By Keith J. Ruskin, Stanley H. Rosenbaum
Anesthesia Emergencies includes proper step by step details on the way to observe, deal with, and deal with issues and emergencies throughout the perioperative interval. Concisely written, highlighted sections on rapid administration and probability elements strengthen crucial issues for simple memorization, whereas constant association and checklists offer ease of studying and readability. Anesthesia services will locate this publication an essential source, describing evaluate and remedy of life-threatening occasions, together with airway, thoracic, surgical, pediatric, and cardiovascular emergencies. the second one version features a revised desk of contents which provides themes so as in their precedence in the course of emergencies, in addition to new chapters on difficulty source administration and catastrophe medicine.
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Additional info for Anesthesia Emergencies
Miller) • Consider a video laryngoscope such as the GlideScope • Consider a Gum Elastic Bougie (Eschman stylet) • Is asleep ﬁberoptic intubation a practical option? , retrograde intubation technique) while the patient breathes spontaneously. Subsequent Management • Document the intraoperative events carefully, with special attention to those techniques that were successful. • Explain the sequence of events to the patient and advise him or her to warn future anesthesia providers. • Write the patient a “difﬁcult airway” letter.
Anything that increases preload, afterload, or contractility can cause hypertension. DIFFERENTIAL DIAGNOSIS • Inadequate anesthetic depth • Agitation Cardiavascular Emergencies CHAPTER 2 Prevention • Maintain normal electrolytes (particularly potassium and magnesium). • Prescribe anti-arrhythmic (Class I and III) drugs. • Request an interventional cardiology consultation to perform a catheter ablation. • Consider Implantable cardiac deﬁbrillator (ICD). • Change pacemaker to ventricular-paced, ventricular-sensing, inhibition (VVI) or atrial-paced, atrial-sensing, inhibition (AAI) • Although amiodarone is an alternative treatment, beware of irregular wide complex dysrhythmia due to preexcitation converting to unstable ventricular tachycardia or ventricular ﬁbrillation with the use of amiodarone.
If a supraglottic airway is not feasible, and if another attempt • • • • at intubation is not appropriate, awaken the patient. Consider deferring the surgery or proceeding with awake intubation. If ventilation becomes difﬁcult, proceed to “Cannot Intubate/ Cannot Ventilate” (Page 16) If the patient becomes hypoxic and cannot be ventilated, consider a surgical airway. 1. Refer to the ASA Difﬁcult Airway Algorithm, Inside Front Cover Make a decision as to how to approach the next attempt. , Miller) • Consider a video laryngoscope such as the GlideScope • Consider a Gum Elastic Bougie (Eschman stylet) • Is asleep ﬁberoptic intubation a practical option?
Anesthesia Emergencies by Keith J. Ruskin, Stanley H. Rosenbaum