ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 3 potx

... techniques for dental and eye surgery in these patients have been used very safely .The use of adrenaline as an adjunct to dental anaesthesia has ANAESTHESIA FOR THE HIGH RISK PATIENT 72Chap-05.qxd ... prophylaxis now present for surgery.These treatments are particularly common in high- risk patients and the risk ofhaemorrhage must therefore be balanced against the potential benefits of the useof a ... assessment The 1990 Report of the Working Party of the Royal College of Surgeons andCollege of Anaesthetists recommended the systematic assessment and recording of ANAESTHESIA FOR THE HIGH RISK PATIENT 54Chap-04.qxd...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 2 potx

... angiographyto assess cardiac risk before abdominal aortic surgery. N Engl J Med 1994; 33 0:6 63 9. ANAESTHESIA FOR THE HIGH RISK PATIENT 28Chap-01.qxd 2/1/02 12: 03 PM Page 28Adequate pre-operative assessment ... optimised. ANAESTHESIA FOR THE HIGH RISK PATIENT 36 Chap-02.qxd 2/2/02 12:54 PM Page 36 Chap-02.qxd 2/2/02 12:54 PM Page 40This Page Intentionally Left Blank PATIENT- RELATED FACTORS The relative ... (CABG) before non-cardiac surgery when the stress of elective non-cardiacsurgery is likely to exceed the stress of daily life. ANAESTHESIA FOR THE HIGH RISK PATIENT 24Chap-01.qxd 2/1/02 12: 03 PM...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 1 ppsx

... myocardial ischaemia and respira-tory depression.•Not surprisingly, major vascular procedures represent the highest -risk procedures. ANAESTHESIA FOR THE HIGH RISK PATIENT 16Table 1.6 – Metabolic ... demon-strated.•Aligned with this is the observation that males have a higher incidenceof infection following trauma.8 ANAESTHESIA FOR THE HIGH RISK PATIENT 2Chap-01.qxd 2/1/02 12: 03 PM ... surgery.• The index underestimated risk in Class I and II patients undergoingaortic surgery.• The study group included elective non-emergent cases only. ANAESTHESIA FOR THE HIGH RISK PATIENT 10Table...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 4 pps

... PAFC. ANAESTHESIA FOR THE HIGH RISK PATIENT 90Chap-06.qxd 2/2/02 12:59 PM Page 90 3. The intensive care unitThis group of patients have the advantage to the anaesthetist that, pro-vided they ... ICP. ANAESTHESIA FOR THE HIGH RISK PATIENT 88Chap-06.qxd 2/2/02 12:59 PM Page 882. Laboratories perform coagulation studies at 37 °C – regardless of the temperature of the patient at the time the ... guidelines for pulmonary artery catheterization. A report by the American Society of Anesthesiologists Task Force on Pulmonary ArteryCatheterization. Anesthesiology 19 93; 78: 38 0–94. ANAESTHESIA FOR THE...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 5 ppt

... occurs. ANAESTHESIA FOR THE HIGH RISK PATIENT 106Chap-07.qxd 2/2/02 12:59 PM Page 106 ANAESTHESIA FOR THE ELDERLY PATIENT The two recent CEPOD reports19,20highlighted the impact that the elderly ... of the L3/4 space and the true space25and a case report hashighlighted the risk to the spinal cord when the wrong interspace isidentified.26 ANAESTHESIA FOR THE HIGH RISK PATIENT 112Chap-07.qxd ... report.2•Longer-term morbidity and mortality is also increased in patients withor at risk for CHD who undergo non-cardiac surgery. 3 The management of the patient with CHD who requires anaesthesia for non-cardiac...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 6 docx

... minimised by the use of a laryngeal mask airwayrather than an endotracheal tube, when this is otherwise appropriate. ANAESTHESIA FOR THE HIGH RISK PATIENT 136 Chap-09.qxd 2/2/02 1:01 PM Page 136 Despite ... Cardio-vascular Evaluation for Noncardiac Surgery). JACC 1996; 27: 910–48. ANAESTHESIA FOR THE HIGH RISK PATIENT 138 Chap-09.qxd 2/2/02 1:01 PM Page 138 •Current recommendations indicate that a patient ... instituted before the induction of anyform of anaesthesia in these high- risk patients. In addition to routine standardmonitoring, anaesthetists should have a very low threshold for using direct...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 7 pdf

... persist for some time. The cross-clamp phase usually allows the anaesthetist to stabilise the patient andprepare them for the reperfusion stage of the operation.Although the retro- or intra-peritoneal ... knowledge of providing anaesthesia for the high risk gastrointestinal patient will be gleaned purely from experience gained in man-aging other patients. In other words, anaesthesia for gastrointestinal ... suitable for a high dependency unit. ANAESTHESIA FOR THE HIGH RISK PATIENT 162Chap-11.qxd 2/1/02 12:08 PM Page 16216512GASTROINTESTINAL SURGERYGastrointestinal surgery is often high risk surgery....

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 8 pps

... oliguric patient. ANAESTHESIA FOR THE HIGH RISK PATIENT 192Chap- 13. qxd 2/1/02 12:09 PM Page 192Fluid therapy The role of adequate fluid therapy and maintenance of blood volume as the cor-nerstone ... treated for ARF at the MayoClinic have been published:24 ANAESTHESIA FOR THE HIGH RISK PATIENT 194Patients Survival (%)1977–79 71 32 1991–92 71 52Chap- 13. qxd 2/1/02 12:09 PM Page 194non-oliguric ... except in patients whose heart failure is sufficientlysevere that they would normally meet the criteria for long-term digitalisation. ANAESTHESIA FOR THE HIGH RISK PATIENT 206Chap-14.qxd 2/1/02...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 9 ppt

... have contained the trigger for part of this inflammatory response. Further, statistical ANAESTHESIA FOR THE HIGH RISK PATIENT 218Chap-15.qxd 2/1/02 12:10 PM Page 21821515 THE RISKS OF ANAEMIA ... neurosurgical patients).•Many anaesthetists are applying these principles in the operating theatreand this is probably safe and appropriate for most patients. Caution ANAESTHESIA FOR THE HIGH RISK PATIENT 222Chap-15.qxd ... evidence for its prophylactic use in high- risk non-cardiac surgery.•Intra- and post-operative use of ST-segment monitoring. Use of computerised ST-segment analysis in appropriate high- risk patientsmay...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 10 pptx

... Biggam M, Stone P. A cost-utility analysis of intensive therapy. Anaesthesia 1994; 49: 192–6. ANAESTHESIA FOR THE HIGH RISK PATIENT 236 Chap-16.qxd 2/1/02 12:10 PM Page 236 cardiac output (contd)anaemia ... hazard can affect risk perception: for example, wide-spread media coverage of airline crashes increases public anxiety about the risks of ANAESTHESIA FOR THE HIGH RISK PATIENT 240Chap-17.qxd 2/1/02 ... 108clinical risk, general anaesthesia 33 complications 29 39 epidural anaesthesia 71gastrointestinal surgery 172–174 high dependency unit admission criteria 231 local anaesthesia 73 resting function,...

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