By Gandhi, Manju N.
Types of emergency circumstances divided into 9 sections to hide majority of the emergencies that one could encounter and the entire perioperative elements of emergency anesthesia are lined in nice element besides therapies. basic issues for adults, obstetric and pediatric sections were written individually to prevent duplication . part on normal rules for emergency anesthesia and Read more...
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Additional resources for A Practical Approach To Anesthesia For Emergency Surgery
Sample text
One need to judge each case on its merits, balancing the risk of regurgitation and aspiration against the risks of general or spinal anesthesia. The general condition of the patient determines the risk of regurgitation more than the choice of technique. Patients with high-risk of pulmonary aspiration of gastric contents or delayed gastric emptying are of following types: • Patients with ileus, subileus, and bowel obstruction are considered nonfasting; irrespective of time elapsed since last meal or drink.
23. Shoemaker WC, Appel PL, Kram HB, Waxman K, Lee TS. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. Chest 1988; 94:1176-86. 24. Wilson J, Woods I, Fawcett J, Whall R, Dibb W, Morris C, McManus E. Reducing the risk of major elective surgery: randomized controlled trial of preoperative optimisation of oxygen delivery. BMJ 1999;318:1099-1103. 25. Bishop MH, Shoemaker WC, Appel PL, Meade P, Ordog GJ, Wasserberger J, Wo CJ, Rimle DA, Kram HB, Umali R, et al.
Widening of QRS • Torsades de pointes ventricular arrhythmias Resistant VF (and other arrhythmias) • Worsening of digitalis toxicity • Treatment of hypomagnesemia depends on its severity and the patient’s clinical status • For severe or symptomatic hypomagnesemia, administer 1 to 2 g IV MgSO4 over 15 minutes • If torsades de pointes ventricular arrhythmias are present, administer 2 g of MgSO4 over 1 to 2 minutes • If seizures are present, administer 2 g IV MgSO4 over 10 minutes • Risks involved with intravenous magnesium therapy include hypermagnesemia, hypocalcemia, and sudden hypotension.