Noncardiac Surgery in the Cardiac Patient

Noncardiac Surgery in the Cardiac Patient David Putnam, MD Albany Medical College Coronary heart disease is the most frequent cause of perioperative cardiac mortality and morbidity after noncardiac surgery Noncardiac Surgery Magnitude of the Problem

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anesthesia for the obstetrical patient

Anesthesia for the Obstetrical Patient. The Pregnant Patient for Nonobstetric SurgeryLABORDELIVERYOBSTETRICAL EMERGENCIESSPINAL HEADACHES AND BLOOD PATCHES. Alterations in Maternal Physiology. RespiratoryIncreased O2 consumptionDecreased FRC and pCO2 (increased MV)CardiovascularIncreased blood volume and CODilutional anemiaPossible aorto-caval compression (when supine)GIReduced gastroesophogeal toneReduced anesthetic requirements (both GA

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Anesthesia for the Obese Patient

Objectives . Discuss anesthetic management: preanesthetic evaluationDiscuss anesthetic management: preparationDiscuss anesthetic management:maintenanceDiscuss anesthetic management: postoperative care. Preanesthetic Evaluation. IncludesMedicationsLaboratory TestsCardiac AssessmentRespiratory EvaluationAirway EvaluationVascular Access.

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Cardiac Anesthesia Update

Cardiac Anesthesia Update. Charles E. Smith, MD Professor, CWRU School of Medicine Director, CT Anesthesia MetroHealth Medical Center. Objectives. ASE guidelines- IOTEE ACC/AHA guidelines- Valves Diabetes + hyperglycemia Neurocognitive dysfunction Transfusion. ASE/SCA Guidelines- TEE.

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Update in Cardiac Anesthesia

Update in Cardiac Anesthesia. Charles Smith, MD Professor of Anesthesia Director, Cardiothoracic Anesthesia MetroHealth Medical Center Case Western Reserve University School of Medicine Cleveland, Ohio. Objectives. Review practice trends

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The Cancer Patient and Anesthesia

Objectives. Discuss the anesthetic management of the cancer patient.Discuss anatomy and physiology of cancer.Discuss the pathophysiology of cancer.Discuss pharmacological management of the cancer patient undergoing anesthesia.Discuss the management of complications for the cancer patient.Utilize a case presentation format to synthesize the anesthetic management for cancer patients.Review questions relating to the anesthetic management of cancer patient to assess SRNA learning..

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Noncardiac Surgery in the Cardiac Patient

. Coronary heart disease is the most frequent cause of perioperative cardiac mortality and morbidity after noncardiac surgery. Noncardiac Surgery Magnitude of the Problem. 25 million patients undergo noncardiac surgery each year in the United States3 million patients have clinical evidence or multiple risk factors for CAD4 million patients are > 65 years oldNearly 1/3 of surgical patients are at risk for cardiovascular complications.

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CARDIAC ANESTHESIA PART III

CARDIAC ANESTHESIA. OBJECTIVESDiscuss location of cardiac valves in relation to structures of the heart.Explain the physiologic function of cardiac valves within the cardiac circulatory system.State pertinent factors that should be evaluated in the preoperative period for patients with valvular h

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Anesthesia for the Patient With Congential Heart Disease For Non Cardiac Surgery

Background . Continuous improvement in medical care and surgical treatment longer the lifespan of congential Heart Disease (CHD) patient 1.2 million adults (>16 years) living with various forms of CHD in the U.S.. The recommendations -How to care CHD patient?-. Centers that have multi-disciplin

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Anesthesia in the Cardiac Patient

Anesthesia in the Cardiac Patient. Monitoring. Routine Pulse Oximetry PNS Capnography Temperature Core and peripheral ECG Leads V5 and II. Monitors of Cardiac Performance. Arterial Line Standard of Care Site selection Pulmonary Artery Catheter

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Anesthesia and the Cardiac Patient

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Anesthesia for the Geriatric Patient

Anesthesia for the Geriatric Patient. Jonathan Weed, MD. All of the following are associated with the age-related changes in the kidney EXCEPT?. Decreased serum creatine concentration Decreased number of glomeruli Renal perfusion shifted to the medulla

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Cardiac Risk In ESRD Patient

Cardiac Risk In ESRD Patient. Dr.Badr Alhomayeed.md Nephrology and Kidney Transplant Consultant Feb/8/2014 . Objectives:. Relation ship between ESRD and cardiovascular morbidity and mortality.

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Anesthesia for the Obstetrical Patient

Anesthesia for the Obstetrical Patient. Fred Rotenberg, MD Dept. of Anesthesiology Rhode Island Hospital Grand Rounds February 27, 2008. Anesthesia for the Obstetrical Patient. The Pregnant Patient for Nonobstetric Surgery LABOR DELIVERY OBSTETRICAL EMERGENCIES

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Pharmacologic Considerations in the Cardiac Patient

Pharmacologic Considerations in the Cardiac Patient. Wayne E. Ellis, Ph.D., CRNA. Treatment of Ischemia(primary). ASA 325 mg immediately Thrombolytics (Retevase) > flow rate than TPA 2 doses @ 30 min intervals lyse clots through the activation of plasminogen. Primary Treatment.

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Practical Pediatric Cardiac Anesthesia

Practical Pediatric Cardiac Anesthesia. Michael S. Mazurek, MD. Overview. Preoperative Workup Pathophysiology Induction Pre-pump considerations On-pump considerations Post-pump considerations ?Extubation. Preoperative Workup. Heart Center 4 th floor Medicines

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ANESTHESIA FOR THE TRAUMA PATIENT

ANESTHESIA FOR THE TRAUMA PATIENT. INITIAL ASSESSMENT. PRIMARY SURVEY(1). Primary survey 는 5 분 안에 이루 어져야 하며 , ABCDE 5 개의 sequence 로 구성 처음 3 가지 survey (ABC) 가 부적절 하면 , 즉시 resuscitation ECG, noninvasive BP, pulse oximetry 로 monitoring Airway Can talk  usually clear

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Anesthesia of the Surgical Patient

Anesthesia of the Surgical Patient. CA Blum, M.D. Pharmacology Local anesthetics Epidural / Spinal IV Agents Analgesics Paralytics Inhalational Agents Classifications Malignant Hyperthermia. Anesthesia. Embodies control of three great concerns of humankind: Consciousness Pain

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Anesthesia of the Surgical Patient

Anesthesia of the Surgical Patient. January 19, 2009. Key Points. The role of the anesthesiologist has expanded to become the perioperative physician. The specialties of critical care medicine and pain medicine have grown out of the expanded field of anesthesiology.

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Anesthesia for the Obstetrical Patient

Anesthesia for the Obstetrical Patient. Anesthesia for the Obstetrical Patient. The Pregnant Patient for Nonobstetric Surgery LABOR DELIVERY OBSTETRICAL EMERGENCIES SPINAL HEADACHES AND BLOOD PATCHES. Alterations in Maternal Physiology. Respiratory Increased O2 consumption

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Anesthesia and the Cardiac Patient

Anesthesia and the Cardiac Patient. Wayne E. Ellis, Ph.D., CRNA. Preoperative Preparation. Angina Medications to control it Blood pressure controlled Diastolic < 95 torr Congestive heart failure treated Diuretics Afterload reduction Bedrest if indicated Control diabetes.

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Anesthesia and the Elderly Patient

Anesthesia and the Elderly Patient. Sheila R Barnett, MD Assistant Professor Anesthesiology Harvard Medical School Beth Israel Deaconess Medical Center. > 65y. Population USA. >85 y. Surgery > 65 years. 35% of surgeries in USA 16,000,000 surgeries per year. RISK & COMORBIDITIES.

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