE PACING History Electrophysiology Technology Safety Recent Experience In the Operating Room DEFIBRILLATION History Technology Factors that Affect Success Programmed Defibrillators Newer Electrodes Overview Noninvasive temporary pacemakers…
Risk Management and Medicolegal Aspects of Anesthesia Equipment
Chapter Outline OVERVIEW ELEMENTS OF RISK MANAGEMENT IN ANESTHESIA Nature of Risk Associated with Anesthesia Equipment INCIDENCE AND CHARACTERISTICS OF ADVERSE EQUIPMENT EVENTS Sources Incidence Characteristics of Adverse Events Mitigating…
Temperature Monitoring
Chapter Outline OVERVIEW THERMOREGULATION EFFECTS OF ANESTHESIA MECHANISMS OF INTRAOPERATIVE HEAT LOSS EFFECTS OF MILD HYPOTHERMIA HYPERTHERMIC STATES PERIOPERATIVE TEMPERATURE MANAGEMENT TRANSDUCERS AND DEVICES FOR MEASURING TEMPERATURE Mercury Thermometers Thermistors…
Pulse Oximetry
Chapter Outline OVERVIEW HEMOGLOBIN SATURATION AND OXYGEN TRANSPORT HISTORY OF PULSE OXIMETRY PHYSICS AND ENGINEERING OF PULSE OXIMETRY Spectrophotometry Engineering Principles SOURCES OF ERROR Dyshemoglobins and Intravenous Dyes: Conventional Pulse…
The Anesthesia Machine and Workstation
Chapter Outline ANESTHESIA GAS DELIVERY SYSTEM Anesthesia Machine and Workstation Basic Anesthesia Machine Pneumatic Systems Oxygen Supply Sources: Pipelines and Cylinders Cylinder Pressure Regulator OXYGEN SUPPLY TO THE INTERMEDIATE-PRESSURE SYSTEM…
Computing and the Internet in Clinical Practice
Chapter Outline OVERVIEW ANESTHESIA WORKSTATIONS ANESTHESIA INFORMATION MANAGEMENT SYSTEMS EDUCATION Portable Devices Decision Support Simulation COMMUNICATION Modern Communication Devices Computer Interfaces and Networks E-mail Telephone Consultations Social Networking SECURITY CONCLUSIONS…
