Surrogate decision-making
AD: Advance Directive When is a surrogate decision-maker needed? Patients who are at risk of losing decision-making capacity include hospitalized patients, patients with some types of psychiatric illness (such as…
ANESTHESIA
Maternal–fetal conflicts: cesarean delivery on maternal request
html xmlns=”http://www.w3.org/1999/xhtml”> 8 Maternal–fetal conflicts: Cesarean delivery on maternal request Ruth Landau and Steve Yentis The Case Jane and Jim, successful lawyers in their mid-forties, are expecting their first child….
Informed refusal – DNR orders in the patient undergoing anesthesia and surgery and at the end-of-life
html xmlns=”http://www.w3.org/1999/xhtml”> 2 Informed refusal – DNR orders in the patient undergoing anesthesia and surgery and at the end-of-life David M. Rothenberg The Case A 67-year-old male with oxygen-dependent COPD…
Informed consent and the pediatric patient
is used instead of informed “consent” because “consent” implies that the patient is providing the legal consent. The implication of “informed permission” is that, although clinicians nearly always honor parental…
Consent in laboring patients
html xmlns=”http://www.w3.org/1999/xhtml”> 7 Consent in laboring patients Joanna M. Davies Case 1 Sarah is a 32-year-old, gravida 1, para 0 in active labor at 4 cm cervical dilatation. She is…
Do not resuscitate decisions in pediatric patients
html xmlns=”http://www.w3.org/1999/xhtml”> 6 Do not resuscitate decisions in pediatric patients Kelly N. Michelson and Joel E. Frader The Case A 4-year-old boy with metastatic neuroblastoma undergoes stem cell transplantation following…
Anesthesia for Urological Surgery in the Elderly Patient
Fig. 2.1 A key concept in elderly physiology is the loss of reserve function. Patients are all very different, but even those who are athletic and maintained in good physical…
Positioning for Urological Procedures
Fig. 12.1 Supine position. The neck is placed in neutral position. The arms are abducted <90°, supinated, and padded underneath. All other pressure points are padded with a cushioned mattress…
Educating the Anesthesia Provider for Urologic Procedures
Fig. 15.1 Partial task training simulator developed to allow students to practice spinal and epidural anesthetic techniques. Device with puncture block removed (a) and ready for use (b) Features that…
Anesthesia for Pediatric Urology
Beckwith–Wiedemann Wilms’ tumor Macroglossia, hemihypertrophy, hepatoblastoma, hypoglycemia Cerebro-oculo-facial Renal agenesis, cryptorchidism Arthrogryposis, microcephaly, cataracts CHARGE Small genitalia Coloboma, congenital heart defects, choanal atresia, ear anomalies Cornelia de Lange Small genitalia,…
