By William E. Hurford, Michael T. Bailin, J. Kenneth Davison, Kenneth L. Haspel, Carl E. Rosow, Susan A. Vassallo
Trusted for two decades by means of resident and training anesthesiologists and CRNAs, this best-selling pocket reference is now in its 6th version. In easy-to-scan define structure, it offers present, finished, concise, constant, and clinically proper directions for anesthesia systems through the preoperative, intraoperative, and postoperative sessions. each one bankruptcy is written by way of a Massachusetts basic sanatorium resident with a college mentor, and the whole booklet has been reviewed, up-to-date, and field-tested by means of the anesthesia employees. This variation contains new details on muscle relaxants, opioids, minimally invasive belly surgical procedure, pediatrics, end-of-life concerns, and latex asthma, plus a complete, alphabetical drug appendix. medical Anesthesia methods of the Massachusetts basic medical institution, 6th variation, is now to be had electronically for hand-held pcs. See PDA directory for information in this new digital model, edited through Peter Dunn, MD of the Massachusetts basic sanatorium.
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Extra resources for Clinical Anesthesia Procedures of the Massachusetts General Hospital
Diabetics have a strong predisposition to all types of vascular disease. Macrovascular disease (coronary artery, cerebrovascular, and peripheral vascular) and microvascular disease (retinopathy and nephropathy) occur more frequently, more extensively, and at an earlier age than in the general population. 2. Neuropathy. Autonomic neuropathy may result in symptomatically silent cardiac ischemia, postural hypotension, gastroparesis, and bladder atony. There is an increased risk of sudden cardiac death because of autonomic cardiac dysfunction and a diminished central ventilatory response to hypoxia.
Adequate oral or parenteral hydration must be assured. Inhibition of prostaglandin synthesis (by ibuprofen, indomethacin, or aspirin) or mild salt depletion with a thiazide diuretic may reduce urine volume. 4. Syndrome of inappropriate ADH secretion (SIADH). SIADH is persistent secretion of ADH with hyponatremia in the absence of an osmotic stimulus. SIADH can be caused by carcinoma (bronchogenic, duodenal, pancreatic, ureteral, prostatic or bladder), other malignancies (lymphoma, leukemia, thymoma, mesothelioma), CNS disorders (trauma, infections, tumors), pulmonary disorders (tuberculosis, pneumonia, positive pressure ventilation), drugs (nicotine, narcotics, chlorpropamide, clofibrate, vincristine, vinblastine, cyclophosphamide), hypothyroidism, Addison disease, or porphyria.
Porphyrias. Br J Anaesth 2000;85:143–153. 7 Infectious Diseases and Infection Control in Anesthesia Clinical Anesthesia Procedures of the Massachusetts General Hospital 7 Infectious Diseases and Infection Control in Anesthesia Judith Hellman General Infection control-related responsibilities of anesthetist Routes of infection transmission in the OR Infection control in the OR Infection control measures Standard precautions Transmission-based precautions Preventing exposure to infected blood and body fluids Management of exposure to infected blood and bloody fluids Microorganisms of concern to anesthetists Viruses Bacteria Antibiotics in the OR Indications for antibiotics in the OR Basic principals of antibiotic prophylaxis Postoperative surgical infections Commonly used antibiotics Miscellaneous considerations Aspiration pneumonia Endocarditis Immunocompromised patients Suggested Reading I.