The Effect Of Sevoflurane Vs Isoflurane On Emergence Time And Pacu Length Of Stay
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The Effect Of Sevoflurane Vs Isoflurane On Emergence Time And Pacu Length Of Stay
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Author : Kamal Maheshwari
language : en
Publisher:
Release Date : 2017
The Effect Of Sevoflurane Vs Isoflurane On Emergence Time And Pacu Length Of Stay written by Kamal Maheshwari and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Introduction: In ideal operating room setting, the goal is to minimize emergence timing and post anaesthesia care unit (PACU) length of stay, thus reducing cost.1 With the routine use of shorter acting inhalational anaesthetic agent quicker emergence and shorter PACU length of stay seems to be possible. We therefore assessed the treatment difference of Isoflurane versus Sevoflurane on PACU length of stay and emergence timing.Methods:We included 1498 adults from a previously conducted prospective alternating intervention trial2, mostly having colorectal surgery, who were assigned to isoflurane or sevoflurane based on protocol. The PACU length of stay was defined as the time from entering to exiting PACU phase I. Emergence time was defined as the time from last 0.3 (or higher) MAC inhalational dose towards the end of the procedure to out of the operating room. Treatment effect was assessed using Cox proportional hazards regression and adjusting for imbalanced baseline variables. In a post-hoc analysis we compared the two anaesthetics by type of surgery. Results: PACU length of stay did not differ between groups, with a median [quartiles] of 158 [117, 216] minutes for isoflurane and 155 [118, 219] minutes for sevoflurane group; the adjusted hazard ratio for PACU discharge time was 1.03 (95% CI; 0.92, 1.16) (P=0.53). However, isoflurane did have shorter PACU length of stay for non-abdominal surgeries. Emergence timing was longer for isoflurane, with median [quartiles] of 16 [12, 22] minutes versus 14 [11, 19] minutes for sevoflurane, with adjusted hazard ratio of 0.80 (95% CI: 0.72, 0.90), P
Anesthetic Pharmacology
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Author : Alex S. Evers
language : en
Publisher: Cambridge University Press
Release Date : 2011-03-10
Anesthetic Pharmacology written by Alex S. Evers 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 2011-03-10 with Medical categories.
In recent years our understanding of molecular mechanisms of drug action and interindividual variability in drug response has grown enormously. Meanwhile, the practice of anesthesiology has expanded to the preoperative environment and numerous locations outside the OR. Anesthetic Pharmacology: Basic Principles and Clinical Practice, 2nd edition, is an outstanding therapeutic resource in anesthesia and critical care: Section 1 introduces the principles of drug action, Section 2 presents the molecular, cellular and integrated physiology of the target organ/functional system and Section 3 reviews the pharmacology and toxicology of anesthetic drugs. The new Section 4, Therapeutics of Clinical Practice, provides integrated and comparative pharmacology and the practical application of drugs in daily clinical practice. Edited by three highly acclaimed academic anesthetic pharmacologists, with contributions from an international team of experts, and illustrated in full colour, this is a sophisticated, user-friendly resource for all practitioners providing care in the perioperative period.
Essential Clinical Anesthesia
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Author : Charles Vacanti
language : en
Publisher: Cambridge University Press
Release Date : 2011-07-11
Essential Clinical Anesthesia written by Charles Vacanti 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 2011-07-11 with Medical categories.
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.
Pediatric Anesthesia
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Author : Bruno Bissonnette
language : en
Publisher: PMPH-USA
Release Date : 2014-05-14
Pediatric Anesthesia written by Bruno Bissonnette and has been published by PMPH-USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-14 with Medical categories.
No longer merely a subspecialty, pediatric anesthesia is now a professional entity in its own right, as is amply demonstrated in this comprehensive addition to the medical and surgical literature. Pediatric Anesthesia: Basic Principles-State of the Art-Future comprises the contributions of 150 experts in the field from all over the world, providing this book with a truly global perspective. This textbook will help anesthesiologists already interested in pediatric anesthesia to the knowledge and skills inherent to the safe practice of anesthesia for infants and children.
Anesthetic Management Of The Obese Surgical Patient
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Author : Jay B. Brodsky
language : en
Publisher: Cambridge University Press
Release Date : 2011-12-08
Anesthetic Management Of The Obese Surgical Patient written by Jay B. Brodsky 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 2011-12-08 with Medical categories.
The global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practised professionals to manage this complex patient group effectively.
Clinical Ambulatory Anesthesia
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Author : Johan Raeder
language : en
Publisher: Cambridge University Press
Release Date : 2010-06-10
Clinical Ambulatory Anesthesia written by Johan Raeder 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 2010-06-10 with Medical categories.
Ambulatory care can be a challenging setting in which to provide anesthesia – not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.
Faust S Anesthesiology Review
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Author : Terence L. Trentman
language : en
Publisher: Elsevier Health Sciences
Release Date : 2023-09-06
Faust S Anesthesiology Review written by Terence L. Trentman 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 2023-09-06 with Medical categories.
Authored by current and former physicians at the Mayo Clinic, Faust's Anesthesiology Review, 6th Edition, is an invaluable review source for success on exams and in practice. It covers a broad range of important and timely topics in a succinct, easy-to-read format, providing the essential information you need to master the latest advances, procedures, guidelines, and protocols in anesthesiology. Provides in-depth, yet succinct clinical synopses of all topic areas found on the ABA/ASA exam, with the perfect amount of information to ensure exam success. Contains five new chapters: Principles of Preoperative Evaluation; Anesthesia for Patients who are Lactating; Peripheral Nerve Blocks of the Anterior Trunk; Sustainability in Anesthesiology and the Operating Room; and Anesthesia During a Pandemic. Covers the core knowledge needed to succeed in today’s anesthesiology practice, including awake craniotomy, non-OR anesthesia (NORA), neuromodulation, using arterial pressure waveform to derive cardiac output, enhanced recovery (ERAS) pathways, chemical dependency in anesthesia personnel, lung transplantation, anesthesia for robotic surgery, and more. Includes boxes, tables, charts, and graphs throughout to provide visual guidance and summarize critical information. Features concise chapters for efficient review and effective recall, making this an ideal study tool for certification, recertification, or as a refresher for anesthesiology practice.
Critical Care Sedation
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Author : Angelo Raffaele De Gaudio
language : en
Publisher: Springer
Release Date : 2018-01-23
Critical Care Sedation written by Angelo Raffaele De Gaudio and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-01-23 with Medical categories.
This book provides a comprehensive guide to delivering analgesia and sedation to critically ill patients for professionals and caregivers being involved in the management of these patients. It discusses and explains in detail the advantages and limitations of each drug and device using clear flowcharts, diagrams and tables. Furthermore, it explores the new drugs and – above all – new sedation delivery systems, particularly those for administering volatile anesthetics on ICUs. This book is a valuable and practical resource for anesthesists, intensivists and emergency physicians interested in sedation.
Anesthesia For Otolaryngologic Surgery
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Author : Basem Abdelmalak
language : en
Publisher: Cambridge University Press
Release Date : 2012-10-18
Anesthesia For Otolaryngologic Surgery written by Basem Abdelmalak 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 2012-10-18 with Medical categories.
Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists.
Post Anesthesia Care
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Author : James W. Heitz
language : en
Publisher: Cambridge University Press
Release Date : 2016-08-22
Post Anesthesia Care written by James W. Heitz 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 2016-08-22 with Medical categories.
A practical, symptom-based approach to identifying and managing the common and uncommon post-operative complications encountered in the surgical patient.