PAIN MANAGEMENT

Aug 28, 2016 by in ANESTHESIA Comments Off on PAIN MANAGEMENT

ACUTE PAIN MANAGEMENT Acute pain = pain that occurs as direct result of tissue damage, <3 mos in duration •  Can occur as a result of trauma, surgical insult, labor,…

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EQUIPMENT

Aug 28, 2016 by in ANESTHESIA Comments Off on EQUIPMENT

•  O2 & Air: Pressure gauge reading reflects the volume of gas in the E-cylinder Boyle’s: O2 gauge = 300 psi → liters O2 left = 660 L × (300…

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FOR CARDIAC SURGERY

Aug 28, 2016 by in ANESTHESIA Comments Off on FOR CARDIAC SURGERY

Cardiac Cycle: Definitions & Equations •  Systole = isovolumic ventricular contraction & ejection •  Diastole = isovolumic ventricular relaxation & filling •  Cardiac output = stroke volume × heart rate…

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ALGORITHMS

Aug 28, 2016 by in ANESTHESIA Comments Off on ALGORITHMS

•  Compressions and circulation • Check for a pulse • If a pulse is present, continue rescue breathing • Reassess pulse every 2 min • If a pulse is not…

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TECHNIQUES

Aug 28, 2016 by in ANESTHESIA Comments Off on TECHNIQUES

ANESTHESIA TECHNIQUES: (GOALS) •  Monitored anesthesia care (MAC):  Anxiolysis, sedation, analgesia & monitoring by anesthesia personnel able to anticipate and react to changes in pt status & anesthetic state/requirements • …

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ANALGESICS

Aug 28, 2016 by in ANESTHESIA Comments Off on ANALGESICS

Fentanyl (Sublimaze IV, Fentora Buccal, Actiq Lozenge, Duragesic Transdermal) Clearance: Liver by CYP-450 3A4; 10% unchanged in urine, metabolite norfentanyl detectable up to 48 hrs Comments: High lipid solubility causes…

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MANAGEMENT

Aug 28, 2016 by in ANESTHESIA Comments Off on MANAGEMENT

•  Injury of SLN (external branch) → hoarseness •  Injury of RLN → unilateral paralysis → paralysis of ipsilateral vocal cord → hoarse voice; bilateral paralysis → stridor & respiratory…

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FOR OTOLARYNGOLOGY (ENT) AND OPHTHALMOLOGY

Aug 28, 2016 by in ANESTHESIA Comments Off on FOR OTOLARYNGOLOGY (ENT) AND OPHTHALMOLOGY

CSF Leak Repair Often performed via endoscopic sinus approach for spontaneous leak with rhinorrhea •  Usually requires intrathecal injection of fluorescein (aids in localization under FESS) •  May place lumbar…

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ANESTHESIA

Aug 28, 2016 by in ANESTHESIA Comments Off on ANESTHESIA

•  Reduction of risk (Anesth Analg 2007;105:1615–1628) • Regional techniques (general anesthesia has 11-fold ↑ risk of PONV) • Propofol (19% ↓ PONV risk compared to inhalational agents) • Avoid…

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