By George Shorten MD, Stephen F. Dierdorf MD, Gabriella Iohom MD DEAA FCARCSI PhD, Christopher J. O'Connor MD, Charles W. Hogue Jr. MD
This brief textbook provides sixty situations with the element and patient-specific info encountered in real medical perform. instances hide the foremost issues emphasised within the in-training examination and in written and oral boards.
The circumstances are conscientiously constructed utilizing types. The built Case version encompasses a step by step structure that highlights the selections made at every one step. The Case mirrored image version encompasses a brief narrative, via research of ways the administration and end result could have been more suitable. instances are referenced with present articles in help of specific concepts. each one case incorporates a boxed Key issues part and self-assessment questions.
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Additional info for Case-Based Anesthesia: Clinical Learning Guides
Symptoms of UN include sensory deficits in the ulnar and palmar aspect of the fifth and the medial half of the fourth digit, handgrip weakness, and fourth and fifth finger clawing from hand muscle imbalance. Pre-existing latent neuropathy conditions may predispose patients to a perioperative UN. This finding is supported by abnormal nerve conduction studies not only of the affected site but also of the contralateral site in a significant proportion of patients. Prognosis of Peripheral Neuropathies After Cardiac Surgery The outcome of peripheral neuropathies depends on the type and severity of injury.
JAMA 2004;291: 1841–1849. Raja SG, Dreyfus GD. Off-pump coronary artery bypass surgery: to do or not to do? Current best available evidence. J Cardiothorac Vasc Anesth 2004;18:486–505. Van Dijk D, Spoor M Hijman R, et al. Cognitive and cardiac outcomes 5 years after off-pump vs on-pump coronary artery bypass graft surgery. JAMA 2007;297:701–708. qxd 3/14/09 5:08 PM Page 22 CHAPTER 6 Aprotinin and Antifibrinolytics in Cardiac Surgery Michelle Isac CASE FORMAT: STEP BY STEP A 79-year-old, 62-kg (body mass index, 22) female presented to the emergency department with severe chest pain and new ST-segment elevation in the inferior leads.
Ann Thorac Surg 1999;67:1370–1375. Mark DB, Newman MF. Protecting the brain in coronary artery bypass graft surgery. JAMA 2002;287:1448–1450. Mishra M, Malhotra R, Mishra A, et al. Hemodynamic changes during displacement of the beating heart using epicardial stabilization for off-pump coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth 2002;16:685–690. Nathoe HM, van Dijk D, Jansen EWL, et al. A comparison of on-pump and off-pump coronary bypass surgery in low-risk patients. NEJM 2003;348:394–402.