A Practical Approach To Anesthesia For Emergency Surgery by Gandhi, Manju N.

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By Gandhi, Manju N.

Types of emergency situations divided into 9 sections to hide majority of the emergencies that you may stumble upon and all of the perioperative points of emergency anesthesia are lined in nice element besides treatments. basic issues for adults, obstetric and pediatric sections were written individually to prevent duplication . part on normal ideas for emergency anesthesia and  Read more...

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Preoxygenation and Cricoid Pressure • Avoid a leak between the patients face and the oxygen mask • Tidal volume breathing for 3 minutes or 8 deep breaths over 60 seconds with an oxygen flow of at least 10 L/min should be used General Principles for Emergency Anesthesia The induction agents with the most favorable pharmacological properties conferring hemodynamic stability appear to be ketamine and etomidate. Ketamine is traditionally contraindicated in the presence of brain injury. Ketamine represents a very rational choice for rapid sequence induction in hemodynamically compromised patients.

Blockers reduces perioperative ischemia and may reduce the risk of MI and mortality in patients with known CAD. The dose being titrated to achieve heart rate of 60 to 65 bpm. • Hypoxia, tachycardia, pain, hypothermia, anemia and shivering should be treated aggressively in the postoperative period to prevent myocardial ischemia. • Amongst all valvular heart lesions, the stenotic lesions are more dangerous then regurgitant lesions. Cardiac output depends on atrial kick for adequate LV filling.

Anesthesia, pain management and intensive care 2002;104. 4. Rupert MP, Andrew R, Michael RG. Clinical review. How to optimize management of high-risk surgical patients. Intensive Care Medicine Critical Care 2004;8:503-7. 5. Mythen MG, Webb AR. Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg 1995; 130:423-9. 6. Guest JF, Boyd O, Hart WM, Grounds RM, Bennett ED. A cost analysis of a treatment policy of a deliberate perioperative increase in oxygen delivery in high-risk surgical patients.

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