Anesthesia Emergencies includes correct step by step details on how one can observe, deal with, and deal with problems and emergencies throughout the perioperative interval. Concisely written, highlighted sections on quick administration and possibility elements make stronger crucial issues for simple memorization, whereas constant association and checklists supply ease of studying and readability. Anesthesia services will locate this publication an critical source, describing overview and remedy of life-threatening events, together with airway, thoracic, surgical, pediatric, and cardiovascular emergencies. the second one version encompasses a revised desk of contents which provides themes so as in their precedence in the course of emergencies, in addition to new chapters on concern source administration and catastrophe medicine.
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Additional info for Anesthesia Emergencies (2nd Edition)
Increase minute ventilation to reduce PaCO2. • Ask the surgeon to lower insufflation pressure during laparoscopic surgery. 04-mg IV increments). Diagnostic Studies Arterial blood gas (ABG) analysis to quantify degree of hypercarbia and acidosis. Subsequent Management • Treat the underlying cause of hypercarbia. Risk Factors • Laparoscopic surgery (insufflation of peritoneal cavity with CO2) • Obesity • Obstructive sleep apnea (OSA) • Chronic CO2 retainers • COPD • Asthma • Poor lung compliance • Narcotic administration Prevention • Judicious use of narcotics and other sedatives • Adequate reversal of muscle relaxants • Adequate minute ventilation, especially in laparoscopic surgery Special Considerations • Hypercarbia causes respiratory acidosis that cannot be compensated for in the acute period.
Intrinsic Upper Airway Obstruction Definition Partial or complete airway blockage that increases upper airway resistance (above the larynx) and may cause impaired oxygenation and ventilation. , anaphylaxis, smoke inhalation, burn injury). Thumb sign epiglottitis. • Increase FiO2 to 00%. • Attempt to open the airway with a jaw thrust, a nasopharyngeal airway, an oropharyngeal airway, or a supraglottic airway device. • If possible, administer continuous positive airway pressure (CPAP). • Consider nebulized racemic epinephrine and/or intravenous dexamethasone (0 mg IV in an adult).
Begin manual ventilation. • Suction the endotracheal tube. • Administer a bronchodilator if bronchospasm is suspected (albuterol 2–4 puffs into the ETT). • Administer a diuretic if pulmonary edema is present (furosemide 20 mg IV). • Exclude anesthesia gas machine or ventilator failure. • Increase the level of sedation and consider neuromuscular blockade if necessary. Diagnostic Studies • Measure peak airway pressures. • Measure plateau pressure. • Perform chest X-ray. • Perform thoracic ultrasonography.
Anesthesia Emergencies (2nd Edition)