© Springer International Publishing AG 2018J. G. Reves, Sheila Ryan Barnett, Julie R. McSwain and G. Alec Rooke (eds.)Geriatric Anesthesiologyhttps://doi.org/10.1007/978-3-319-66878-9_25 25. Special Concerns of Intraoperative Management in Orthopedic Procedures John P. Williams1 , Catalin Ezaru2 and Lynn Cintron3 (1) Department of Anesthesiology,…
Fig. 23.1 Probability of incurring a morbid event during the perioperative cardiac surgical period and its association with age. Neurologic deficits increase dramatically beginning at age 65, whereas low cardiac…
Postoperative nausea and vomiting Analgesics Corticosteroids (for prophylaxis) Barbiturates Transdermal scopolamine Benzodiazepines Metoclopramide Hypnotics (i.e., zolpidem) Promethazine Pentazocine Prochlorperazine Meperidine Skeletal muscle relaxants Non-COX NSAIDs Reprinted from Mohanty et al….
High hepatic extraction ratio Morphine Lidocaine Verapamil Propranolol Nitroglycerin Etomidate Propofol Ketamine Naloxone Intermediate hepatic extraction ratio Aspirin Codeine Hydromorphone Nortriptyline Diphenhydramine Etomidate Low hepatic extraction ratio Warfarin Phenytoin Diazepam…
Theories involving DNA DNA damage mtDNA damage Telomere shortening Transposable element activation Epigenetic modification Error catastrophe Accumulation theories Clinker theories Lipofuscin Cross-links Advanced glycation end products Misfolded protein aggregates Clunker…
Fig. 3.1 Principles of a geriatric ethic derived from Hauerwas’ dimensions of human nature (Based on data from Ref. [26]) Informed Consent in the Elderly Respect for Personal Autonomy Many ethical…
Fig. 5.1 Typical diagrams of modern PSH interactions with patient involvement the central focus The intraoperative team concentrates on (1) continuing and enhancing ERAS protocols, (2) assessing and reducing costs…
Fig. 32.1 Heterogeneity : remarkable RUL emphysema (gradient RUL vs. ML/RLL = 56.5 pp). Note fissure completeness (VIDA™ estimate, 99%). ML middle lobe, RLL right lower lobe, RUL right upper lobe Fig. 32.2…
Fig. 34.1 Percutaneous tracheostomy team Fig. 34.2 Equipment needed Fig. 34.3 Cricoid cartilage and sternal notch Fig. 34.4 Sterile preparation Fig. 34.5 Sterile drape Fig. 34.6 One percent lidocaine with…
Fig. 36.1 Peanut identified in the left mainstem bronchus Inorganic Inorganic material can further be divided into metallic and plastic materials. Metallic foreign bodies that are often implicated include different…
