Farmacolog A Aplicada En Anestesiolog A Escenarios Cl Nicos
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Farmacolog A Aplicada En Anestesiolog A Escenarios Cl Nicos
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Author : Juan Heberto Muñoz Cuevas
language : es
Publisher: Editorial Alfil
Release Date : 2024-01-25
Farmacolog A Aplicada En Anestesiolog A Escenarios Cl Nicos written by Juan Heberto Muñoz Cuevas and has been published by Editorial Alfil this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-01-25 with Medical categories.
La anestesiología es una de las especialidades más completas dentro de la práctica de la medicina, ya que permite al especialista actuar con base en el conocimiento y el razonamiento de las bases anatómicas y fisiológicas, aunadas al pleno dominio de la farmacología y sus aplicaciones en la anestesiología, permitiendo tomar decisiones para una correcta selección de técnicas invasivas en el paciente con el propósito de ofrecer una serie de procedimientos perioperatorios de calidad y seguridad en cualquier escenario clínico y en cualquier instancia que se requiera. Es evidente el aporte científico de finales del siglo pasado y el inicio del actual, enfocado a la biología molecular, específicamente al sistema nervioso, que pretende desenmarañar mediante el estudio y el descubrimiento de un gran número de neurotransmisores, así como una diversidad de mecanismos de acción con diferentes sistemas intracelulares y extracelulares involucrados en el estado anestésico, considerado tradicionalmente como hipnosis, analgesia e inmovilidad ante una noxa específica. Estos conceptos, con base en la medicina basada en evidencias, se han ido modificado en la actualidad con tendencia a demostrar la importancia de alcanzar y mantener concentraciones de un fármaco en uno o varios sitios efectores y/o zonas target, vía plasma, para alcanzar objetivos específicos que modifican la neurotransmisión celular, responsables de la respuesta clínica durante un evento anestésico. El dominio de la farmacología aplicada en anestesiología es fundamental para que cualquier médico anestesiólogo proceda a realizar la adecuada elección, asociación e interacción de fármacos para generar la respuesta clínica deseada, procurando minimizar la incidencia y la intensidad de efectos adversos inherentes al manejo de este tipo de fármacos, al titular los agentes anestésicos dentro de una ventana terapéutica. La sinergia y los efectos aditivos que resultan de la polifarmacia durante un evento anestésico, necesarios y suficientes para producir un estado anestésico adecuado en un tiempo determinado, se basan en el correcto razonamiento de una dosificación segura y confiable, así como en la titulación de la misma durante el evento quirúrgico, diagnóstico y/o terapéutico individualizado para el paciente, para cualquier escenario clínico y ante todo tipo de situación. Interactuar con los receptores específicos y modificar la respuesta farmacodinámica son factores que deben ser tomados en cuenta para que la decisión al implementar una estrategia farmacológica teórica, basada en la cinética del fármaco, involucre una respuesta clínica que permita cuantificar la intensidad de esa estrategia, con el objetivo de alcanzar y manejar las ventanas terapéuticas de cada uno de los fármacos requeridos para minimizar los eventos de infradosificación o sobredosificación, todo esto con base en una relación entre concentración plasmática y concentración sitio efecto, permitiendo una respuesta clínica efectiva y a la vez prevenir o eliminar efectos adversos inherentes a la combinación de varios fármacos en cada paciente.
A Practical Approach To Anesthesia For Emergency Surgery
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Author : Manju N Gandhi
language : en
Publisher: JP Medical Ltd
Release Date : 2011-07
A Practical Approach To Anesthesia For Emergency Surgery written by Manju N Gandhi and has been published by JP Medical Ltd this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-07 with Medical categories.
There is a large influx of trauma, general surgical, pediatric, neurosurgical and obstetric emergencies as the hospital is one of the major public hospitals located in a densely populated region sitting amidst major routes in the city. It also provides services for emergency cardiovascular, cerebrovascular interventions and cadaver transplants. Daily lessons from this tremendous emergency work inspired us to bring out this book. There is plethora of reference material available in basic sciences related to anesthesiology, namely physiology, pharmacology, physics and anatomy. Similarly, a large number of textbooks are on techniques such as general, regional, monitored anesthesia care as well as super specialties like cardiac, neurosurgical and pediatric anesthesia, etc. But there is a limited availability of books and references for emergency anesthesia. One has to scan and integrate parts from various sources. This book is an attempt to assimilate the scattered information and add clinical expertise. Contents of this book have been divided into nine sections to cover majority of the emergencies. General considerations for adults, obstetric and pediatric sections have been written separately to avoid duplication. An additional challenge is cases with various medical disorders for emergency surgeries. Efforts have been taken to accommodate them in first section and obstetric section. The contributors of this book work together at LTMMC and LTMGH and have a well-balanced team with fresh talent bringing the latest technological knowledge and tenured practitioners supplementing it with applied experience. Part of the team worked on collection of the matter from different sources for an ideal scenario, while the senior faculty members used their vast clinical experience for a more practical and realistic application. These combined efforts have been truly beneficial to achieve our goal to rationally mix latest technology with clinical experience and identify potential ways to conduct anesthesia with best results, at least costs and minimum risk.
Taking On Tiva
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Author : Michael G. Irwin
language : en
Publisher: Cambridge University Press
Release Date : 2019-12-05
Taking On Tiva written by Michael G. Irwin and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-12-05 with Medical categories.
A practical, approachable and accessible guide to total intravenous anaesthesia (TIVA) for novice to experienced practitioners.
Medicina De Urgencias Y Emergencias
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Author : F. Javier Montero Pérez
language : es
Publisher: Elsevier Health Sciences
Release Date : 2018-07-24
Medicina De Urgencias Y Emergencias written by F. Javier Montero Pérez and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-24 with Medical categories.
En esta nueva edición de Medicina de urgencias emergencias se llevará a cabo una revisión exhaustiva del contenido, sobre todo en aquellos aspectos relacionados con el diagnóstico y el tratamiento, siempre recogiendo la evidencia más actual. En esta 6a edición vuelve a primar el enfoque práctico ofreciendo a los lectores soluciones a la diversidad de situaciones a las que tienen que hacer frente día tras día los profesionales de urgencias. Sus directores, los doctores Luis Jiménez Murillo y F. Javier Montero Pérez, han contado con la colaboración de especialistas de diversas áreas del Hospital Universitario Reina Sofía de Córdoba, así como con facultativos de urgencias de otros hospitales españoles. Los autores llevan a cabo un enorme esfuerzo de síntesis en esta nueva edición aunque incluyendo todos aquellos aspectos novedosos y fundamentales que convierten a esta obra en una herramienta fundamental para todos los especialistas que trabajan en este área. Entre las novedades de esta nueva edición cabe destacar la inclusión de 6 nuevos capítulos y 5 nuevos casos clínicos, así como el acceso a imágenes a color en la sección de Dermatología. Medicina de urgencias y emergencias se dirige al especialista en Medicina de urgencias y emergencias, tanto de nivel hospitalario como extrahospitalario, así como a los médicos residentes de cualquier especialidad que recalan en los servicios de urgencias.
Pocket Anesthesia
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Author : Richard D. Urman
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2012-10-22
Pocket Anesthesia written by Richard D. Urman and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-10-22 with Medical categories.
Designed for easy transport and quick reference, Pocket Anesthesia, presents essential information that residents, anesthesiologists, CRNAs, and medical students need on the wards and in the operating room. Edited by anesthesia faculty at Harvard Medical School, this pocket-size reference is ideally suited for today's fast-paced anesthesia environment--it is concise, easy to read, and evidence-based. Essential information is presented in a well-organized schematic outline format with many tables, algorithms, and diagrams. The book is filled with must-know facts about drugs, frequent intraoperative problems, differential diagnosis, common disease states, patient evaluation, and anesthetic considerations for each subspecialty. New to the revised, second edition, is the inclusion of ultraound-guided regional anesthesia procedures.
Complications In Anesthesiology
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Author : Emilio B. Lobato
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2008
Complications In Anesthesiology written by Emilio B. Lobato and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical categories.
Now in its Third Edition, this comprehensive, problem-based textbook discusses the full range of complications in anesthesiology. Major sections cover intraoperative and postoperative complications affecting each organ system-respiratory, cardiovascular, neurologic, ophthalmologic, renal, hematologic and hemostatic, gastrointestinal, endocrine, obstetric, immunologic and infectious, and disorders of temperature regulation. Coverage includes problems that are rarely mentioned in older textbooks, such as ischemic optic neuropathy and postoperative cognitive dysfunction. Chapters address complications associated with specific equipment and techniques, with adverse drug interactions, and with herbal remedies and over-the-counter medications. Also included are chapters on medicolegal issues and risks to the anesthesiologist.
Awareness During Anesthesia
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Author : Mohamed M. Ghoneim (M.D.)
language : en
Publisher: Butterworth-Heinemann
Release Date : 2001
Awareness During Anesthesia written by Mohamed M. Ghoneim (M.D.) and has been published by Butterworth-Heinemann this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Medical categories.
* First comprehensive source on facts about consciousness while under anesthesia * Includes a detailed pharmacology of drugs * Details techniques for detection and prevention. * Author is leading expert in field
Manual Of Neonatal Care
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Author : John P. Cloherty
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2012-01-05
Manual Of Neonatal Care written by John P. Cloherty and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-05 with Medical categories.
This edition of the Manual of Neonatal Care has been completely updated and extensively revised to reflect the changes in fetal, perinatal, and neonatal care that have occurred since the sixth edition. This portable text covers current and practical approaches to evaluation and management of conditions encountered in the fetus and the newborn, as practiced in high volume clinical services that include contemporary prenatal and postnatal care of infants with routine, as well as complex medical and surgical problems. Written by expert authors from the Harvard Program in Neonatology and other major neonatology programs across the United States, the manual’s outline format gives readers rapid access to large amounts of valuable information quickly. The Children’s Hospital Boston Neonatology Program at Harvard has grown to include 57 attending neonatologists and 18 fellows who care for more than 28,000 newborns delivered annually. The book also includes the popular appendices on topics such as common NICU medication guidelines, the effects of maternal drugs on the fetus, and the use of maternal medications during lactation. Plus, there are intubation/sedation guidelines and a guide to neonatal resuscitation on the inside covers that provide crucial information in a quick and easy format.
Textbook Of Regional Anesthesia And Acute Pain Management
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Author : Admir Hadzic
language : en
Publisher: McGraw Hill Professional
Release Date : 2009-04-07
Textbook Of Regional Anesthesia And Acute Pain Management written by Admir Hadzic and has been published by McGraw Hill Professional this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-04-07 with Medical categories.
The single most comprehensive hands-on guide to the practice of Regional Anesthesia and Pain Management -- in full color! 4 STAR DOODY'S REVIEW! "This is an enormous book. It weighs in at just under eight and a half pounds with a list price that makes it comparable to an equal quantity of sushi grade tuna! It is a beautiful and powerful text/reference book. The composition corresponds particularly well with the subject. The wealth of detail, the high quality photos and drawings, the well composed text, and the engaging layout are enticing. Handling and reading such an exceptional book brings great pleasure. Forget the fish. Buy the book."--Doody's Review Service Here at last is a reference that covers the practice of Regional Anesthesia in its entirety, providing practitioners and students with both the physiologic principles and specific, state-of-the-art patient-management protocols and techniques. Recognized leaders in the specialty have filled this richly illustrated volume with authoritative, completely practical help. You'll find algorithms for managing or avoiding a wide range of common clinical dilemmas or complications. You'll get time-saving tools such as intravenous-to-oral opioid conversion tables and PCA setup guides as well as no-nonsense selection of nerve block techniques and advice on their strengths and pitfalls. This handy reference helps you make wise choices about anesthetics, dosing intervals, equipment, and perioperative management of patients receiving single-injection or continuous nerve blocks or spinal or epidural anesthesia. It tells you how to successfully manage patients with suspected epidural hematoma or neurologic injuries -- and much more. Filled with full-color, high-quality, detailed illustrations and clinical images of actual patients Covers the entire field of regional anesthesia, including nerve stimulator and ultrasound-guided peripheral nerve blocks, from imaging and instrumentation to step-by-step instructions for employing them in adults and children Details how to achieve reliable anesthesia and analgesia for surgical interventions on the face and upper and lower extremities Provides information on the advantages and disadvantages of using regional anesthesia in patients with coexisting diseases Offers guidance on acute pain management of adults and children in the perioperative period and in the ER Features up-to-date information on the etiology, prevention, and management of a wide range of complications
The Wondrous Story Of Anesthesia
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Author : Edmond I Eger II
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-09-14
The Wondrous Story Of Anesthesia written by Edmond I Eger II and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-09-14 with Medical categories.
Edited and written by an international "who's who" of more than 100 authors, including anesthesiologists, nurse anesthetists, bench scientists, a surgeon, and representatives of industry, this text provides a comprehensive history of anesthesia, unique in its focus on the people and events that shaped the specialty around the world, particularly during the past 70 years when anesthesia emerged from empiricism and developed into a science-based practice.