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 ... undertaken.They and others subsequently used thesecriteria to identify and study high- risk patients. ANAESTHESIA FOR THE HIGH RISK PATIENT 118Table 8.1 – Shoemaker’s indicators of high risk. Previous ... 387–91. ANAESTHESIA FOR THE HIGH RISK PATIENT 114Chap-07.qxd 2/2/02 12 :59 PM Page 114Improving outcomeHaving identified the high- risk patient, how do we then set about improving outcome?There...

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 2182 15 15 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

... 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 ... implications for anaesthesia. Anaesthesia 2001; 56 : 7 45 55 .10. BMA Guide to Living with Risk. Harmondsworth: Penguin, 1990.11. http://www.doh.gov.uk/nhsperformanceindicators. THE MEANING OF RISK 247Table ... Saunders.7. Ridley S, Biggam M, Stone P. A cost-utility analysis of intensive therapy. Anaesthesia 1994; 49: 192–6. ANAESTHESIA FOR THE HIGH RISK PATIENT 236Chap-16.qxd 2/1/02 12:10 PM Page 236cardiac...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 1 ppsx

... Analgesia for the high risk patient 51 F. Duncan and D.J. Counsell 5. Local anaesthetic techniques 65 B. Lord6. The critically ill patient in the operating theatre 77D. Hume and I. McConachie7. The ... 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 ... 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 2 potx

... optimised. ANAESTHESIA FOR THE HIGH RISK PATIENT 36Chap-02.qxd 2/2/02 12 :54 PM Page 36Chap-02.qxd 2/2/02 12 :54 PM Page 40This Page Intentionally Left Blank PATIENT- RELATED FACTORS The relative ... to help them decide. Unfortunately few patients will have read the chapter in this text on the meaning of risk! EPIDEMIOLOGY AND IDENTIFICATION OF THE HIGH- RISK SURGICAL PATIENT 25 Chap-01.qxd ... bypassgrafting (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...

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 ... individual patient. 1 ANAESTHESIA FOR THE HIGH RISK PATIENT 66Chap- 05. qxd 2/2/02 12 :56 PM Page 66not be removed for at least 4 h after a dose. Patients with liver disease, receivingantiplatelet therapy, ... affected than ANAESTHESIA FOR THE HIGH RISK PATIENT 68Chap- 05. qxd 2/2/02 12 :56 PM Page 68and the development of critical care outreach services may be a short-term solution.•Whatever the particular...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 4 pps

... 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 ... commonly with the aid of a PAFC. ANAESTHESIA FOR THE HIGH RISK PATIENT 90Chap-06.qxd 2/2/02 12 :59 PM Page 903. The intensive care unitThis group of patients have the advantage to the anaesthetist ... 1999; 27: 2142–6. ANAESTHESIA FOR THE HIGH RISK PATIENT 100Chap-06.qxd 2/2/02 12 :59 PM Page 100has been poorly studied in these patients although many anaesthetists have experi-ence of continuing...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 6 docx

... the transvalvular flow rate. Therefore a doubling of flow rate will quadruple the PG. ANAESTHESIA FOR THE HIGH RISK PATIENT 146Chap-10.qxd 2/1/02 12:07 PM Page 146 15. Mangano DT, Layug EL, Wallace ... 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 ... to the RV.7•Dobutamine also has the potential to improve RV haemodynamics andreduce PA pressure, particularly where LV failure is a feature. ANAESTHESIA FOR THE HIGH RISK PATIENT 150 Chap-10.qxd...

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 ... analgesia and risk of anastomotic leakage. RegAnesth Pain Med 2001; 26: 111–17. ANAESTHESIA FOR THE HIGH RISK PATIENT 176Chap-12.qxd 2/2/02 1: 05 PM Page 176CONDUCT OF ANAESTHESIA Once the decision...

ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 8 pps

... treated for ARF at the MayoClinic have been published:24 ANAESTHESIA FOR THE HIGH RISK PATIENT 194Patients Survival (%)1977–79 71 321991–92 71 52 Chap-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 ... 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 has been re-emphasised...

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