Complex LAD
Figure 7.1 Baseline LAD lesion. A highly calcified lesion is appreciated in the proximal and mid-LAD The mid-LAD was lesion was crossed using a Fielder wire loaded on a Finecross…
Downsizing Burr as a Strategy for Severe Calcific Stenosis
Figure 6.1 (a) Cranial view of left anterior descending artery showing long segment of diffuse disease from proximal to mid vessel. (b) White arrows indicate heavily calcified left anterior descending…
Inhalational Anesthetics
Fig. 16.1 Histologic sections of normal lung from a nonsmoking (a) 22-year-old homicide victim, and (b) a 75-year-old individual (hematoxylin and eosin stain, 2×) The destruction of alveolar walls results…
The Pharmacology of Intravenous Opioids
Fentanyl Alfentanil Sufentanil Remifentanil Morphine Methadone Meperidine Hydromorpho Volumes (L) V1 12.7 2.2 17.8 4.9 17.8 7.7 18.1 11.5 V2 50 7 47 9 87 12 61 115 V3…
Cardiovascular System
Fig. 11.1 Prevalence of hypertension , coronary artery disease, congestive heart failure, and stroke with aging (Based on data from Mozaffarian et al. [1]) Not only does the aging process…
Perioperative Management of Pacemakers and Internal Cardioverter-Defibrillators
Term Abbreviation Cardiovascular implantable electronic device CIED Internal cardioverter defibrillator ICD Cardiac resynchronization therapy CRT Beats per minute bpm Electrocardiogram EKG Milliseconds msec Sinoatrial (node) SA Atrioventricular (node) AV Atrium…
Perioperative Thermoregulation in the Elderly
Fig. 15.1 A cartoon illustrating roughly how humans regulate temperature. Temperature is sensed at the skin surface, deep tissues, the spinal cord, the brain, and the hypothalamus. Integration of thermal…
Anesthetic Implications of Chronic Medication Use
Fig. 21.1 Kaplan-Meier curves for (a) all-cause mortality, (b) vascular death, (c) sudden death and (d) admission of hospital in patients on baseline digoxin versus no baseline digoxin. *Applies to…
The Aging Respiratory System: Strategies to Minimize Postoperative Pulmonary Complications
Fig. 12.1 Static elastic recoil decreases throughout life starting around the age of 20. TLC total lung capacity. Shaded area represents mean ± 1 SD(This material has not been reviewed by the…
The Geriatrician’s Perspective on Surgery in the Geriatric Population
Physiology of aging Geriatric syndromes End-of-life care Preventive gerontology Ability to provide patient-centered care to older adults with complex health issues such as multimorbidity, frailty, and disability Ability to care…
