Diverticulitis of the Colon
Fig. 5.1 CT scan showing extensive diverticular disease. © Dale Dangleben, MD Seven months later, the patient returns with similar symptoms, and a CT scan shows pericolonic stranding and free air….
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Upper Gastrointestinal Bleeding
Fig. 8.1 UGI bleeding from a Dielaufoy’s lesion. © Dale Dangleben, MD Complications Estimated to occur with a frequency of 0.03%, esophageal perforation is the most troublesome complication of endoscopy. This…
Newer Drugs for Sedation: Soft Pharmacology
Remimazolam Dexmedetomidine Etomidate analogsa Fospropofol Class Benzodiazepine α2 adrenoceptor agonist Imidazole Propofol prodrug Receptor GABAA α2 adrenoceptors GABAA GABAA Sedative dose 0.1–0.2 mg/kg 1 mcg/kg over 10 min, then…
Challenges of Performing Out of Operating Room Anesthesia on the Morbidly Obese
BMI (kg/m2) Obesity class Disease riska relative to normal weight and waist circumference Men 102 cm (40 in) or less Women 88 cm (35 in) or less Men >…
Anesthesia for Ophthalmologic Surgery
Fig. 24.1 Aqueous humor flow pathway. The aqueous humor is formed by the ciliary body. It then passes from the posterior into the anterior chamber and then eventually drains out…
Airway Devices in GI Endoscopy
Fig. 11.1 A nasal airway connected to a Mapleson C breathing system. Also seen in the picture is the sensor for SEDLine depth if sedation monitor Before the nasal airway…
Pediatric Off Site Anesthesia
Table setup Bair hugger Shoulder roll 3 lead EKG Pulse Ox Appropriate sized BP cuff Special cable for neonatal cuffs Glucose (25 % or 50 %) Monitor set to Neonate…
Regional Techniques: Role and Pitfalls
Fig. 30.1 Roots, trunks, divisions, cords, and branches of the brachial plexus (Reproduced from Elsevier, Miller’s Anesthesia , Ronald D. Miller MD, MS , 2015, Ch 57, pp 1724–1724, Figure…
Propofol Infusion Platforms
Propofol TCI modelling for procedures under sedation Marsh model Schnider model Implication for sedation Concentration target/recommended mode Plasma concentration Sedation- 1.5–5 μgm/ml Effect site concentration- brain Central compartment volume for…
Sedation for Gastrointestinal Endoscopy: Gastroenterologists Perspective
Minimal (anxiolysis) Moderate Deep Anesthesia Reaction to being addressed Patient reacts appropriately to verbal commands Somnolence, reaction to louder commands with additional tactile stimulation if necessary Somnolence, hard to…
