Anesthesia Student Survival Guide.pdf - Index of

Recommendations

Info

CASE StUDIES ● xxvii ● What other information will you seek during your preoperative interview? ● Your preop shows that she is pregnant with her first child and has intact membranes. Her platelet count is 165 x 10 9 /L. Other laboratory studies are negative. Her previous medical history is negative and her anesthetic history is unremarkable. Her blood pressure on admission was 150/90 and has remained stable. The FHR shows a reassuring pattern. What is your anesthetic plan? ● You select epidural analgesia. Describe the technique and your initial choice of drugs? ● How will you maintain analgesia once established? ● After three hours, you are paged because the patient is experiencing discomfort in the perineal area. She has tried pushing the PCEA button. How would you respond? ● The patient has reached full cervical dilation and begins pushing. Shortly thereafter, you are paged urgently because of decelerations noted on the FHR tracing. What are your immediate steps? ● Vital signs are normal and the patient is comfortable, but the FHR tracing does not improve. The obstetrician wishes to perform a cesarean section. How do you extend the epidural block for the operation? Chapter 20 Case Study A 38 year-old female is scheduled for laparoscopic Roux-en-Y gastric bypass. She is 5 feet, 6 inches tall and weighs 300 pounds. She has tried various diet and exercise plans to lose weight without success. She has hypertension treated with an ACE inhibitor. She wheezes on exertion or in hot weather and uses an albuterol inhaler as needed. She snores loudly while sleeping but has not had a formal sleep study and is not interested in CPAP at home due to a poor experience related by a friend. She does not exercise regularly but she is able to walk on level ground for a few minutes at a time in her work as an office postal worker. She has been told she has “borderline diabetes” but is not currently taking any medication for it. Preoperatively, her examination shows BP 180/95, HR 90, RR 24, scattered end expiratory wheezes which clear with cough, airway Mallampati class II, thyromental distance 4 fingerbreadths. ● How severe is her obesity? Does it matter? Can any other obesity measures help you characterize her health risk further? ● What concerns do you have about her respiratory status? How will these impact your anesthetic plan? ● How will you monitor her during the anesthetic? Will your plan differ from a normally proportioned patient having laparoscopic surgery?
xxviii ● CASE StUDIES ● How will you induce and maintain anesthesia? ● How will you manage postoperative pain? Would your plan differ if the procedure were an open Roux-en-Y? Chapter 21 Case Study A 68 year-old man has symptoms of benign prostatic hypertrophy and is to undergo transurethral resection of the prostate (TURP). He has hypertension and hyperlipidemia and takes an ACE inhibitor and atorvastatin (Lipitor). He is physically active and has no symptoms of angina or heart failure. ● What else will you investigate in the preoperative assessment? ● Will you recommend regional or general anesthesia? What are the relative merits of each? ● After discussion with the patient, you decide on general anesthesia. How will you induce and maintain anesthesia? ● The procedure takes longer than expected due to a very large amount of prostatic tissue requiring resection. At the end of the operation, you extubate the patient and take him to the PACU. He is hypertensive, confused and agitated. How will you assess him? ● If you believe he has TURP syndrome, how will you treat him? Chapter 22 Case Study A five year-old boy has been vomiting and had little or no appetite for two days. He has taken limited amounts of liquids by mouth. He has now developed abdominal pain and is suspected of having acute appendicitis. The surgeons plan a laparoscopic appendectomy. The child is a healthy product of a fullterm delivery. Vital signs are HR 120, BP 95/50, RR 24. ● How will you assess his volume status prior to surgery? What metabolic derangement would you suspect him to have? ● The child is anxious and teary. How can you help during the preparation for and induction of anesthesia? ● Would you perform an inhalation or intravenous induction? ● If you decide on an intravenous induction, how can you facilitate placement of the IV in this frightened child? ● How will you induce and maintain anesthesia? What size endotracheal tube will you use? ● How will you know when you are able to extubate the patient at the end of the procedure?
Page 2 and 3: Anesthesia Student Survival Guide
Page 4 and 5: Editors Jesse M. Ehrenfeld, MD, MPH
Page 6 and 7: Foreword As anesthesiologists and H
Page 8 and 9: Contents Case Studies xvii Section
Page 10 and 11: ContEntS ● xi 19 Physiology and A
Page 12 and 13: Contributors Basem Abdelmalak, MD S
Page 14 and 15: David C. Lai, MD Partner, Allenmore
Page 16 and 17: CASE STUDIES In order to focus your
Page 18 and 19: CASE StUDIES ● xix inhalation ane
Page 20 and 21: CASE StUDIES ● xxi around the job
Page 22 and 23: CASE StUDIES ● xxiii ● Although
Page 24 and 25: CASE StUDIES ● xxv ● You plan a
Page 28 and 29: CASE StUDIES ● xxix Chapter 23 Ca
Page 30 and 31: CASE StUDIES ● xxxi of her left h
Page 32 and 33: CASE StUDIES ● xxxiii speechless.
Page 34 and 35: CASE StUDIES ● xxxv things go ver
Page 36 and 37: How to Be a “Star” Student, Car
Page 38 and 39: hOw tO Be A “stAr” student, CAr
Page 40 and 41: Pre-Op Holding Area Preoperative Ev
Page 48 and 49: History of Anesthesia and Introduct
Page 50 and 51: history of AnesthesiA And introduct
Page 60 and 61: Pharmacology Section II
Page 62 and 63: 30 ● AnesthesiA student survivAl
Page 76 and 77:
44 ● AnesthesiA student survivAl
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
The Preoperative Patient Evaluation
Page 118 and 119:
THe PreoPerATIve PATIenT evAluATIon
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Therapy-based indications radiation
Page 128 and 129:
Table 8.5 Formulation an anesthetic
Page 130 and 131:
Page 132 and 133:
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
Page 154 and 155:
Page 156 and 157:
Page 158 and 159:
Page 160 and 161:
Page 162 and 163:
Anesthesia Equipment and Monitors B
Page 164 and 165:
AnesthesiA eQuiPment And mOnitOrs
Page 166 and 167:
Page 168 and 169:
Page 170 and 171:
● ● ● AnesthesiA eQuiPment An
Page 172 and 173:
Page 174 and 175:
Page 176 and 177:
Table 11.3 Data typically obtained
Page 178 and 179:
Page 180 and 181:
Page 182 and 183:
Page 184 and 185:
Page 186 and 187:
Anesthetic Techniques: General, Sed
Page 188 and 189:
Anesthetic techniques: GenerAl, sed
Page 190 and 191:
Table 12.2 Stages of general anesth
Page 192 and 193:
Page 194 and 195:
Page 196 and 197:
Table 12.6 (continued) Anesthetic t
Page 198 and 199:
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
Page 206 and 207:
Anesthetic techniques: reGionAl ●
Page 208 and 209:
Page 210 and 211:
Page 212 and 213:
Page 214 and 215:
Page 216 and 217:
Page 218 and 219:
Page 220 and 221:
Page 222 and 223:
Page 224 and 225:
Page 226 and 227:
Page 228 and 229:
Page 230 and 231:
Page 232 and 233:
Page 234 and 235:
Table 14.6 Advantages, disadvantage
Page 236 and 237:
Page 238 and 239:
Page 240 and 241:
Page 242 and 243:
Page 244 and 245:
Page 246 and 247:
Table 14.11 Transfusion of bloodpro
Page 248 and 249:
Page 250 and 251:
Page 252 and 253:
Page 254 and 255:
Chapter 15 IV, Gastric Tube, Arteri
Page 256 and 257:
iv, GAstric tube, ArteriAl & centrA
Page 258 and 259:
Page 260 and 261:
Page 262 and 263:
Page 264 and 265:
Page 266 and 267:
Page 268 and 269:
Common Intraoperative Problems Fran
Page 270 and 271:
Pneumothorax Uncommon, but may spon
Page 272 and 273:
COMMON INTRAOPERATIVE PROBLEMS ●
Page 274 and 275:
Page 276 and 277:
Page 278 and 279:
Page 280 and 281:
Table 16.3 Common intraoperative dy
Page 282 and 283:
Table 16.3 (continued) Problem Diff
Page 284 and 285:
Page 286 and 287:
Page 288 and 289:
Systems Physiology and Anesthetic S
Page 290 and 291:
Page 292 and 293:
Page 294 and 295:
Page 296 and 297:
Page 298 and 299:
Page 300 and 301:
Page 302 and 303:
Page 304 and 305:
Page 306 and 307:
Page 308 and 309:
Page 310 and 311:
Page 312 and 313:
Page 314 and 315:
Page 316 and 317:
Page 318 and 319:
Page 320 and 321:
Page 322 and 323:
Page 324 and 325:
Page 326 and 327:
Page 328 and 329:
Page 330 and 331:
Page 332 and 333:
Page 334 and 335:
Page 336 and 337:
Page 338 and 339:
Page 340 and 341:
Page 342 and 343:
Page 344 and 345:
Page 346 and 347:
Page 348 and 349:
Chapter 20 Physiology and Anesthesi
Page 350 and 351:
PhysioloGy And AnesthesiA for Gener
Page 352 and 353:
Page 354 and 355:
Page 356 and 357:
Page 358 and 359:
Page 360 and 361:
Page 362 and 363:
Page 364 and 365:
Anesthesia for Urological Surgery P
Page 366 and 367:
AnesthesiA for uroloGicAl surGery
Page 368 and 369:
Page 370 and 371:
Page 372 and 373:
Page 374 and 375:
Page 376 and 377:
Physiology and Anesthesia for Pedia
Page 378 and 379:
PhysioloGy And AnesthesiA for PediA
Page 380 and 381:
Page 382 and 383:
Page 384 and 385:
Page 386 and 387:
Table 22.6 Common pediatric emergen
Page 388 and 389:
Page 390 and 391:
Page 392 and 393:
Physiology and Anesthesia for Elder
Page 394 and 395:
PhysioloGy And AnesthesiA for elder
Page 396 and 397:
Page 398 and 399:
Page 400 and 401:
Page 402 and 403:
Page 404 and 405:
Chapter 24 Ambulatory Surgery and O
Page 406 and 407:
AmbulAtOry Surgery ANd Out-Of-Or (O
Page 408 and 409:
Page 410 and 411:
Page 412 and 413:
Page 414 and 415:
Page 416 and 417:
Page 418 and 419:
Page 420 and 421:
Page 422 and 423:
Page 424 and 425:
Page 426 and 427:
Page 428 and 429:
Page 430 and 431:
Page 432 and 433:
Page 434 and 435:
Perioperative Acute and Chronic Pai
Page 436 and 437:
PerioPerAtive ACute And ChroniC PAi
Page 438 and 439:
Page 440 and 441:
Page 442 and 443:
Page 444 and 445:
Page 446 and 447:
Page 448 and 449:
Page 450 and 451:
Chapter 27 Postoperative Anesthesia
Page 452 and 453:
POstOPerAtive AnesthesiA CAre unit
Page 454 and 455:
Page 456 and 457:
Page 458 and 459:
Page 460 and 461:
Page 462 and 463:
Page 464 and 465:
Introduction to Critical Care Bever
Page 466 and 467:
introduction to criticAl cAre ● 4
Page 468 and 469:
Page 470 and 471:
SVR = [(MAP - CVP)/CO] ´ 80 introd
Page 472 and 473:
Page 474 and 475:
Page 476 and 477:
Page 478 and 479:
Page 480 and 481:
Page 482 and 483:
Page 484 and 485:
● ● ● ● ● introduction to
Page 486 and 487:
Page 488 and 489:
Page 490 and 491:
Chapter 29 Professionalism, Safety,
Page 492 and 493:
ProfessionAlism, sAfety, And teAmwo
Page 494 and 495:
Page 496 and 497:
Page 498 and 499:
Page 500 and 501:
Page 502 and 503:
Chapter 30 Quality Assurance, Patie
Page 504 and 505:
QuAlity AssurAnce, PAtient And Prov
Page 506 and 507:
Page 508 and 509:
Page 510 and 511:
Page 512 and 513:
Page 514 and 515:
Page 516 and 517:
Page 518 and 519:
Page 520 and 521:
Chapter 32 Clinical Simulation in A
Page 522 and 523:
Table 32.1 Matrix of categories of
Page 524 and 525:
CliniCAl simulAtion in AnesthesiA e
Page 526 and 527:
Page 528 and 529:
Page 530 and 531:
Page 532 and 533:
ASA Difficult Airway Algorithm Appe
Page 534 and 535:
518 ● ANESTHESIA STUDENT SURVIVAL
show all

Anesthesia Student Survival Guide.pdf - Index of

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?