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Avoiding Common Anesthesia Errors

Avoiding Common Anesthesia Errors

9780781788472
371,70 zł
334,53 zł Zniżka 37,17 zł
Najniższa cena w okresie 30 dni przed promocją: 334,53 zł
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Opis

This pocket book succinctly describes 215 common, serious errors made by attendings, residents, fellows, CRNAs, and practicing anesthesiologists in the practice of anesthesia and offers practical, easy-to-remember tips for avoiding these errors. The book can easily be read immediately before the start of a rotation or used for quick reference.

Each error is described in a quick-reading one-page entry that includes a brief clinical scenario, a short review of the relevant physiology and/or pharmacology, and tips on how to avoid or resolve the problem. Illustrations are included where appropriate. The book also includes important chapters on human factors, legal issues, CPT coding, and how to select a practice.

Szczegóły produktu
LWW
40979
9780781788472
9780781788472

Opis

Rok wydania
2007
Numer wydania
1
Oprawa
miękka foliowana
Liczba stron
704
Wymiary (mm)
3387 x 5403
Waga (g)
1021
  • AIRWAY AND VENTILATION
    Basics
    Advanced
    Never neglect the basics of airway management
    Basics of airway management-Part II (Tips and Tidbits)
    Consider PEEP

    Advanced:: A variety of techniques provide acceptable anesthesia for awakeintubation of the airway:: ultimately, the most important factorsare operator experience and adequate time
    Special Cases:: A high inspired concentration of oxygen is contraindicated incertain circumstances
    Remember that there are special considerations involved withboth intubation and chronic airway management of burn patients

    Problem solving:: Always troubleshoot an increase in peak airway pressure
    Plan for an airway fire with every head and neck case

    Know how to perform a cricothyroidotomy
    Perioperative Issues
    Donts:: Do not overinflate the cuff of the endotracheal tube

    Dont under represent the risks associated with the use of alaryngeal mask airway
    Do not be intimidated by the placement and use of double-lumenendotracheal tubes
    Do not underestimate the difficulty of reintubating a patient whohas undergone carotid endarterectomy or cervical spine surgeryDo not start the airway management of a Ludwig angina patientuntil personnel and equipment for a definitive (surgical) airwayare assembled


    LINES AND ACCESSBasics::Remember that the IV start is your first chance to make a favorableimpression on the patient
    Never use an intravenous line without palpating and inspectingit visually
    Use of ultrasound guidance for cannulation of the central veinsimproves success rates, decreases number of attempts, and lowerscomplication rates

    Central Lines::Central line placement:: never neglect the basics
    Approach the use of a pulmonary artery catheter with caution
    Avoid technique-related central venous catheter complicationsby using modern tools


    Donts:: Dont overflush lines

    Do not use the subclavian vein for central access of any type in apatient planned for dialysis


    Errors:: Remember that inadvertent intra-arterial injection is not rare
    Avoid errors in invasive blood pressure measurement
    Remember that loss of a patent hemodialysis fistula in theperioperative period is a serious event for the patient and requiresimmediate communication with the surgeons


    FLUIDS, RESUSCITATION, ANDTRANSFUSIONFluids:: Hypertonic saline:: the solution to the solution problem?
    Remember that the synthetic colloid solutions have distinctproperties and risk/benefit ratios

    Resuscitation::Protect the kidneys, not the UOP
    Do not treat lactic acidosis with bicarbonate
    Consider the use of tris-hydroxymethyl aminomethane (THAM)to treat refractory or life-threatening metabolic acidosis
    Use the principles of damage control anesthesia in the care ofthe massively bleeding patient and ask the surgeons to implementdamage control surgery if necessary
    Routine Labor and DeliveryLearn from the care of the combat victim:: ask the surgeons toconsider damage control surgery for the bleeding patient

    Transfusion::Know what screening tests are performed on volunteer donorblood
    Transfusion of packed red blood cells requires a careful riskbenefitanalysis

    MEDICATIONS Perioperative issues::

    INTRAOPERATIVE AND PERIOPERATIVE Basics::

    REGIONAL ANESTHESIA

    PACU

    PEDIATRIC ANESTHESIA

    NEUROANESTHESIA

    CARDIAC ANESTHESIA

    OB ANESTHESIA

    PAIN MEDICINE

    HUMAN FACTORS

    LEGAL

    PROFESSIONAL PRACTICE

    CODING AND PAYMENT-MAKE SURE YOUGET PAID

    COMMENCEMENT

    Index

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