PATIENT EVALUATION

Aug 28, 2016 by in ANESTHESIA Comments Off on PATIENT EVALUATION

PREOPERATIVE PHYSICAL EXAMINATION •  Vital signs: Resting heart rate, BP, SpO2 height, weight, body mass index •  CV & pulm: Heart & lung sounds, JVD, pulm/periph edema, carotid bruits • …

read more

VENTILATION

Aug 28, 2016 by in ANESTHESIA Comments Off on VENTILATION

CAPNOGRAPHY CO2 identified in expired gas by spectrographic properties (using IR, Raman, or mass spectroscopy) Hazards of Capnography: •  Old in-line IR detectors can heat up, causing facial thermal injury…

read more

FOR GENERAL SURGERY

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

ANESTHETIC CONSIDERATIONS IN ABDOMINAL SURGERY Preoperative Evaluation •  Fluid status: Patients often hypovolemic •  Inadequate fluid intake (fasting, anorexia) •  Fluid loss (emesis, bowel preps, GI bleeding, fevers = insensible…

read more

TRANSPLANTATION

Aug 28, 2016 by in ANESTHESIA Comments Off on TRANSPLANTATION

ANESTHESIA FOR KIDNEY TRANSPLANTATION Indications •  Polycystic kidney disease •  Diabetes mellitus–related kidney failure •  Hypertensive kidney disease •  Glomerular disease •  Tubulointerstitial disease •  Other familial or congenital diseases…

read more

OF ANESTHESIA

Aug 28, 2016 by in ANESTHESIA Comments Off on OF ANESTHESIA

AIRWAY/DENTAL COMPLICATIONS Airway Complications Incidence •  Unknown owing to varying significance/detection of injuries •  Minor trauma to larynx & pharynx may be as common as 6% •  Damage typically ↑…

read more

FOR THORACIC SURGERY

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

Bronchial Blockers •  Bronchial blockers: May require longer to position & more intraop repositioning • Univent tracheal tube (provides CPAP, but cannot ventilate while isolating the lung) • Fogarty catheter…

read more

FOR ORTHOPEDIC SURGERY

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

POSITIONING •  Important to prevent tissue & nerve injury, especially in pts with arthritis & spine dz •  Common peripheral nerve injuries occur with the following frequency: ulnar > brachial…

read more
Get Clinical Tree app for offline access