How to Survive in Anaesthesia - Part 1 ppt

... emedicina emedicina How to Survive in Anaesthesia emedicina How to Survive in Anaesthesia A guide for trainees Second edition Neville Robinson Department of Anaesthesia, Northwick ... and St Mark’s Hospitals, Harrow, Middlesex and George Hall Department of Anaesthesia, St George’s Hospital Medical School, London emedicina

Ngày tải lên: 13/08/2014, 03:21

... chloride 15 0 – – 15 0 – Hartmann’s solution 13 1 5 2 11 1 29 5% Glucose – – – – – 4% Glucose in 0 18 % NaCI 30 – – 30 – Gelofusine 15 4 – – 12 5 – Haemaccel 14 5 5 6 14 5 – Hydroxyethyl starch 15 4 – – 15 4 ... the ability to monitor cerebral oxygenation; • the ability to monitor routinely the depth of anaesthesia. Full monitoring has three requirements (Box 10 .1) . Box...

Ngày tải lên: 13/08/2014, 03:21

... rate/min < 3 months < 15 0 15 1 16 5 16 6 19 0 > 19 0 3–6 months < 13 0 13 1 14 5 14 6 17 0 > 17 0 7 12 months < 12 0 12 1 13 5 13 6 15 0 > 15 0 1 3 years < 11 0 11 1 12 5 12 6 14 0 > 14 0 3–5 ... you. How to Survive in Anaesthesia 82 emedicina disposable tubing and then purging the machine with 10 1itres of O 2 for 10 min. Regional or g...

Ngày tải lên: 13/08/2014, 03:21

... opinions. How to Survive in Anaesthesia 17 0 emedicina routine, minor surgery. In most units “routine postoperative care” means recording the vital signs every 15 minutes. It may be desirable to ... tubes used are nylon reinforced to allow bending without kinking. They often need an introducer for insertion and, as they cannot be cut to a How to Survive in Anaesth...

Ngày tải lên: 13/08/2014, 03:21

... intradermal infiltration of lignocaine using a Table 5 .1 Flow rates through typical venous cannulae Peripheral Central Gauge Flow Gauge Flow (ml/min) (ml/min) 23 16 21 21 18·5 48 16 12 1 16 11 0 14 ... difficult to observe in some patients (obesity) and may also be seen in cases of oesophageal intubation. How to Survive in Anaesthesia 14 Box 3.2 Clinical signs us...

Ngày tải lên: 13/08/2014, 03:21

... = 1 g in 10 000 ml = 10 00 mg in 10 000 ml = 1 mg in 10 ml = 10 00 micrograms in 10 ml = 10 0 micrograms in 1 ml. Therefore there is 1 mg epinephrine in 1 ml of 1 in 10 00 or 10 ml of 1 in 10 000. Conclusion The ... epinephrine present in 1 ml of each concentration is known, so that the correct doses can be given at a cardiac arrest. 1: 1000 = 1...

Ngày tải lên: 13/08/2014, 03:21

... and 1 in 10 00. Therefore, either: 1 ml of 1: 10 000 epinephrine diluted to a total volume of 20 ml = 1: 200 000 solution or 0 1 ml of 1: 1000 epinephrine diluted to a total volume of 20 ml = 1: 200 ... measuring 0 1 ml exactly is not easy. A similar calculation to that described in Chapter 11 , shows that 1 ml of 1: 200 000 epinephrine solution contains 5 micrograms...

Ngày tải lên: 13/08/2014, 03:21

... venous plexus How to Survive in Anaesthesia 11 0 Annulus fibrosus Hyaline plate Longitudinal venous sinus Epidural space Synovial fold Interspinous ligament Supraspinous ligament Skin Subcutaneous ... of essential anatomy, physiology, and pharmacology. Start early in your career – make the epidural space a familiar territory. How to Survive in Anaesthesia 11 8 emedicin...

Ngày tải lên: 13/08/2014, 03:21

... brain. Guidelines for transferring head-injured patients are shown in Box 30.3. Intubated patients should not increase intracranial pressure during transfer by coughing or straining, and hyperventilation ... Response spontaneously 4 to speech 3 to pain 2 none 1 emedicina 17 5 31: Anaesthesia in the corridor Occasionally you will be asked to undertake anaesthesia away from th...

Ngày tải lên: 13/08/2014, 03:21