http://www.scribd.com/people/view/108501-bkadry This a feed for documents on Scribd written by bkadry 30 Thu, 24 Jan 2008 00:51:25 GMT Thu, 24 Jan 2008 00:51:25 GMT http://www.scribd.com/doc/1450547/322-Mark 322 Page 1 Jonathan B. Mark, M.D. Monitoring With CVP and PAC Durham, North Carolina Complications of Central Venous Catheterization Central venous catheterization (CVC) remains a common procedure for the care of intensive care and highrisk surgical patients. The complications are well recognized, and the more common include: 1. 2. 3. 4. 5. 6. Bleeding (adjacent arterial injury, hematoma formation, airway compromise, or cardiac tamponade) Pneumothorax, hemothorax, and chylothorax Nerve injury Infection (bacteremia, sepsis, endocarditis) Venous thromboembolism Venous (and paradoxical) air emb Thu, 24 Jan 2008 00:51:25 GMT http://www.scribd.com/doc/1450547/322-Mark http://www.scribd.com/doc/1450484/321-Brennan 321 Page 1 Acute Pain Pathophysiology Timothy J. Brennan, M.D., Ph.D. Iowa City, Iowa As anesthesiology expands its role perioperative medicine, our knowledge in acute pain management is highly regarded. In order to continue to in the front of acute pain management, mechanisms of acute pain must be explored and new analgesic drugs must be evaluated. Although many new discoveries are being made in pain research, the ability to translate these directly to perioperative pain management must be established. For this summary, we will evaluate studies on clinical acute pain mechanisms and new anal Thu, 24 Jan 2008 00:50:10 GMT http://www.scribd.com/doc/1450484/321-Brennan http://www.scribd.com/doc/1450412/320-Barker 320 Page 1 Recent Developments in Oxygen Monitoring Steven J. Barker, Ph.D., M.D. Tucson, Arizona In this lecture we shall review recent advances in the monitoring of patient oxygenation. We summarize the transport of oxygen from the atmosphere to the cell, and then describe monitors that function at four stages of the O2 transport process. Oxygen Transport in the Human Body At rest we consume approximately 1023 molecules of oxygen per second. Our cardiopulmonary system rapidly transports this large amount of oxygen from the atmosphere to every cell in the body. Oxygen is first moved from th Thu, 24 Jan 2008 00:49:38 GMT http://www.scribd.com/doc/1450412/320-Barker http://www.scribd.com/doc/1450360/319-Semo 319 Page 1 Key Issues in Negotiating Hospital Contracts Judith Jurin Semo, Esq. Washington, District of Columbia This lecture will review priority areas in negotiating anesthesiology services agreements with hospitals and ambulatory surgical centers (“ASCs”), highlight problematic provisions frequently proposed by hospitals, and suggest strategies to deal with the problem areas. For ease of reference, the “Group” refers to the anesthesiology group that is negotiating or considering entering into an anesthesiology services agreement; the “Agreement” means the draft contract under Thu, 24 Jan 2008 00:49:17 GMT http://www.scribd.com/doc/1450360/319-Semo http://www.scribd.com/doc/1450303/318-Tung 318 Page 1 Medical Decision Making: Evidence Based or Expert Opinion? Avery Tung, M.D. Chicago, Illinois 1. Introduction “I don’t believe in that study” Recent studies have established that physician compliance with the results of clinical studies, externally promulgated guidelines, and recommended practices, is poor. In the non-anesthesia domain, examples of noncompliance include below-optimal rates of peri-MI aspirin and beta-blocker use, cancer screening, diabetes and prenatal care. Moreover, studies correlating these observations with age have found that older physicians are much l Thu, 24 Jan 2008 00:48:57 GMT http://www.scribd.com/doc/1450303/318-Tung http://www.scribd.com/doc/1450258/317-Pollock 317 Page 1 Julia E. Pollock, M.D. Regional Anesthesia - How to Make It Work Seattle, Washington Regional anesthesia has enjoyed a tremendous increase in popularity over the past two decades. The expanding involvement of anesthesiologists in the treatment of pain syndromes, the financial motivation to decrease hospitalization times, and the satisfaction for both patient and anesthesiologist are a few of the reasons for this increasing interest in regional anesthesia. Associated with the growing enthusiasm for regional anesthesia has been an incredible volume of published information on new te Thu, 24 Jan 2008 00:48:38 GMT http://www.scribd.com/doc/1450258/317-Pollock http://www.scribd.com/doc/1450218/316-Sherwood 316 Page 1 Inflammatory Response: Current Concepts Edward R. Sherwood, M.D., Ph.D. Galveston, Texas Introduction. Inflammation plays an important role in many pathophysiological processes encountered by anesthesiologists on a daily basis. Surgery, major trauma, sepsis and critical illness all have major inflammatory components. This review will address the basic mechanisms of inflammation and the pathophysiology of inflammation-associated disease processes such as sepsis and the systemic inflammatory response syndrome. A review of anti-inflammatory therapy and strategies to decrease inflamma Thu, 24 Jan 2008 00:48:20 GMT http://www.scribd.com/doc/1450218/316-Sherwood http://www.scribd.com/doc/1450191/315-Ballantyne 315 Page 1 Chronic Opioid Therapy for Non-Cancer Pain: An Evidence Based Look at the Issue Jane C. Ballantyne, M.D. Boston, Massachusetts Introduction Our question is whether the evidence available in the medical literature supports long-term opioid therapy for the treatment of non-cancer or non-terminal pain. Is the therapy efficacious, and does its efficacy outweigh its liabilities? A real difficulty is the lack of agreement in the medical profession and society at large as to what are the desired outcomes – good pain control, improved function or improved quality of life; and what liabi Thu, 24 Jan 2008 00:47:59 GMT http://www.scribd.com/doc/1450191/315-Ballantyne http://www.scribd.com/doc/1450155/314-Shore-Lesserson 314 Page 1 Linda Shore-Lesserson, M.D. Hematologic Aspects of Cardiac Surgery Bronx, New York Introduction The hematologic management of the cardiac surgical patient entails a complex balance between extreme degrees of anticoagulation and the restoration of normal hemostasis after the procedure. These two opposing processes must be managed carefully and modified with respect to preoperative disease state, duration of cardiac surgery, use of extracorporeal circulation, and the desired hemostatic outcome. During cardiopulmonary bypass (CPB), optimal anticoagulation dictates that coagulation is Thu, 24 Jan 2008 00:47:40 GMT http://www.scribd.com/doc/1450155/314-Shore-Lesserson http://www.scribd.com/doc/1450131/313-Camann 313 Page 1 Current Controversies in Obstetric Anesthesia William R. Camann, M.D. Boston, Massachusetts In 1847, the Scottish obstetrician James Simpson administered ether to a woman during labor to treat the pain of childbirth. He was impressed with the degree of analgesia associated with the use of the drug. Nevertheless, he expressed concern about the possible adverse effects of anesthesia: “It will be necessary to ascertain anesthesia’s precise effect, both upon the action of the uterus and on the assistant abdominal muscles; its influence, if any, upon the child; whether it has a ten Thu, 24 Jan 2008 00:47:22 GMT http://www.scribd.com/doc/1450131/313-Camann http://www.scribd.com/doc/1450107/312-Schwartz 312 Page 1 Pediatric Advanced Cardiac Life Support - 2006 Update Alan Jay Schwartz, M.D., M.S.Ed. Philadelphia, Pennsylvania Objectives: 1. Update pediatric basic and advanced cardiac life support treatment protocols. 2. Review causes of anesthesia-related cardiac arrest in the pediatric population. Introduction: More than 30 years ago the American Heart Association (AHA), through its emergency cardiovascular care (ECC) committee, published guidelines for cardiopulmonary resuscitation (CPR).1 Periodic reviews and updates of CPR treatment protocols have been conducted with an ever increasing Thu, 24 Jan 2008 00:47:04 GMT http://www.scribd.com/doc/1450107/312-Schwartz http://www.scribd.com/doc/1450101/311-Young 311 Page 1 New Age Neurosurgery: Avoiding Complications in Interventional Neuroradiology William L. Young, M.D. San Francisco, California This talk will outline the roles of the Anesthesiologist in the Interventional Neuroradiology (INR) suite with an emphasis on management strategies to prevent complications and minimize their effects if they occur. We will discuss fundamental management principles of affording "protection," of which direct pharmacological protection is perhaps the least important. Planning the anesthetic and perioperative management is predicated on understanding the goals Thu, 24 Jan 2008 00:46:44 GMT http://www.scribd.com/doc/1450101/311-Young http://www.scribd.com/doc/1450092/311-Warner 311 Page 1 David S. Warner, M.D. Managing Ischemic/Hypoxic Brain Insults Durham, North Carolina Introduction The perioperative environment poses inherent risk for insufficient metabolic substrate delivery to brain. Although preoperative diagnostics, monitoring, and surgical advances have undoubtedly reduced the frequency perioperative brain injury, such injuries still occur. In the perioperative environment, we have few completed randomized prospective clinical trials with sufficient statistical power to provide solid recommendations regarding appropriate prevention and treatment of perioper Thu, 24 Jan 2008 00:46:25 GMT http://www.scribd.com/doc/1450092/311-Warner http://www.scribd.com/doc/1450078/311-Tempelhoff 311 Page 1 René Tempelhoff, M.D. Avoiding Complications in Neuroanesthesia St. Louis, Missouri Most complications in neuroanesthesia can be categorized in 2 groups: 1) Complications that are the direct result of our actions (errors of commission) or inactions (errors of omission) in patient management. 2) Complications resulting from the primary neurological ailment and the required surgical/anesthesiologic manipulations which are more difficult to control. In this RC, I will address only the first category. While complications are inevitably encountered in any type of anesthesia, neurosurg Thu, 24 Jan 2008 00:45:58 GMT http://www.scribd.com/doc/1450078/311-Tempelhoff http://www.scribd.com/doc/1450063/311-Roth 311 Page 1 B. Steven Roth, M.D. Visual Loss after Spine Surgery Chicago, Illinois Introduction Visual loss after anesthesia and surgery is a rare, unexpected and devastating complication. In recent years, there has been heightened awareness of the possibility of visual loss after anesthesia for non-ocular surgery, and an impression, although yet unproven, that the incidence is on the rise.[1,2] Awakening with visual impairment might well be one of the most frightening and catastrophic post-anesthetic complications that a patient could sustain. Many of the cases of post-operative visual loss Thu, 24 Jan 2008 00:45:30 GMT http://www.scribd.com/doc/1450063/311-Roth http://www.scribd.com/doc/1450033/310-Levy 310 Page 1 Jerrold H. Levy, M.D. Anaphylaxis and Adverse Drug Reactions Atlanta, Georgia INTRODUCTION Any substance that patients are exposed to in the perioperative period including drugs, blood products, or environmental antigens such as latex can produce anaphylaxis. Pharmacologic agents also have the potential to produce predictable and unpredictable adverse reactions. The most life-threatening form of an adverse reaction is anaphylaxis, however, the clinical presentation of anaphylaxis may represent different immune and nonimmune responses.(1) There is confusion in the literature about Thu, 24 Jan 2008 00:44:46 GMT http://www.scribd.com/doc/1450033/310-Levy http://www.scribd.com/doc/1449992/309-Ebert 309 Page 1 Perioperative Considerations and Anesthetic Management of the Morbidly Obese Patient Thomas J. Ebert, M.D., Ph.D. Milwaukee, Wisconsin Obesity is a national epidemic with major health consequences. The morbidly obese (MO) patient only has a one in seven chance of a normal life expectancy (1). The cost of health care treatment for the obese population is 59% of national health care expenditures and is approaching $100 billion per year (2). Based upon NIH guidelines, body mass index (BMI) (kg/m2) is used to classify adult obesity into three classes: Class I = BMI 30-34.9, Class II = Thu, 24 Jan 2008 00:44:18 GMT http://www.scribd.com/doc/1449992/309-Ebert http://www.scribd.com/doc/1449975/308-Birnbach 308 Page 1 David J. Birnbach, M.D. Advances in Obstetric Anesthesia Miami, Florida LABOR ANALGESIA Introduction Labor results in severe pain for most women. The ideal labor analgesia technique should dramatically reduce the pain of labor, while allowing the parturient to actively participate in the birthing experience. In addition, it should have minimal effect on the fetus or the progress of labor. New labor analgesia techniques approach this goal. This lecture will review these new methods of pain relief for the parturient and will highlight their benefits and risks. The discussion will in Thu, 24 Jan 2008 00:43:52 GMT http://www.scribd.com/doc/1449975/308-Birnbach http://www.scribd.com/doc/1449955/307-Gropper 307 Page 1 Mechanical Ventilatory Support in 2006: Getting the Most from the Ventilator Michael A. Gropper, M.D., Ph.D. San Francisco, California Respiratory failure is the leading cause for admission to most intensive care units (ICU’s). A number of recent advances have identified superior techniques for the management of patients with acute respiratory failure and the acute respiratory distress syndrome (ALI/ARDS). This lecture will review new understanding of the pathophysiology of ventilator associated lung injury (VALI) and new techniques for the management of patients requiring mecha Thu, 24 Jan 2008 00:43:26 GMT http://www.scribd.com/doc/1449955/307-Gropper http://www.scribd.com/doc/1449933/306-Prielipp 306 Page 1 ICU Sedation, Anxiolysis, and Neuromuscular Blockade Richard C. Prielipp, M.D., M.B.A., F.C.C.M. Minneapolis, Minnesota LEARNING OBJECTIVES: · Recognize the need for sedation, analgesia, and/or anxiolytic therapy in ICU patients · Understand how to utilize assessment scale(s) to monitor and control depth of sedation · Be familiar with kinetic properties of standard ICU sedatives, and their untoward side-effects · Understand the potential utility of α2-agonists in the OR and transition to the ICU · Identify the limitations and appropriate application of NMB drugs in the ICU I Thu, 24 Jan 2008 00:43:00 GMT http://www.scribd.com/doc/1449933/306-Prielipp http://www.scribd.com/doc/1448200/114-Abenstein 114 Page 1 How to Evaluate New Technology and Make Rational Decisions When Purchasing New Equipment Rochester, Minnesota John P. Abenstein, M.D. Introduction Procedural suites, including operating rooms, and intensive care units are some of the most cost intensive environments in a medical facility. The inefficient use of personnel and resources can turn what is traditionally a revenue center into a cost center. Technology is a major cost driver within these locations and the practice of anesthesiology, like much of procedure-based medicine, is highly dependent on advanced technology. Caref Thu, 24 Jan 2008 00:14:44 GMT http://www.scribd.com/doc/1448200/114-Abenstein http://www.scribd.com/doc/1447839/103-Apferbaum 103 Page 1 Current Controversies in Adult Outpatient Anesthesia Jeffrey L. Apfelbaum, M.D. Chicago, Illinois Introduction When the freestanding ambulatory surgery movement was initiated in the United States in 1970, there was a need to establish a strong safety profile and credibility with all involved consumers, i.e., patients, physicians, and third party payors. Consequently, only "healthy" patients were acceptable candidates for ambulatory surgery. Today, the subspecialty of ambulatory anesthesia has progressed to the total complex care of a broad spectrum of surgical patients undergoing Thu, 24 Jan 2008 00:12:06 GMT http://www.scribd.com/doc/1447839/103-Apferbaum http://www.scribd.com/doc/1447829/102-Todd 102 Perioperative Care of the Patient with Acute CNS Injury: Cervical Spine Page 1 Michael M. Todd, M.D. Iowa City, Iowa Every day, Anesthesiologists manipulate the neck, e.g. during endotracheal intubation and patient positioning. However, few understand the anatomy and biomechanics of the cervical spine (Cspine). This presentation will review the anatomy and motion of the normal Cspine and the movements that occur during routine direct laryngoscopy. I will then discuss some of the issues surrounding airway management in the patient with an unstable neck. Anatomy The Cspine can be divided int Thu, 24 Jan 2008 00:11:51 GMT http://www.scribd.com/doc/1447829/102-Todd http://www.scribd.com/doc/1447820/102-Prough 102 Page 1 Donald S. Prough, M.D. Fluid Management in Head Injury Galveston, Texas INTRODUCTION The goals of fluid management for patients with traumatic brain injury (TBI) include replacing intravascular volume deficits, preserving cerebral blood flow (CBF), and minimizing cerebral edema. This chapter will review the basic physiologic principles that influence achievement of those goals. PHYSIOLOGIC PRINCIPLES Cell membranes, which are semipermeable to water but less permeable to ions and proteins, partition total body water between the intracellular volume (ICV) and extracellular volume (E Thu, 24 Jan 2008 00:11:36 GMT http://www.scribd.com/doc/1447820/102-Prough http://www.scribd.com/doc/1447792/106-Rosenblatt 106 Page 1 Practical Regional Anesthesia for Outpatients Meg A. Rosenblatt, M.D. New York, New York Introduction The advantages that regional anesthesia (RA) confers over general anesthesia (GA), especially in the outpatient setting, are numerous. Pavlin et al., in a prospective study of 1,088 patients undergoing ambulatory surgery, found that the most important factor in determining discharge time from the post-anesthesia care unit (PACU) was the anesthetic technique (general anesthesia, local, peripheral nerve block, or spinal-epidural anesthesia).i This study highlights the anesthesia-rel Thu, 24 Jan 2008 00:10:36 GMT http://www.scribd.com/doc/1447792/106-Rosenblatt http://www.scribd.com/doc/1447785/103-Apferbaum 103 Page 1 Current Controversies in Adult Outpatient Anesthesia Jeffrey L. Apfelbaum, M.D. Chicago, Illinois Introduction When the freestanding ambulatory surgery movement was initiated in the United States in 1970, there was a need to establish a strong safety profile and credibility with all involved consumers, i.e., patients, physicians, and third party payors. Consequently, only "healthy" patients were acceptable candidates for ambulatory surgery. Today, the subspecialty of ambulatory anesthesia has progressed to the total complex care of a broad spectrum of surgical patients undergoing Thu, 24 Jan 2008 00:10:27 GMT http://www.scribd.com/doc/1447785/103-Apferbaum http://www.scribd.com/doc/1447778/102-Bendo 102 Page 1 Audrée A. Bendo, M.D. Head Injury Management Update Brooklyn, New York Traumatic brain injury (TBI) is one of the most serious, life-threatening conditions in trauma victims. Prompt and appropriate therapy is necessary to obtain a favorable outcome. Using national data from the Center for Disease Control (CDC), TBIs have the following impact in the United States each year: 1 million people are treated and released from hospital emergency departments; 230,000 people are hospitalized and survive; 50,000 people die each year; More than 80,000 are discharged from the hospital with TB Thu, 24 Jan 2008 00:10:17 GMT http://www.scribd.com/doc/1447778/102-Bendo http://www.scribd.com/doc/397921/Uncommon-problems-in-Intensive-care *UNCOMMON PROBLEMS IN INTENSIVE CARE *To Tom, Jacqueline and John, to whom writing a book should mean weaving a tale of high adventure rather than constructing a catalogue of boring nostrums. Paternal apologies for the disappointment, but perhaps next time . . . *UNCOMMON PROBLEMS IN INTENSIVE CARE J.F. Cade MD, PhD, FRACP, FANZCA, FFICANZCA, FCCP Director of Intensive Care, The Royal Melbourne Hospital & Professorial Fellow, University of Melbourne LONDON • SAN FRANCISCO *© 2002 Greenwich Medical Media Limited 137 Euston Road London NW1 2AA ISBN 184 1100919 First published 2002 Apart Mon, 15 Oct 2007 04:13:12 GMT http://www.scribd.com/doc/397921/Uncommon-problems-in-Intensive-care http://www.scribd.com/doc/397920/Textbook-of-neuroanaesthesia-and-critical-care *Page i Textbook of Neuroanaesthesia and Critical Care *Page ii DEDICATION To our patients *Page iii Textbook of Neuroanaesthesia and Critical Care Edited by Basil F Matta MB BCh BA BOA DA FRCA Consultant in Anaesthesia and Neuro-Critical Care Director of Neuroanaesthetic Services Addenbrookes Hospital University of Cambridge UK David K Menon PhD MD MBBS FRCP FRCA FmedSci Lecturer in Anaesthesia University of Cambridge Director of Neurocritical Care Addenbrookes Hospital University of Cambridge UK John M Turner MBBS FRCA Consultant in Anaesthesia and Neuro-intensive Care Addenbrookes Hos Mon, 15 Oct 2007 04:09:16 GMT http://www.scribd.com/doc/397920/Textbook-of-neuroanaesthesia-and-critical-care http://www.scribd.com/doc/397902/Springer-Anesthetic-and-Obstetric-Management-of-HighRisk-Pregnancy-2004-3Ed-LinG-LotB TLFeBOOK *Anesthetic and Obstetric Management of High-Risk Pregnancy Third Edition **Sanjay Datta, MD, FFARCS(ENG) Professor of Anesthesia, Harvard Medical School, and Director of Obstetric Anesthesia, Brigham and Women’s Hospital, Boston, Massachusetts Editor Anesthetic and Obstetric Management of High-Risk Pregnancy Third Edition With 85 Illustrations *Sanjay Datta, MD, FFARCS(ENG) Professor of Anesthesia Harvard Medical School and Director of Obstetric Anesthesia Brigham and Women’s Hospital Boston, MA 02115 USA Associate Editor: David L. Hepner, MD Assistant Professor of Anesthes Mon, 15 Oct 2007 04:03:59 GMT http://www.scribd.com/doc/397902/Springer-Anesthetic-and-Obstetric-Management-of-HighRisk-Pregnancy-2004-3Ed-LinG-LotB http://www.scribd.com/doc/397881/PostoperativePainManagement Postoperative Pain Management – Good Clinical Practice General recommendations and principles for successful pain management Produced in consultation with the European Society of Regional Anaesthesia and Pain Therapy *Project chairman and co-ordinator: The authors and the publishers have written the information relating to the medications and their dosages with utmost care and in accordance with the routines of the authors' clinical practice, which may not agree with the manufacturer's recommendations. Therefore, the prescriber is expected to read the dosage recommendations and contraindi Mon, 15 Oct 2007 03:57:06 GMT http://www.scribd.com/doc/397881/PostoperativePainManagement http://www.scribd.com/doc/397877/Perioperative-Care-in-Cardiac-Anesthesia vademecum Perioperative Care in Cardiac Anesthesia and Surgery Davy C.H. Cheng, M.D. Tirone E. David, M.D. Toronto General Hospital Peter Munk Cardiac Centre LANDES BIOSCIENCE AUSTIN, TEXAS U.S.A. *VADEMECUM Perioperative Care in Cardiac Anesthesia and Surgery LANDES BIOSCIENCE Austin Copyright © 1999 Landes Bioscience All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the publisher. Printed in th Mon, 15 Oct 2007 03:51:43 GMT http://www.scribd.com/doc/397877/Perioperative-Care-in-Cardiac-Anesthesia http://www.scribd.com/doc/397872/Greenwich-Medical-Media-Radiology-for-Anaesthesia-and-Intensive-Care *Radiology for Anaesthesia and Intensive Care *This page intentionally left blank *Radiology for Anaesthesia and Intensive Care Richard Hopkins Consultant Radiologist Department of Radiology Cheltenham General Hospital Carol Peden Consultant Anaesthetist Royal Bath United Hospital Sanjay Gandhi Department of Clinical Radiology Bristol Royal Infirmary LONDON SAN FRANCISCO *Greenwich Medical Media 4th Floor, 137 Euston Road, London NW1 2AA © 2003 870 Market Street, Ste 720 San Francisco CA 94109, USA ISBN 184110 1192 First published 2003 Apart from any fair dealing for the purposes of res Mon, 15 Oct 2007 03:50:51 GMT http://www.scribd.com/doc/397872/Greenwich-Medical-Media-Radiology-for-Anaesthesia-and-Intensive-Care http://www.scribd.com/doc/397867/Evidencebased-Resource-in-Anesthesia-and-Analgesia Evidence-based Resource in Anaesthesia and Analgesia SECOND EDITION Edited by Martin R Tramèr *Evidence-based Resource in Anaesthesia and Analgesia Second edition *Contents Contributors Introduction Part I: Evidence-based medicine, randomised trials, and systematic reviews 1 Is evidence-based medicine still an option? Neville W Goodman 2 Why do we need large randomised trials in anaesthesia and analgesia? Paul S Myles 3 Why do we need systematic reviews in anaesthesia and analgesia? R Andrew Moore Part II: Systematic reviews in anaesthesia and analgesia 4 Acute pain Henry J McQuay 5 Perip Mon, 15 Oct 2007 03:45:20 GMT http://www.scribd.com/doc/397867/Evidencebased-Resource-in-Anesthesia-and-Analgesia http://www.scribd.com/doc/397865/Epimanual-Univ-of-Wisconsin A Self-Directed Learning Module Third Edition Epidural Analgesia UNI VERSITY HOS PITA L OF AND WISCONSIN C LINIC S WI MADI SON, Copyright , 2000, UW Hospit al and Clinics Autho rit y Board *TABLE OF CONTENTS I. Introduction 2 II. Content Section 1 Benefits, Indications, and Contraindications Section 2 Pain Transmission / Modulation Section 3 The Epidural Space Section 4 Epidural Catheter Placement Section 5 Common Opioids and Local Anesthetics Section 6 Nursing Assessment, Documentation, and Management of Side Effects and Complications Section 7 Patient / Family Teaching Section 8 A Mon, 15 Oct 2007 03:44:30 GMT http://www.scribd.com/doc/397865/Epimanual-Univ-of-Wisconsin http://www.scribd.com/doc/397864/Epidural-Anesthesia-in-Acute-Pain-Management **Epidural Analgesia in Acute Pain Management Edited by CAROLYN MIDDLETON *Copyright © 2006 Whurr Publishers Limited (a subsidiary of John Wiley & Sons Ltd) The Atrium, Southern Gate, Chichester, West Sussex PO19 8SQ, England Telephone (+44) 1243 779777 Email (for orders and customer service enquiries): cs-books@wiley.co.uk Visit our Home Page on www.wiley.com All Rights Reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except under the te Mon, 15 Oct 2007 03:44:06 GMT http://www.scribd.com/doc/397864/Epidural-Anesthesia-in-Acute-Pain-Management http://www.scribd.com/doc/397862/Cardiopulmonary-Anatomy-Physiology *Essential Equations Chapter 2 Transairway pressure: Ventilation Pta Pm Ptp Palv Palv Palv Pbs Ppl Poiseuille’s law for flow: V Poiseuille’s law for pressure: Airway resistance: Raw P V P (cm H2O) V (L/sec) (Raw) V (L) P (cm H2O) (CL) Pr4 8l P V 8l r4 Transpulmonary pressure: Transthoracic pressure: Lung compliance: CL Elastance: P V P ST r Ptt V P Time constants: TC (sec) Laplace’s law: Minute alveolar ventilation: VA (VT VD) breaths/min Chapter 3 The Diffusion of Pulmonary Gases Gay-Lussac’s law: P1/T1 P2/T2 Boyle’s law (solving for volume): T1 V1 V2 P2 Boyle’s law Mon, 15 Oct 2007 03:43:09 GMT http://www.scribd.com/doc/397862/Cardiopulmonary-Anatomy-Physiology http://www.scribd.com/doc/397849/cardiac-arrhythmias-2005 *Cardiac Arrhythmias 2005 *Cardiac Arrhythmias 2005 Edited by Antonio Raviele Proceedings of the 9th International Workshop on Cardiac Arrhythmias (Venice,2-5 October 2005) 13 *ANTONIO RAVIELE, MD Divisione di Cardiologia Ospedale Umberto I Via Circonvallazione 50 I-30174 Venezia Mestre Library of Congress Control Number: 2005933282 ISBN-10 88-470-0370-9 Springer Milan Berlin Heidelberg New York ISBN-13 978-88-470-0370-5 Springer Milan Berlin Heidelberg New York This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically Mon, 15 Oct 2007 03:34:25 GMT http://www.scribd.com/doc/397849/cardiac-arrhythmias-2005 http://www.scribd.com/doc/397846/Anesthesia-for-Congenital-Heart-Disease *Anesthesia for Congenital Heart Disease **Anesthesia for Congenital Heart Disease Editor-in-chief Dean B. Andropoulos, MD Director and Kurt D. Groten, Sr, Family Chair The Arthur S. Keats, MD Division of Pediatric Cardiovascular Anesthesiology Texas Children’s Hospital Associate Professor, Anesthesiology and Pediatrics Baylor College of Medicine Houston, Texas Editors Stephen A. Stayer, MD Associate Director The Arthur S. Keats, MD Division of Pediatric Cardiovascular Anesthesiology Texas Children’s Hospital Associate Professor, Anesthesiology and Pediatrics Baylor College of Medicine Mon, 15 Oct 2007 03:27:21 GMT http://www.scribd.com/doc/397846/Anesthesia-for-Congenital-Heart-Disease http://www.scribd.com/doc/397836/An-Atlas-Of-Back-Pain-EbookEen *THE ENCYCLOPEDIA OF VISUAL MEDICINE SERIES An Atlas of BACK PAIN Scott D. Haldeman DC, MD, PhD, FRCP(C), FCCS(C) Clinical Professor, Department of Neurology University of California, Irvine, California, USA William H. Kirkaldy-Willis MA, MD, LLD(Hon), FRCS(E and C), FACS, FICC(Hon) Emeritus Professor and Head, Department of Orthopedic Surgery, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, Canada Thomas N. Bernard, Jr MD Clinical Assistant Professor, Department of Orthopedic Surgery Tulane University School of Medicine, New Orleans, Louisiana, USA The Parthenon Mon, 15 Oct 2007 03:14:58 GMT http://www.scribd.com/doc/397836/An-Atlas-Of-Back-Pain-EbookEen