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…
Medicare, Administrative, and Financial Matters in Caring for Geriatric Patients
Fig. 9.1 Comparison of US population shifts from 1965 to 2030 highlighting the impact of the baby boomer generation Scale represent millions.United States Census Bureau.https://www.census.gov/prod/2014pubs/p25-1141.pdf Given the existing methods of…
Geriatric Anesthesiology: Where Have We Been and Where Are We Going?
Fig. 1.1 Population aged 65 and over: 1900–2050. This figure depicts (bars) the 65 years old population of the USA from 1900 and projected to 2050. Note the marked increase…
Local Anesthetics and Regional Anesthesia
Fig. 19.1 Groups of nerve fibers are bundled together , along with capillaries and fibroblasts, to create a fascicle. Each fascicle is further surrounded by the perineurium, a dense connective…
