ADVANCES IN Anesthesia
|
|
- Eustacia McGee
- 5 years ago
- Views:
Transcription
1 ADVANCES IN Anesthesia CONTENTS VOLUME Associate Editors vii Contributors ix Introduction xix Practical Understanding of Hemostasis and Approach to the Bleeding Patient in the Operating Room 1 Albert Pierce and Jean-Francois Pittet Introduction 1 Classical coagulation cascade 2 Observation leading to discovery 2 Beyond the waterfall/cascade 3 Regulation 3 Endothelial roles in regulation 3 Importance of the endothelial glycocalyx 5 Continued evolution of our understanding 5 Trauma/inflammation/coagulopathy 5 Immune response to injury 5 A mechanism of tissue injury induced inflammation 6 Importance of trauma-induced coagulopathy 7 Management goals 8 Newer models of treatment for trauma resuscitation 8 Identification of the need for massive transfusion 8 Two models of resuscitation 9 Point-of-care coagulation testing 10 How viscoelastic tests help 11 Normal thromboelastography/rotational thromboelastometry 11 Abnormal thromboelastography/rotational thromboelastometry 11 Platelet testing 12 Platelet mapping 12 Impedance aggregometry 12 Fibrinolysis testing 13 Role of traditional coagulation tests 13 A combined approach to resuscitation 13 Damage-control resuscitation in nontrauma patients 14 Surgical hemorrhage as trauma-induced bleeding 14 Coagulopathy 14 Predicting hemorrhage 14 Blood conservation 15 Coagulation testing for perioperative massive hemorrhage 15 Trigger of massive transfusion protocol 15 xiii
2 Application of damage-control resuscitation methods to nontrauma patients 15 Summary 18 Update on Perioperative Myocardial Injury and Infarction: Definitions, Diagnosis, Biomarkers, Implications, and Approach to Care in the Perioperative Period 23 Gregory A. Nuttall, William C. Oliver Jr, and Charanjit S. Rihal Introduction 23 Definitions 24 Diagnosis 24 Biomarkers 25 Risk factors 26 Approach to care 27 Implications 31 Summary 33 Shoulder Surgery in the Beach Chair Position: Current Anesthetic Concepts and Controversies in Hemodynamic Management and Cerebral Perfusion 37 Rohini Kotha and Steven L. Orebaugh Introduction 38 History/Utility of beach chair position 38 Management goals for anesthesia in beach chair position 38 General considerations 38 Position-related considerations 39 Anesthetic-related considerations 39 Pathophysiology of cerebral blood flow in beach chair position 40 Clinical outcomes 46 Beach chair position versus supine 46 Type of anesthesia and mode of ventilation 48 Epidemiologic outcomes 51 Monitoring cerebral perfusion 52 Preventative strategies 53 Summary 53 Recommendations 54 Anesthesia for Endoscopic Procedures: The New Frontier 59 John E. Tetzlaff, John Vargo, and Walter Maurer xiv Introduction 60 Gastrointestinal endoscopic procedures 60 Esophagogastroduodenoscopy 60 Colonoscopy 61 Endoscopic retrograde cholangiopancreatography 61 Endoscopic ultrasonography 62
3 Deep endoscopy 63 Endoscopic mucosal resection 64 Esophageal ablation therapy 64 Chromoendoscopy 65 Endoscopic dilation and stenting 65 Enteric feeding tubes 65 Sedation for advanced endoscopic procedures 66 The future 67 Natural orifice transluminal endoscopic surgery 67 Transgastric necrosectomy of the pancreas 67 Cholangioscopy 68 Endoscopic bariatric procedures 68 Endoscopic treatment of postoperative leaks and fistula 68 Anesthesia and Upper and Lower Airway Management for Advanced Diagnostic and Therapeutic Bronchoscopy 71 Basem Abdelmalak, Sonali Sethi, and Thomas R. Gildea Introduction 72 Advanced diagnostic bronchoscopy 72 Endobronchial optical advanced diagnostic techniques 72 Endobronchial ultrasonography 73 Electromagnetic navigation bronchoscopy 74 Advanced therapeutic bronchoscopy 74 Central airway obstruction 74 Other examples of therapeutic bronchoscopic procedures 77 Endobronchial treatment of severe asthma 77 Anesthetic considerations and management 78 Preoperative assessment 78 Type of anesthetic 78 Anesthetic adjuvants 79 Airway control and fresh gas flow 80 Rigid bronchoscopy and anesthesia 82 Complex bronchoscopic procedures 83 Postanesthesia care 85 Complications 85 Summary 85 Advances in Perioperative Pulmonary Protection Strategies 89 J. Kyle Bohman and Daryl J. Kor Introduction 89 Risk factors and causes of postoperative pulmonary complications 90 Risk factors for postoperative pulmonary complications 90 Causes of perioperative respiratory impairment 91 General prevention strategies 93 Smoking cessation 94 Mechanical ventilation strategies 94 Pulmonary hygiene 96 xv
4 Anesthetic and analgesic techniques 98 Prevention of gastric-to-pulmonary aspiration 99 Management of intravenous fluids 100 Preventing transfusion-related acute lung injury 101 Avoiding hyperoxia 101 Management of neuromuscular blockade reversal 102 Postoperative pulse oximetry 102 Minimizing perioperative sedation 103 Prevention of ventilator-associated pneumonia 103 Population-specific prevention strategies 103 Obstructive lung disease 103 Obstructive sleep apnea and obesity 105 Intrathoracic procedures 105 Specialized care of acute respiratory distress syndrome and refractory hypoxemia 107 Preoperative evaluation 107 Obstructive lung disease 107 Obstructive sleep apnea 107 Preoperative pulmonary function testing 108 Preoperative evaluation before lung resection 108 Summary 108 Perioperative Frailty: Definitions, Evaluation, Implications for Management, Impact on Outcomes After Anesthesia 119 Sheila Ryan Barnett Introduction 119 Why study frailty? 120 Defining frailty 120 Pathophysiology 120 Identifying frailty 121 Clinical phenotype 122 Deficit accumulation 122 The role of the comprehensive geriatric assessment 123 Strength and gait speed 125 Sarcopenia 125 Cardiovascular disease and frailty 126 Preoperative identification of vulnerable patients 126 Anesthesia and the frail patient 126 Prehabilitation and enhanced recovery after surgery programs 128 Summary 128 Liposomal Bupivacaine: Its Role in Regional Anesthesia and Postoperative Analgesia 133 Brian M. Ilfeld xvi Introduction 133 Liposomes 134 Liposome local anesthetic 135
5 Potential toxicity 136 Exparel 136 Pharmacokinetics 137 Pharmacodynamics: wound infiltration 137 Adverse events 138 Epidural administration 139 Peripheral nerve blocks 140 Transversus abdominis plane blocks 140 Femoral nerve blocks 141 Surgical subjects 142 Potential implications 144 Potential disadvantages 144 Knowledge gaps and future research 145 Summary 145 Ultrasound Guidance for Central Neuraxial Anesthesia and Analgesia 149 James Edward Johnson, Anahi Perlas, and Ki Jinn Chin Introduction 149 Anatomy and sonoanatomy of the lumbar spine 150 Parasagittal oblique view 151 Parasagittal views of the articular processes and transverse processes 152 Transverse midline interlaminar view 153 Transverse midline spinous process view 153 Recommended preprocedural scanning technique in the lumbar spine 153 Strategies in subjects with poor-quality views 155 Anatomy and sonoanatomy of the thoracic spine 156 Parasagittal oblique view of the midthoracic spine 157 Transverse midline view of the midthoracic spine 157 Recommended preprocedural scanning technique in the thoracic spine 158 The clinical application of neuraxial ultrasound scan 159 Identification of specific intervertebral levels 159 Measuring depth to the epidural or intrathecal space 161 Improving the clinical efficacy of neuraxial blockade 162 Improving technical performance of neuraxial blockade 163 Predicting the ease of performance of neuraxial blockade 165 Reducing the risk of adverse outcomes 165 Acquiring competency in neuraxial ultrasound scan 165 The learning curve in neuraxial ultrasound scan 165 Training strategies in neuraxial ultrasound scan 166 Real-time ultrasound-guided neuraxial block 166 Summary 167 Perioperative Management of the Patient with Diabetes 171 Timothy B. Curry and Daniel R. Brown Introduction 171 Background 171 Classification of diabetes 172 xvii
6 Diagnosis 174 Treatment of diabetes 174 Perioperative management goals 175 Prehospital evaluation, management and education 175 Perioperative glycemic control strategies for patients with diabetes 180 Discharge and follow-up 184 Special considerations 184 Summary 185 Anesthetic Care of Septic Patients 191 R. Eliot Fagley Introduction 191 Preoperative evaluation 192 Induction of anesthesia 194 Monitoring and maintenance of anesthesia 196 Emergence 200 Summary 200 Advances in Spinal Cord Protection from Perioperative Ischemic Injury 205 Philip E.F. Roman, Ashanpreet S. Grewal, Bradley S. Taylor, and Alina M. Grigore Introduction 206 Anatomy and physiology of the spinal cord 206 Molecular mechanism of spinal neuronal injury 209 Operative techniques for spinal cord preservation 210 Indications 212 Repair of descending thoracic aortic aneurysm 212 Thoracoabdominal aortic aneurysm 213 Thoracic endovascular aortic repair 214 Nonoperative techniques for spinal cord protection 215 Risk of injury 215 Hemodynamic monitoring 216 Intraoperative neuromonitoring 217 Cerebrospinal fluid drainage 221 Hypothermia 221 Pharmacologic interventions 222 Perioperative diagnosis of spinal cord injury 223 Treatment of spinal cord ischemia 224 Postoperative care 224 Outcomes 226 Open versus endovascular 226 Descending thoracic aortic aneurysms 227 Type B dissections 228 Ruptured aneurysms 229 Summary 230 Index 237 xviii
Milestone Guide. CBD Anesthesia
Table of Contents Department of Anesthesiology Foundations 1 Airway 1 Pharmacology 1 Physiology 1 Common Uncomplicated Anesthetics Practice 2 Obstetrics 2 Pain 2 Core 3 Perioperative Medicine 3 Complex
More informationIndex. Note: Page numbers of article titles are in boldface type
Index Note: Page numbers of article titles are in boldface type A Acute coronary syndrome, perioperative oxygen in, 599 600 Acute lung injury (ALI). See Lung injury and Acute respiratory distress syndrome.
More informationADVANCES IN Anesthesia
ADVANCES IN Anesthesia CONTENTS VOLUME 34 2016 Associate Editors Contributors Preface: An Introduction to Advances in Anesthesia, 2016 Thomas M. McLoughlin Jr, Francis V. Salinas, and Laurence Torsher
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Activated partial thromboplastin time abnormality, perioperative approach to, 104 105 Acute kidney injury, perioperative, 89 99 early
More informationGoals and Objectives. Assessment Methods/Tools
CA-3 CARDIOVASCULAR ANESTHESIA ROTATION Minneapolis Veterans Administration Medical Center (VAMC) Rotation Site Director: Dr. Karen Ringsred Rotation Duration: 4 weeks Introduction: The patients at the
More informationAnesthetic Techniques in Endoscopic Sinus and Skull Base Surgery
Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery Martha Cordoba Amorocho, MD Iuliu Fat, MD Supplement to Cordoba Amorocho M, Fat I. Anesthetic techniques in endoscopic sinus and skull base
More informationSupplemental Digital Content: Definitions Based on the International Classification of Diseases, Ninth Revision, Clinical Modification
Supplemental Digital Content: Definitions Based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnose and Procedures Codes 1. ICD-9-CM definition of
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acetaminophen, for geriatric surgical patients, 569 570 Acute kidney injury, critical care issues in geriatric patients with, 555 556
More informationIntroduction to ultrasound of the lumbar spine a systematic approach. Dr Anja U. Mitchell Copenhagen University Hospital Herlev Helsinki
Introduction to ultrasound of the lumbar spine a systematic approach Dr Anja U. Mitchell Copenhagen University Hospital Herlev Helsinki 22.11.12 Applications Identify vertebral level Midline identification
More informationANESTHESIOLOGY CASE LOG CHANGES 2015
ANESTHESIOLOGY CASE LOG CHANGES 2015 I. Case Information FORMER: 1. Role removed. 2. Setting removed. 3. Involved Morbidity has been renamed Life-Threatening Pathology. a. All former cases that included
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Adverse drug events, polypharmacy and perioperative considerations in elderly patients, 377 389 Age, and risk of postoperative urinary retention,
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Ablation, radiofrequency, anesthetic considerations for, 479 489 Acute aortic syndrome, thoracic endovascular repair of, 457 462 aortic
More informationChristopher Ciarallo, MD Denver Health/Children s Hospital Colorado CRASH 2016
Distribution of the vertebral level of the intercristal line by ultrasonography Christopher Ciarallo, MD Denver Health/Children s Hospital Colorado CRASH 2016 Korean J Anesthesiol. 2014 Sep;67(3):181 5
More informationPediatric Anesthesia Historical Perspective 573 Andrew T. Costarino, Jr and John J. Downes
PEDIATRIC ANESTHESIOLOGY Foreword Lee A. Fleisher xiii Preface Andrew T. Costarino, Jr and B. Randall Brenn xv Pediatric Anesthesia Historical Perspective 573 Andrew T. Costarino, Jr and John J. Downes
More informationHistorical perspective
Raj Santharam, MD GI Associates, LLC Clinical Assistant Professor of Medicine Medical College of Wisconsin Historical perspective FFS first widespread use in the early 1970 s Expansion of therapeutic techniques
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Abdomen, and aorta, as causes of shock, point-of-care ultrasonography in assessment of, 915 917 Abdominal compartment syndrome, trauma patient
More informationCardiothoracic Fellow Expectations Division of Cardiac Anesthesia, Beth Israel Deaconess Medical Center
The fellowship in Cardiothoracic Anesthesia at the Beth Israel Deaconess Medical Center is intended to provide the foundation for a career as either an academic cardiothoracic anesthesiologist or clinical
More informationDescending aorta replacement through median sternotomy
Descending aorta replacement through median sternotomy Mitrev Z, Anguseva T, Belostotckij V, Hristov N. Special hospital for surgery Filip Vtori Skopje - Makedonija June, 2010 Cardiosurgery - Skopje 1
More informationADVANCES IN Anesthesia
ADVANCES IN Anesthesia CONTENTS VOLUME 24 2006 Associate Editors vii Contributors ix Anesthetic Considerations for Nonobstetric Surgery During Pregnancy By Howard H. Bernstein and Jerome You Case 1 1 Teratogenic
More informationASA Closed Claims Project: Regional Anesthesia Claims 1990 or later Lorri A. Lee MD Department of Anesthesiology University of Washington, Seattle, WA
ASA Closed Claims Project: Regional Anesthesia Claims 1990 or later Lorri A. Lee MD Department of Anesthesiology, Seattle, WA OVERVIEW 1. Closed Claims Project 2. Peripheral Nerve Blocks 3. Neuraxial Claims
More informationGeneral'Surgery'Service'
General'Surgery'Service' Patient Care Goals and Objectives 1)! Stomach/Duodenum and Bariatric 2)! Interpret the results of clinical evaluations (history, physical examination) performed on patients being
More informationI-Hui Wu, M.D. Ph.D. Clinical Assistant Professor Cardiovascular Surgical Department National Taiwan University Hospital
Comparisons of Aortic Remodeling and Outcomes after Endovascular Repair of Acute and Chronic Complicated Type B Aortic Dissections I-Hui Wu, M.D. Ph.D. Clinical Assistant Professor Cardiovascular Surgical
More informationAcute And perioperative care of the burn-injured patient. Anesthesiology, V 122, No 2
Acute And perioperative care of the burn-injured patient Anesthesiology, V 122, No 2 Reporter:R4 沈士鈞 Supervisor: 蔡欣怡醫師 Pathophysiology Initial evaluation and management Anesthetic managemen nt Pathophysiology
More informationLumbar CSF Drains for Thoracic Aortic Surgery
Lumbar CSF Drains for Thoracic Aortic Surgery John C. Klick, MD CASE CAG Why do them? Open descending thoracic aortic aneurysm repair (still the gold standard) has an incidence of postoperative paraplegia
More informationLABETTE COMMUNITY COLLEGE BRIEF SYLLABUS. Please check with the LCC bookstore for the required texts for this class.
LABETTE COMMUNITY COLLEGE BRIEF SYLLABUS SPECIAL NOTE: This brief syllabus is not intended to be a legal contract. A full syllabus will be distributed to students at the first class session. TEXT AND SUPPLEMENTARY
More information2017 ACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives
2017 ACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives Shock Syndromes and Sepsis, Pulmonary Disorders, Hepatic Failure/GI/Endocrine Emergencies, Supportive and
More informationGeneral Surgery Service
General Surgery Service Patient Care Goals and Objectives Stomach/Duodenum and Bariatric assessed for a) Obesity surgery b) Treatment of i) Adenocarcinoma of the stomach ii) GIST iii) Carcinoid 2) Optimize
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Accelerated intravascular coagulation and fibrinolysis (AICF) in liver disease, 390 391 Acid suppression in liver disease, 403 404 ACLF.
More informationSubspecialty Rotation: Anesthesia
Subspecialty Rotation: Anesthesia Faculty: John Heaton, M.D. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation. Recognize and manage upper
More informationAppendix Criteria used for the automated chart review
Appendix Criteria used for the automated chart review A. Heart attack i. 410.01 (Acute myocardial infarction of anterolateral wall initial episode of ii. 410.11 (Acute myocardial infarction of other anterior
More informationPOSTGRADUATE INSTITUTE OF MEDICINE UNIVERSITY OF COLOMBO. MD (ANAESTHESIOLOGY) FINAL EXAMINATION AUGUST 2011 Time : 1.00 p.m p.m.
POSTGRADUATE INSTITUTE OF MEDICINE UNIVERSITY OF COLOMBO MD (ANAESTHESIOLOGY) FINAL EXAMINATION AUGUST 2011 Date : 5 th August 2011 Time : 1.00 p.m. 4.00 p.m. Answer any three questions. Answer each question
More informationACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives
ACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives Module 1 Critical Care Pharmacy Evolution and Validation, Practice Standards, Training, and Professional Development,
More informationFASCIAL PLANE BLOCKS TOM BARIBEAULT MSN, CRNA
FASCIAL PLANE BLOCKS TOM BARIBEAULT MSN, CRNA TECHNIQUES Abdominal Wall TAP Rectus Sheath Quadratus Lumborum Erector Spinae Chest PECS I & II Erector Spinae TECHNIQUES Knee Ipack/LIA Hip Fascia Iliaca
More informationGeneral surgery. Thyroid surgery. Physiological response to pneumoperitoneum. Bowel resection
General surgery Thyroid surgery Physiological response to pneumoperitoneum Bowel resection General surgery 3.D.9.1 James Mitchell (December 24, 2003) Thyroid surgery Preoperative Assessment Routine, plus
More informationRegional Anesthesia. Fatiş Altındaş Dept. of Anesthesiology
Regional Anesthesia Fatiş Altındaş Dept. of Anesthesiology Regional anesthesia - Definition Renders a specific area of the body, e.g. foot, arm, lower extremities insensating to stimulus of surgery or
More informationPAAQS Reference Guide
Q. 1 Patient's Date of Birth (DOB) *Required Enter patient's date of birth PAAQS Reference Guide Q. 2 Starting Anesthesiologist *Required Record the anesthesiologist that started the case Q. 3 Reporting
More informationHow to Address an Inappropriately high Mortality Rate? Joe Sharma, MD Associate Professor of Surgery NSQIP Surgical Champion
How to Address an Inappropriately high Mortality Rate? Joe Sharma, MD Associate Professor of Surgery NSQIP Surgical Champion Disclosure Slide No COI and no disclosures. Hospital Mortality rate : is it
More informationANESTHESIA EXAM (four week rotation)
SPARROW HEALTH SYSTEM ANESTHESIA SERVICES ANESTHESIA EXAM (four week rotation) Circle the best answer 1. During spontaneous breathing, volatile anesthetics A. Increase tidal volume and decrease respiratory
More informationAORTIC DISSECTIONS Current Management. TOMAS D. MARTIN, MD, LAT Professor, TCV Surgery Director UF Health Aortic Disease Center University of Florida
AORTIC DISSECTIONS Current Management TOMAS D. MARTIN, MD, LAT Professor, TCV Surgery Director UF Health Aortic Disease Center University of Florida DISCLOSURES Terumo Medtronic Cook Edwards Cryolife AORTIC
More information7 Initial Ventilator Settings, ~05
Abbreviations (inside front cover and back cover) PART 1 Basic Concepts and Core Knowledge in Mechanical -- -- -- -- 1 Oxygenation and Acid-Base Evaluation, 1 Review 01Arterial Blood Gases, 2 Evaluating
More informationMD (Anaesthesiology) Title (Plan of Thesis) (Session )
S.No. 1. COMPARATIVE STUDY OF CENTRAL VENOUS CANNULATION USING ULTRASOUND GUIDANCE VERSUS LANDMARK TECHNIQUE IN PAEDIATRIC CARDIAC PATIENT. 2. TO EVALUATE THE ABILITY OF SVV OBTAINED BY VIGILEO-FLO TRAC
More informationASA Annual Meeting October 12-16, 2013 San Francisco, CA. Primary Author Secondary Author(s) Poster Title Poster Number Date
Committee Current Concepts and Controversies in Acute Pain Refresher Course Lecture Room 102 Madeel Abdulla, MD Jian-Zhong, Sun George Hsu, MD Anna Irwin, MD Jordan Goldhammer, MD Transient Ischemic Attack
More informationCOURSE OUTLINE Pathophysiology
Butler Community College Health, Education, and Public Services Division Denise LaKous Revised Spring 2014 Implemented Fall 2015 Textbook Update Fall 2015 COURSE OUTLINE Pathophysiology Course Description
More informationVolume of practice and workplace-based assessment requirements for each of the ANZCA Clinical Fundamentals
Appendix Four Volume of practice and workplace-based assessment requirements for each of the ANZCA Clinical Fundamentals This appendix contains tables setting out both the volume of practice and workplace-based
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acute variceal bleeding management of, 251 262 balloon tamponade of esophagus in, 257 258 endoscopic therapies in, 255 257. See also Endoscopy,
More informationPreface Jeffrey H. Silverstein
Problems with Geriatric Anesthesia Patients Foreword Lee A. Fleisher xiii Preface Jeffrey H. Silverstein xv Polypharmacy and Perioperative Medications in the Elderly 377 Sheila Ryan Barnett Polypharmacy
More informationExpert Consensus Decision Pathway on Peri- Procedural Management of Anticoagulation
Expert Consensus Decision Pathway on Peri- Procedural Management of Anticoagulation John U Doherty, MD, FACC Anticoagulation Consortium Roundtable Heart House October 24, 2015 Peri-Procedural Management
More informationNerve Blocks & Long Acting Analgesia for Plastic Surgeons. Karol A Gutowski, MD, FACS
Nerve Blocks & Long Acting Analgesia for Plastic Surgeons Karol A Gutowski, MD, FACS Disclosures None related to this topic Why is Non-Opioid Analgesia Important Opioid epidemic Less opioid use Less PONV
More informationContents. CHAPTER 6 INTERVENTIONAL TREATMENT OF NASOPHARYNGEAL Stenosis 63 Allyson Berent
List of Contributors x Acknowledgments xiii About the Companion Website xiv Section 1 Introduction 1 CHAPTER 1 TOOLS OF THE TRADE INTERVENTIONAL RADIOLOGY 3 Fei Sun CHAPTER 2 TOOLS OF THE TRADE INTERVENTIONAL
More informationDepartment of Anesthesiology Thomas Jefferson University
Department of Anesthesiology Thomas Jefferson University Congratulations to all participants Presenters RESIDENTS FACULTY MS FAER Scott Davis, MD Jaime Baratta, MD Christopher McNulty, BS Corey Herman,
More informationAwake regional versus general anesthesia in preterms and ex-preterm infants for herniotomy
Awake regional versus general anesthesia in preterms and ex-preterm infants for herniotomy Department of Anaesthesia University Children s Hospital Zurich Switzerland Epidemiology Herniotomy needed in
More informationManagement of Traumatic Brain Injury (and other neurosurgical emergencies)
Management of Traumatic Brain Injury (and other neurosurgical emergencies) Laurel Moore, M.D. University of Michigan 22 nd Annual Review February 7, 2019 Greetings from Michigan! Objectives for Today s
More informationFrederic J., Gerges MD. Ghassan E. Kanazi MD., Sama, I. Jabbour-Khoury MD. Review article from Journal of clinical anesthesia 2006.
Frederic J., Gerges MD. Ghassan E. Kanazi MD., Sama, I. Jabbour-Khoury MD. Review article from Journal of clinical anesthesia 2006 Introduction Laparoscopic surgery started in the mid 1950s. In recent
More informationTEMPERATURE MANAGEMENT
TEMPERATURE MANAGEMENT Unintentional Hypothermia and the Maintenance of Normothermia Ian Sampson, M.D. SURGICAL CARE IMPROVEMENT PROJECT Temperature Management SCIP INF 7: Colorectal surgery patients with
More informationSurvey of Current Issues in Surgical Anesthesia
Anesthesiology Institute Survey of Current Issues in Surgical Anesthesia November 27 December 1, 2017 The Ritz-Carlton Naples, FL Attend and earn American Board of Anesthesiology MOCA 2.0 TM points! Why
More informationOBJECTIVES OF TRAINING FOR THE ANAESTHESIA TERM
College of Intensive Care Medicine of Australia and New Zealand ABN: 16 134 292 103 Document type: Training Date established: 2007 Date last reviewed: 2014 OBJECTIVES OF TRAINING FOR THE ANAESTHESIA TERM
More informationOutline. Major variables contributing to airway patency/collapse. OSA- Definition
Outline Alicia Gruber Kalamas, MD Associate Clinical Professor of Anesthesia & Perioperative Care University of California, San Francisco September 2011 Definition Pathophysiology Patient Risk Factors
More informationUPMC University of Pittsburgh Medical Center. For Reference Only MEDICINE 2013
Summary of Services and Availability (by location) Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each requested
More informationExtracorporeal Life Support Organization (ELSO) Guidelines for Pediatric Respiratory Failure
Extracorporeal Life Support Organization (ELSO) Guidelines for Pediatric Respiratory Failure Introduction This pediatric respiratory failure guideline is a supplement to ELSO s General Guidelines for all
More informationPre-op Clinical Triad - Pulmonary. Sammy Pedram, MD FCCP Assistant Professor of Medicine Pulmonary & Critical Care Medicine March 16, 2018
Pre-op Clinical Triad - Pulmonary Sammy Pedram, MD FCCP Assistant Professor of Medicine Pulmonary & Critical Care Medicine March 16, 2018 Disclosures none Case Mr. G is a 64 year-old man who presents to
More informationFariba Rezaeetalab Associate Professor,Pulmonologist
Fariba Rezaeetalab Associate Professor,Pulmonologist rezaitalabf@mums.ac.ir Patient related risk factors Procedure related risk factors Preoperative risk assessment Risk reduction strategies Age Obesity
More informationLectures 4 Early fetal assessment, screening, ultrasound and treatment modalities during pregnancy. II. Asphyxia and Resuscitation (3 lectures)...
Outline of a 2 year Neonatology educational course (80 lectures) PLUS 2 graduate level courses (GENETICS and BIOSTATISTICS & EPIDEMIOLOGY Approximate Percent in Examination I. Maternal-Fetal Medicine (6
More informationGraduate Program in Nurse Anesthesia Newsletter HAPPY NEW YEAR 2019!
Volume 14, Number 3 January 2019 Graduate Program in Nurse Anesthesia Newsletter HAPPY NEW YEAR 2019! STUDENT PAPER ABSTRACTS Does Exposure to General Anesthesia in Early Childhood Lead to the Development
More informationSleep Apnea and ifficulty in Extubation. Jean Louis BOURGAIN May 15, 2016
Sleep Apnea and ifficulty in Extubation Jean Louis BOURGAIN May 15, 2016 Introduction Repetitive collapse of the upper airway > sleep fragmentation, > hypoxemia, hypercapnia, > marked variations in intrathoracic
More informationPreoperative Pulmonary Evaluation. Michelle Zetoony, DO, FCCP, FACOI Board Certified Pulmonary, Critical Care, Sleep and Internal Medicine
Preoperative Pulmonary Evaluation Michelle Zetoony, DO, FCCP, FACOI Board Certified Pulmonary, Critical Care, Sleep and Internal Medicine No disclosures related to this lecture. Objectives Identify pulmonary
More information2014 Deleted CPT Codes
2014 Deleted CPT Codes Surgery 13150 - Repair, complex, eyelids, nose, ears and/or lips; 1.0 cm or less 19102 - Biopsy of breast; percutaneous, needle core, using imaging guidance 19103 - Biopsy of breast;
More informationAssessing perioperative risk
Assessing perioperative risk Chronic Obstructive Pulmonary Disease Dr. Michelle Caldecott Respiratory & Sleep Physician Epworth Healthcare Austin Health Impact of COPD on Postoperative Outcomes: Results
More informationConflicts of Interest
Anesthesia for Major Abdominal Cancer Resection John E. Ellis MD Adjunct Professor University of Pennsylvania johnellis1700@gmail.com Conflicts of Interest 1 Upper Abdominal Surgery Focus on oncologic
More informationSETTING Fudan University Shanghai Cancer Center. RESPONSIBLE PARTY Haiquan Chen MD.
OFFICIAL TITLE A Phase Ⅲ Study of Left Side Thoracotomy Approach (SweetProcedure) Versus Right Side Thoracotomy Plus Midline Laparotomy Approach (Ivor-Lewis Procedure) Esophagectomy in Middle or Lower
More informationIndex. Note: Page numbers of article titles are in boldface type.
Perioperative Nursing Clinics 1 (2006) 179 185 Index Note: Page numbers of article titles are in boldface type. A Abciximab, for thomboembolism prevention, in carotid artery stenting, 105 106 Abdominal
More informationGeneral OR Rotations GOALS & OBJECTIVES
General OR Rotations GOALS & OBJECTIVES Goals At the end of the CA 1 year General OR rotations, the resident should competently manage uncomplicated ambulatory, orthopedic, maxillo-facial, ENT, gynecologic,
More informationSubject Index. Bacterial infection, see Suppurative lung disease, Tuberculosis
Subject Index Abscess, virtual 107 Adenoidal hypertrophy, features 123 Airway bleeding, technique 49, 50 Airway stenosis, see Stenosis, airway Anaesthesia biopsy 47 complications 27, 28 flexible 23 26
More informationCurrent evidence in acute pain management. Jeremy Cashman
Current evidence in acute pain management Jeremy Cashman Optimal analgesia Best possible pain relief Lowest incidence of side effects Optimal analgesia Best possible pain relief Lowest incidence of side
More informationPerioperative Pain Management
Perioperative Pain Management Overview and Update As defined by the Anesthesiologist's Task Force on Acute Pain Management are from the practice guidelines from the American Society of Anesthesiologists
More informationHigh-Acuity Nursing. Global edition. Global edition. Kathleen Dorman Wagner Melanie G. Hardin-Pierce
High-Acuity Nursing For these Global Editions, the editorial team at Pearson has collaborated with educators across the world to address a wide range of subjects and requirements, equipping students with
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Abdominal radiotherapy, toxic effects of, 636 637 Acute promyelocytic leukemia, associated with acquired bleeding problems, 614 615 Acute renal
More informationAnesthesia Final Exam
Anesthesia Final Exam 1) For a patient who is chronically taking the following medications, which two should be withheld on the day of surgery? a) Lasix b) Metoprolol c) Glucophage d) Theodur 2) A 51 year
More informationDisclosures. Personalized Approaches to Gastrointestinal Cancers. Objectives. What is personalized cancer care. Go through some genomic studies
Personalized Approaches to Gastrointestinal Cancers Emily Groves, MD Colorectal Surgery Assistant Professor, Division of Surgical Oncology Disclosures None Objectives What is personalized medicine and
More information7/4/2015. diffuse lung injury resulting in noncardiogenic pulmonary edema due to increase in capillary permeability
Leanna R. Miller, RN, MN, CCRN-CMC, PCCN-CSC, CEN, CNRN, CMSRN, NP Education Specialist LRM Consulting Nashville, TN Objectives Identify the 5 criteria for the diagnosis of ARDS. Discuss the common etiologies
More informationLumbar Drain Management Thoracic Aortic Aneurysm Surgery
Lumbar Drain Management Thoracic Aortic Aneurysm Surgery Presented By Tonya L. Page MSN, APRN, ACNP-BC What is a Lumbar drain? A small, flexible, soft plastic tube placed in the lower back (lumbar area)
More informationUniversity of Florida Department of Surgery. CardioThoracic Surgery VA Learning Objectives
University of Florida Department of Surgery CardioThoracic Surgery VA Learning Objectives This service performs coronary revascularization, valve replacement and lung cancer resections. There are 2 faculty
More informationEducational deputy, Department of Anesthesiology & Pain management, Akhtar Hospital,
CV Shideh Dabir, M.D., Associatet Professor of Anesthesia, Educational deputy, Department of Anesthesiology & Pain management, Akhtar Hospital, Research council member of Tracheal Diseases Research Center,
More informationPost-operative Analgesia for Caesarean Section
Post-operative Analgesia for Caesarean Section Introduction Good quality analgesia after any surgery leads to earlier mobilisation, fewer pulmonary and cardiac complications, a reduced risk of DVT and
More informationAdvances in Anesthesiology and Critical Care Symposium
Saturday, April 17 th, 2010 7:00 AM 8:00 AM Conference registration and breakfast 8:00 AM 8:10 AM Welcome and announcements Jane C.K. Fitch, D; Pamela Roberts, MD, FCCM, FCCP Department of Anesthesiology,
More informationEndovascular versus 'fast-track' abdominal aortic aneurysm repair Abularrage C J, Sheridan M J, Mukherjee D
Endovascular versus 'fast-track' abdominal aortic aneurysm repair Abularrage C J, Sheridan M J, Mukherjee D Record Status This is a critical abstract of an economic evaluation that meets the criteria for
More informationPerioperative Pulmonary Management. Objectives
Citywide Resident Perioperative Medical Consult Conference Perioperative Pulmonary Management Frank Jacono, MD May 5, 2017 Objectives Definition of post-operative pulmonary complications (PPC) Risk factors
More informationSAMPLE Orientation Assessment: Caring for Morbidly Obese Patients
SAMPLE Orientation Assessment: Caring for Morbidly Obese Patients Department: Employee Name: Start Date: Completion Date: Preceptor Name: Competency 1. Staff member behaviors, actions and attitudes toward
More informationHybrid Repair of a Complex Thoracoabdominal Aortic Aneurysm
Hybrid Repair of a Complex Thoracoabdominal Aortic Aneurysm Virendra I. Patel MD MPH Assistant Professor of Surgery Massachusetts General Hospital Division of Vascular and Endovascular Surgery Disclosure
More informationTransluminal Stent-graft Placement endovascular surgery
13 545 551 2004 Transluminal Stent-graft Placement endovascular surgery 1 1 2 2 1 1 1 3 2 1 1996 11Transluminal Stent-graft Placement TSGP 6 82 TSGP T42 O TSGP Th10 T 26 O 5 T 3 O 23T 6 O 2 T 47 A15B17B15O
More informationSPINAL CORD ISCHEMIA AFTER THORACIC ANEURYSM REPAIR: RISK STRATIFICATION & PREVENTION DISCLOSURES. INDIVIDUAL None
DISCLOSURES AFTER THORACIC ANEURYSM REPAIR: INDIVIDUAL None RISK STRATIFICATION & PREVENTION INSTITUTIONAL Cook, Inc W. L. Gore, Inc Conrad, J Vasc Surg, 2008 1 Intraoperative Adjuncts Oversew intercostals
More informationINDUCED HYPOTHERMIA A Hot Topic. R. Darrell Nelson, MD, FACEP Emergency Medicine Wake Forest University Health Sciences
INDUCED HYPOTHERMIA A Hot Topic R. Darrell Nelson, MD, FACEP Emergency Medicine Wake Forest University Health Sciences Conflicts of Interest Sadly, we have no financial or industrial conflicts of interest
More informationDecreased Hemodynamic Parameters During Endoscopic Procedures.
Decreased Hemodynamic Parameters During Endoscopic Procedures. Andrzej Sieskiewicz Department of Otolaryngology Medical University Of Bialystok, Poland Negative impact of intraoperative bleeding on endoscopic
More informationSECTION 1: INCLUSION, EXCLUSION & RANDOMISATION INFORMATION
SECTION 1: INCLUSION, EXCLUSION & RANDOMISATION INFORMATION DEMOGRAPHIC INFORMATION Given name Family name Date of birth Consent date Gender Female Male Date of surgery INCLUSION & EXCLUSION CRITERIA YES
More informationThe following content was supplied by the author as supporting material and has not been copy-edited or verified by JBJS.
Page 1 The following content was supplied by the author as supporting material and has not been copy-edited or verified by JBJS. Appendix TABLE E-1 Care-Module Trigger Events That May Indicate an Adverse
More informationInterventional Pulmonology
Interventional Pulmonology The Division of Thoracic Surgery Department of Cardiothoracic Surgery New York Presbyterian/Weill Cornell Medical College p: 212-746-6275 f: 212-746-8223 https://weillcornell.org/eshostak
More informationUltrasound-guided supraclavicular brachial plexus nerve block vs procedural sedation for the treatment of upper extremity emergencies
American Journal of Emergency Medicine (2008) 26, 706 710 www.elsevier.com/locate/ajem Brief Report Ultrasound-guided supraclavicular brachial plexus nerve vs procedural for the treatment of upper extremity
More informationAbdominal Compartment Syndrome. Jeff Johnson, MD
Abdominal Compartment Syndrome Jeff Johnson, MD Acute Care Surgeon, Denver Health Associate Professor of Surgery, University of Colorado Denver The Abdomen A Forgotten Closed Compartment Early Animal Models
More informationBasic Principles of Esophageal Surgery. 1 Surgical Anatomy of the Esophagus... 3
Contents Basic Principles of Esophageal Surgery 1 Surgical Anatomy of the Esophagus... 3 D. C. Broering, J. Walter, Z. Halata ] Topography of the esophagus... 3 ] Development of the esophagus... 4 ] Structure
More informationLong Term Follow-up. 6 Month 1 Year Annual enter year #: What is the assessment date: / / Unknown. Is the patient alive? Yes No
Long Term Follow-up 6 Month 1 Year Annual enter year #: What is the assessment date: / / Unknown Is the patient alive? Yes No Was an exam performed by a bariatric physician or PA/NP? Yes No Was the patient
More informationFor Reference Only PEDIATRIC MEDICINE 2013
Summary of Services and Availability (by location) UPMC University of Pittsburgh Medical Center Each location has sufficient space, equipment, staffing and financial resources in place or available in
More information