Anesthesiology and Intensive Care

Aortic Valve Replacement (AVR) is recommended:

Обморок (или из латыни синкопе ) - это временная потеря сознания, которая возникает вследствие снижения мозгового кровоснабжения. Эта так называемая церебральная гипоперфузия возникает по причине снижения сердечного выброса и/или периферического сосудистого сопротивления, то есть либо сердце плохо качает, либо сосуды чрезмерно расширяются и резко снижается артериальное давление.

The incidence of post spinal puncture headache is approximately 1% in spinal anesthesia. It results from unintentional or intentional puncture of the dura membrane. In obstetrics in case of accidental dural puncture up to 80% of patients subsequently developing a post-dural puncture headache.

    In cases of anticipated difficult intubations, the American Society of Anaesthesiologists and many European authors recommend awake intubation . 

To Be Completed Daily. Item 1: Verify that auxiliary oxygen cylinder and self-inflating manual ventilation device are available and functioning. Item 2: Verify that patient suction is adequate to clear the airway.

Отдавайте предпочтение  блокаде периферических нервов в следующих случаях:

RECOMMENDATIONS ON CHOOSING AN APPROPRIATE ANESTHETIC TECHNIQUE. Choose  peripheral nerve block in situations : Surgery of the upper extremities  Surgery of the lower extremities   Surgery of the scalp, neck, and trunk  Block of selected peripheral nerves (e.g., digital nerve block): technique to anesthetize the digits to perform surgery on the fingers or toes.

Although there is limited evidence of favourable outcomes from the use of the pulmonary artery catheter , it remains an important diagnostic tool in the management of critically-ill patients,  specifically  when  knowledge  of  intracardiac  pressures and oxygenation parameters is considered to be particularly important.

Drug order in rapid sequence intubation.

The current recommendations of when anticoagulants should be stopped prior to

Drugs that can cause hepatitis:

Surgical reexploration in case of excessive bleeding. Criteria: 8 mL/kg in any 2 successive hours or 20 mL/kg in the first 4 postop hours with or without s/s at cardiac tamponade

Acute rheumatic fever 1.  Uncommon sequela of untreated group A streptococcus infection. 2.  Streptococcus infection can provoke autoantibodies that attack joints and heart valves (mitral > aortic > tricuspid).

Stable Angina also known as 'effort angina', this refers to the classic type of angina related to myocardial ischemia.

The U.S. Food and Drug Administration today approved a new indication for a heart valve repair device that is intended to reduce moderate-to-severe or severe mitral regurgitation, a leakage of blood backward through the mitral valve into the heart’s left atrium that can cause heart failure symptoms such as shortness of breath, fatigue and swelling in the legs.

The heart-healthy Mediterranean diet is a healthy eating plan based on typical foods and recipes of Mediterranean-style cooking. Here's how to adopt the Mediterranean diet. By Mayo Clinic Staff

New research, published in the  Journal of the American College of Nutrition,  finds that adhering to the Mediterranean diet for just 4 days is enough to boost exercise performance.

Table 2   General recommendations for average volumes of local anesthetic for specific blocks are found in Table 1. In all cases one must never exceed  the  recommended toxic limits of local anesthetic (Table 2), which should be calculated in advance and must also take into account any addition local anesthetic dose administered to the patient by the anesthesiologist or surgeon . Local anesthetic systemic toxicity is a rare event during peripheral nerve blockade but must be assiduously avoided.

As corticosteroids are hormones, they can have a wide range of side effects.  the range and severity of the side effects will depend on two factors: what type of corticosteroid medicine how long patient is using it for.

IV therapy tips and tricks to hit the bullseye every time!

<< back to beginning Extubation of the ICU patient (Fig. 2 )

  << back to the beginning We conclude that there is low-level evidence to support the use of oral ketamine (150 mg/d or 0.5 mg/kg every 6 hours) and other NMDA-receptor antagonists such as

American Society of Regional Anesthesia and Pain Medicine, American Academy of Pain Medicine, and American Society of Anesthesiologists For spinal cord injury pain, there is weak evidence supporting ketamine infusions (0.42 mg/kg per hour to 0.4 mg/kg ranging from 17 minutes to 5 hours for 7 consecutive days) for short-term improvements in pain.

French Society of Anaesthesia and Intensive Care Medicine (SFAR) and French-speaking Intensive Care Society (SRLF)

Interpretation of Arterial Blood Gases (ABGs) David A. Kaufman, MD Chief, Section of Pulmonary, Critical Care & Sleep Medicine                 Bridgeport Hospital-Yale New Haven Health Assistant Clinical Professor, Yale University School of Medicine (Section of Pulmonary & Critical Care Medicine) Introduction: Interpreting an arterial blood gas (ABG) is a crucial skill for physicians, nurses, respiratory therapists, and other health care personnel. ABG interpretation is especially important in critically ill patients. The following six-step process helps ensure a complete interpretation of every ABG. In addition, you will find tables that list commonly encountered acid-base disorders. Many methods exist to guide the interpretation of the ABG. This discussion does not include some methods, such as analysis of base excess or Stewart’s strong ion difference. A summary of these techniques can be found in some of the...

First : Stop all infusion of potassium. Electrocardiographic Evidence of  Pending Arrest