By Gandhi, Manju N.

ISBN-10: 9350256533

ISBN-13: 9789350256534

Sorts of emergency situations divided into 9 sections to hide majority of the emergencies that you will encounter and the entire perioperative facets of emergency anesthesia are lined in nice aspect in addition to cures. normal concerns for adults, obstetric and pediatric sections were written individually to prevent duplication . part on basic rules for emergency anesthesia and  Read more...

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Extra resources for A Practical Approach To Anesthesia For Emergency Surgery

Example text

Therefore, more and more old age patients with associated medical disorders are exposed to surgeries. Also, as a result of the increased level of stress, lifestyle and dietary habits, the diseases of the middle age, such as hypertension, diabetes and ischemic heart disease are appearing at younger age. It is not surprising that the incidence of patients with medical disorders for routine surgeries is increasing. However, this does not pose a great problem for the anesthesiologist as there is enough time at disposal to treat or control these conditions.

This is obviously not possible in emergency situation. The Principles of Management4 • Rapid reduction of thyroxine production. • Blocking the release of thyroid hormones into the circulation. • Peripheral antagonism of thyroid hormone actions. • Rapid correction of hyperthermia, dehydration, metabolic disturbances and acidosis. • Correction of hyponatremia. Rendering patients euthyroid by using antithyroid drugs takes minimum 2 to 6 weeks. When iodides are used, it takes 7 to 14 days for the thyroid hormone levels to recede.

The fluid should be administered with the monitoring of central venous pressure and urine output. Acute renal failure is observed many times in emergency cases with trauma patient, septicemic patient, preoperatively dehydrated or in patients with long standing hypotension. One should try to prevent perioperative renal failure by using renal protective strategy. This involves maintaining intraoperative blood pressure, fluid and electrolyte or renal replacement therapy. Low dose dopamine does not protect renal function but fenoldopam has been shown to protect it.

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A Practical Approach To Anesthesia For Emergency Surgery by Gandhi, Manju N.

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