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…
Intravenous Sedatives and Anesthetics
Cardiovasculara Respiratorya Cerebrala Agent HR MAP Vent B’dil CBF CMRO2 ICP Propofol 0/↓↓ ↓↓↓ ↓↓/↓↓↓ ? ↓↓↓ ↓↓↓ ↓↓↓ Thiopental ↑↑/↑ ↓↓/↓↓↓ ↓↓/↓↓↓ ↓ ↓↓↓ ↓↓↓ ↓↓↓ Etomidate 0…
Palliative Care for the Anesthesia Provider
1997 recommendations for end-of-life care 1. Raise the issue. People should think about, talk about, and learn about decisions they may face, as they or those they love approach death…
Pain Management
Amiodarone (Cordarone®) Fluoxetine (Prozac®) Haloperidol (Haldol®) Paroxetine (Paxil®) Propafenone (Rythmol®) Quinidine Ritonavir (Norvir®) Terbinafine (Lamisil®) Thioridazine (Mellaril®) Based on data from Ref. [64] Oxycodone is metabolized by CYP2D6; therefore, patients…
Geriatric Anesthesia: Age-Dependent Changes in the Central and Peripheral Nervous Systems
Fig. 10.1 Several age-related changes are shown in this image. (a) The impact of aging on neurotransmitter receptors is illustrated. (b) AP traces of both young and aged neurons are…
Neuromuscular Blocking and Reversal Agents
Fig. 20.1 The relationship between plasma metocurine (o-o) and d-tubocurarine (□-□) in young and elderly patients and their depth of neuromuscular block. Values for the young are represented by the…
Anesthesia for Common Nonoperating Room Procedures in the Geriatric Patient
Minimal Patient responds appropriately to normal-volume verbal cues, through voice or action. The response is immediate Moderate Patient responds purposefully to verbal or light tactile stimulus. The response is either…
Musculoskeletal and Integumentary Systems
Fig. 14.1 Changes in skin with age contribute to impaired wound healing (Reprinted from Bentov and Reed [2]. With permission from Wolters Kluwer Health) Aging and the Incisional Wound Age is…
Improving Perioperative Functional Capacity: A Case for Prehabilitation
Fig. 6.1 The red line represents the trajectory of functional capacity for patients receiving usual care which doesn’t include a preoperative exercise and nutrition program. The green line represents the…
Postoperative Cognitive Impairment in Elderly Patients
Tool Clinical application Additional information Confusion Assessment Method (CAM) Sensitivity: 94–100% Specificity: 90–95% [13, 16] General use in at-risk patients CAM Long: comprehensive questionnaire for nonpsychiatrist clinicians CAM Short: Assesses…
