BOOK
Anesthesia for Patients Too Sick for Anesthesia, An Issue of Anesthesiology Clinics - E-Book
Benjamin A. Kohl | Stanley H. Rosenbaum
(2010)
Additional Information
Book Details
Abstract
One of the anesthesiologist’s greatest challenges is managing high-risk patients with acute or severe conditions. This issue brings the anesthesiologist up to date on the most important and latest approaches to management of the sickest of patients. Topics covered include managing the patient with sepsis or septic shock; anesthetic considerations for patients in respiratory failure; anesthetic concerns in patients presenting with renal failure; perioperative management of patients with liver failure; management of acute coronary syndrome in the OR; intraoperative concerns in patients presenting with sever aortic stenosis, aortic insufficiency, mitral regurgitation, or mitral stenosis; intraoperative management of patients with cardiac tamponade; anesthetic concerns in trauma victims requiring operative intervention; patients presenting with acute toxin indigestion; anesthetic concerns in patients with known neurologic insufficiency; management of endocrine insufficiency in the OR; and management of patients with mediastinal mass or tracheal stenosis.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Contributors | iii | ||
| Contents | vii | ||
| Foreword | xiii | ||
| Preface | xv | ||
| Chapter 1. Anesthetic Concerns in Patients with Known Cerebrovascular Insufficiency | 1 | ||
| ANESTHETIC CONCERNS FOR OCCLUSIVE CEREBROVASCULAR DISEASES | 2 | ||
| ANESTHETIC CONCERNS FOR HEMORRHAGIC CEREBROVASCULAR DISEASE | 6 | ||
| MANAGEMENT OF POTENTIAL PERIOPERATIVE NEUROLOGIC CRISES | 9 | ||
| SUMMARY | 9 | ||
| REFERENCES | 10 | ||
| Chapter 2. Taking the Septic Patient to the Operating Room | 13 | ||
| HEMODYNAMIC EFFECTS | 13 | ||
| INDUCTION OF ANESTHESIA | 14 | ||
| MONITORING THE SEPTIC PATIENT | 15 | ||
| NEUROMUSCULAR BLOCKADE AND SEPSIS | 16 | ||
| LUNG INJURY | 16 | ||
| HEPATIC FAILURE | 17 | ||
| RENAL FAILURE | 18 | ||
| BLOOD TRANSFUSION | 19 | ||
| COLLOID VERSUS CRYSTALLOID | 19 | ||
| SODIUM BICARBONATE IN TREATING ACIDOSIS | 20 | ||
| GLYCEMIC CONTROL | 20 | ||
| ADRENAL INSUFFICIENCY IN SEPTIC SHOCK | 21 | ||
| SUMMARY | 21 | ||
| REFERENCES | 22 | ||
| Chapter 3. Anesthesia for Patients Requiring Advanced Ventilatory Support | 25 | ||
| DEFINITIONS AND PATHOLOGY | 25 | ||
| THE PHYSIOLOGY OF MECHANICAL VENTILATION | 26 | ||
| ADVANCED MODES OF VENTILATION | 29 | ||
| REFERENCES | 36 | ||
| Chapter 4. Anesthetic Concerns in Patients Presenting with Renal Failure | 39 | ||
| RENAL PHYSIOLOGY | 39 | ||
| AKI | 41 | ||
| EPIDEMIOLOGY OF AKI | 41 | ||
| ASSESSMENT OF RENAL FUNCTION AND INJURY | 42 | ||
| RENAL PROTECTION AND TREATMENT OF AKI | 44 | ||
| EFFECT OF ANESTHESIA AND SURGERY ON RENAL FUNCTION | 45 | ||
| PHARMACOLOGIC MANAGEMENT OF THE PATIENT WITH RENAL FAILURE | 46 | ||
| COMPLICATIONS OF RENAL FAILURE AND ITS IMPLICATION FOR THE ANESTHESIOLOGIST | 46 | ||
| SPECIAL CONSIDERATIONS FOR PATIENTS WITH AKI | 48 | ||
| RRT | 49 | ||
| SUMMARY | 50 | ||
| REFERENCES | 50 | ||
| Chapter 5. The Anesthesia Patient with Acute Coronary Syndrome | 55 | ||
| DIFFERENTIATING UNSTABLE ANGINA, NSTEMI, AND STEMI | 55 | ||
| PART II: PERIOPERATIVE ACS | 59 | ||
| REFERENCES | 64 | ||
| Chapter 6. Anesthetic Considerations for Patients with Advanced Valvular Heart Disease Undergoing Noncardiac Surgery | 67 | ||
| AORTIC STENOSIS | 68 | ||
| AI | 72 | ||
| MITRAL STENOSIS | 74 | ||
| MITRAL REGURGITATION | 78 | ||
| SUMMARY | 82 | ||
| REFERENCES | 83 | ||
| Chapter 7. The Intraoperative Management of Patients with Pericardial Tamponade | 87 | ||
| ANATOMY AND PHYSIOLOGY OF THE NORMAL PERICARDIUM | 87 | ||
| ETIOLOGY | 89 | ||
| PERICARDIAL TAMPONADE | 89 | ||
| SUMMARY | 95 | ||
| APPENDIX: SUPPLEMENTARY MATERIAL | 95 | ||
| REFERENCES | 95 | ||
| Chapter 8. Anesthetic Concerns in Trauma Victims Requiring Operative Intervention: The Patient Too Sick to Anesthetize | 97 | ||
| CARDIAC TRAUMA | 98 | ||
| PULMONARY TRAUMA | 99 | ||
| NEUROLOGIC INJURIES | 103 | ||
| EXSANGUINATION/COAGULATION ABNORMALITIES | 105 | ||
| ORTHOPEDIC INJURIES | 108 | ||
| EXTRACORPOREAL LIFE SUPPORT | 108 | ||
| COEXISTING DISEASES AND OUTCOME FOLLOWING TRAUMA | 109 | ||
| SUMMARY | 110 | ||
| ACKNOWLEDGMENTS | 110 | ||
| REFERENCES | 110 | ||
| Chapter 9. Patients Presenting with Acute Toxin Ingestion | 117 | ||
| QT INTERVAL PROLONGATION AND DRUG-INDUCED CHANNELOPATHIES | 117 | ||
| ACQUIRED METHEMOGLOBINEMIA | 121 | ||
| DRUGS CAUSING HYPERTHERMIC SYNDROMES, ALCOHOL (ETHANOL)-INDUCED INJURIES, AND HERBAL DRUG ABUSE INJURIES | 123 | ||
| DRUG TOXICITY IN THE CHRONIC PAIN PATIENT AND DMP TOXICITY | 125 | ||
| POISONINGS CAUSING METABOLIC ACIDOSIS, INCLUDING CARBON MONOXIDE | 127 | ||
| MILITARY/TERRORIST POISONINGS, INCLUDING BOTULISM AND BOTOX | 130 | ||
| POISONOUS BITES AND ENVENOMATIONS | 133 | ||
| SUMMARY | 134 | ||
| REFERENCES | 134 | ||
| Chapter 10. How to Manage Perioperative Endocrine Insufficiency | 139 | ||
| DM | 139 | ||
| HYPERTHYROIDISM | 144 | ||
| HYPOTHYROIDISM | 146 | ||
| ADRENAL INSUFFICIENCY | 147 | ||
| PHEOCHROMOCYTOMA | 148 | ||
| SUMMARY | 150 | ||
| REFERENCES | 151 | ||
| Chapter 11. Anesthesia for the Patient with Tracheal Stenosis | 157 | ||
| PHYSICS OF AIRFLOW | 158 | ||
| DIAGNOSIS OF TRACHEAL STENOSIS AND PREOPERATIVE EVALUATION History and Physical Examination | 160 | ||
| MANAGEMENT | 162 | ||
| SURGICAL MANAGEMENT | 167 | ||
| CASE DISCUSSION | 168 | ||
| SUMMARY | 172 | ||
| REFERENCES | 172 | ||
| Index | 175 |