Anesthesia Student Survival Guide.pdf - Index of

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Table 14.11 Transfusion of bloodproducts: description, indications, contraindications. Fresh frozen plasma Platelets Cryoprecipitated Antihemophilic Factor Product Packed red blood cells (PRBC) Cryoprecipitate, cryo, pooled cryo FFP. FFP24 random donor platelets, rdPs. Platelets pheresis are single donor platelets, or sdPs synonyms Packed Cells, red Cells, Packed red Blood Cells, rBCs, PrBCs A cryoprecipitate unit is prepared by thawing one unit of FFP between 1-6 °C & recovering the cold insoluble precipitate. Cryoprecipitate contains fibrinogen, Factor v :C, Factor v : vWF, Factor X , and fibronectin. Citrate anticoagulant added 4-10 rdPs are pooled by blood bank. sdPs are ready for transfusion. Citrate anticoagulant added noncellular portion of blood that is separated & frozen after donation. t may be prepared from whole blood or collected by apheresis. Citrate anticoagulant added description rBC are prepared from whole blood with plasma & platelets removed. hCt of rBC is 70%. Citrate anticoagulant added 1. Bleeding associated with fibrinogen deficiency (< 100 mg/dl) 2. Bleeding associated with Factor X deficiency. 3. Prophylactic treatment for head trauma associated with d C 1. use platelets prophylactically to prevent bleeding at pre-specified low platelet counts. 2. n general, maintain platelet count >10,000/mm3 in stable, non-bleeding patients, >20,000/mm3 in unstable nonbleeding patients and >50,000/mm3 in patients undergoing invasive procedures or actively bleeding 1. Active bleeding due to deficiency of multiple coagulation factors, or risk of bleeding due to deficiency of multiple coagulation factors. 2. severe bleeding due to warfarin therapy, or urgent reversal of warfarin effect. ndications not bleeding & stable: (a) Patients without cardiovascular dz & esp. younger pts, keep hb range 7 – 9 g/dl (b) Patients with cardiovascular disease: Keep hb in the range ≥ 10 g/dl
3. ntraoperative cardiovascular, thoracic, or neurosurgical patients, maintain platelets above 100,000/mm3 3. Massive transfusion with coagulopathic bleeding 4. Bleeding or prophylaxis of bleeding for a known single coagulation factor deficiency for which no concentrate is available 5. thrombotic thrombocytopenic purpura 6. rare specific plasma protein deficiencies, such as C1-esterase inhibitor Bleeding: (a) 1500-2000 ml (30 %) blood loss: transfusion of rBC likely (b) > 2000 ml blood loss: rBC transfusion needed In all cases: Use clinical judgment & check HCT before transfusing. GENERAL INFORMATION do not transfuse cryoprecipitate unless laboratory studies confirm deficiency of a specific clotting protein for which this component is indicated (e.g., fibrinogen) do not use in patients with autoimmune thrombocytopenia or thrombotic thrombocytopenic purpura except for life- threatening hemorrhage 1. not to be used for increasing blood volume or albumin concentration 2. do not use for treating coagulopathy that can be corrected with vitamin K 3. do not use to normalizing abnormal coagulation screen results, in the absence of bleeding Contraindications 1. do not give if patients are not bleeding, healthy, BP and hr normal, and hCt is greater than 21 2. do not transfuse in other patients if hemoglobin is greater than 10
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Anesthesia Student Survival Guide
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Editors Jesse M. Ehrenfeld, MD, MPH
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Foreword As anesthesiologists and H
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Contents Case Studies xvii Section
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ContEntS ● xi 19 Physiology and A
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Contributors Basem Abdelmalak, MD S
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David C. Lai, MD Partner, Allenmore
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CASE STUDIES In order to focus your
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CASE StUDIES ● xix inhalation ane
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CASE StUDIES ● xxi around the job
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CASE StUDIES ● xxiii ● Although
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CASE StUDIES ● xxv ● You plan a
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CASE StUDIES ● xxvii ● What oth
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CASE StUDIES ● xxix Chapter 23 Ca
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CASE StUDIES ● xxxi of her left h
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CASE StUDIES ● xxxiii speechless.
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CASE StUDIES ● xxxv things go ver
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How to Be a “Star” Student, Car
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hOw tO Be A “stAr” student, CAr
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Pre-Op Holding Area Preoperative Ev
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History of Anesthesia and Introduct
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history of AnesthesiA And introduct
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Pharmacology Section II
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30 ● AnesthesiA student survivAl
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The Preoperative Patient Evaluation
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THe PreoPerATIve PATIenT evAluATIon
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Therapy-based indications radiation
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Table 8.5 Formulation an anesthetic
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Anesthesia Equipment and Monitors B
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AnesthesiA eQuiPment And mOnitOrs
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● ● ● AnesthesiA eQuiPment An
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Table 11.3 Data typically obtained
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Anesthetic Techniques: General, Sed
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Anesthetic techniques: GenerAl, sed
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Table 12.2 Stages of general anesth
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Page 196 and 197: Table 12.6 (continued) Anesthetic t
Page 198 and 199: Anesthetic techniques: GenerAl, sed
Page 200 and 201: Anesthetic Techniques: Regional Ant
Page 202 and 203: Figure 13.2 Surface anatomy for neu
Page 204 and 205: Table 13.1 Risks of neuraxial anest
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Page 234 and 235: Table 14.6 Advantages, disadvantage
Page 254 and 255: Chapter 15 IV, Gastric Tube, Arteri
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Page 270 and 271: Pneumothorax Uncommon, but may spon
Page 272 and 273: COMMON INTRAOPERATIVE PROBLEMS ●
Page 280 and 281: Table 16.3 Common intraoperative dy
Page 282 and 283: Table 16.3 (continued) Problem Diff
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Chapter 20 Physiology and Anesthesi
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PhysioloGy And AnesthesiA for Gener
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Anesthesia for Urological Surgery P
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AnesthesiA for uroloGicAl surGery
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Physiology and Anesthesia for Pedia
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PhysioloGy And AnesthesiA for PediA
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Table 22.6 Common pediatric emergen
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Physiology and Anesthesia for Elder
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PhysioloGy And AnesthesiA for elder
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Chapter 24 Ambulatory Surgery and O
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AmbulAtOry Surgery ANd Out-Of-Or (O
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Perioperative Acute and Chronic Pai
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PerioPerAtive ACute And ChroniC PAi
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Chapter 27 Postoperative Anesthesia
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POstOPerAtive AnesthesiA CAre unit
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Introduction to Critical Care Bever
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introduction to criticAl cAre ● 4
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SVR = [(MAP - CVP)/CO] ´ 80 introd
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● ● ● ● ● introduction to
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Chapter 29 Professionalism, Safety,
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ProfessionAlism, sAfety, And teAmwo
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Chapter 30 Quality Assurance, Patie
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QuAlity AssurAnce, PAtient And Prov
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Chapter 32 Clinical Simulation in A
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Table 32.1 Matrix of categories of
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CliniCAl simulAtion in AnesthesiA e
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ASA Difficult Airway Algorithm Appe
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518 ● ANESTHESIA STUDENT SURVIVAL
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