TAILIEUCHUNG - Ebook The clinical anaesthesia vivabook (2/E): Part 2

Part 2 book “The clinical anaesthesia vivabook” has contents: The short cases (intracranial pressure, major obstetric haemorrhage, myasthenia gravis, myasthenia gravis, obstructive sleep apnoea, previous anaphylaxis, ), the long cases. | P Pre-medication 205 time, then optimisation of hypertension, anti-convulsant therapy and fluid balance is indicated prior to delivery. Anaesthetic techniques for delivery If an urgent caesarean section is required, and there is no time to establish an epidural, then the choice is limited to spinal or general anaesthesia. Spinal anaesthesia theoretically may result in hypotension and uteroplacental insufficiency although several publications in the recent literature describe its successful use and safety. If a regional block is contra-indicated, for example, because of coagulopathy, or there is no time because of severe fetal distress, then general anaesthesia will have to be undertaken. Factors making GA in pre-eclampsia particularly hazardous include a higher chance of difficult intubation and a marked pressor response at laryngoscopy and intubation. There is a significant risk of intracerebral haemorrhage secondary to severe hypertension. Invasive monitoring should be established pre-induction if there is time. Post-delivery care Convulsions can occur up to 23 days after delivery. In the UK, up to 44% of fits occur in the puerperium. Fluid balance can remain difficult in the post-operative period. The most common time for pulmonary oedema to occur is in the first 48–72 hours post-delivery. This is probably as a result of large volumes of fluid given peri-operatively (in the face of oliguria and capillary-leak syndrome) mobilising from the extravascular space as the patient improves. Platelet count is lowest in the 24–48 hours post-delivery and HELLP presents after delivery in 30% of cases. This demonstrates that, although delivery of the baby is the ‘cure’, it may not be the end of the problem. The decision to send a patient to intensive care is made on the basis of her clinical condition (a patient may also be considered for intensive care pre-operatively). Bibliography Brodie H, Malinow AM. (1999). Anaesthetic management of pre-eclampsia/eclampsia. .

• Y khoa - Dược
• Intracranial pressure
• Major obstetric haemorrhage
• Myasthenia gravis
• Myasthenia gravis
• Obstructive sleep apnoea
• Previous anaphylaxis
• The short cases
• The clinical anaesthesia vivabook
• BMC Anesthesiology
• Intracranial pressure monitoring
• Elevated intracranial pressure
• Cerebral hemisphere
• Traumatic brain injury
• Cerebral perfusion pressure variability
• Severe traumatic brain injury outcomes
• The cerebrovascular resistance
• Abdominal surgery
• Epidural anesthesia
• Cerebral perfusion pressure
• Postoperative analgesia
• Bài giảng Tăng áp lực nội sọ
• Tăng áp lực nội sọ
• Raise intracranial pressure
• Điều trị Talns
• Triệu chứng tăng áp lực nội sọ
• biến chứng tăng áp lực nội sọ
• Hypertonic saline
• Acute elevated intracranial pressure
• Stroke patient
• Osmotic therapy
• Hemodynamic status
• Brain monitoring technology
• Neurocritical care informatics
• Comparing models
• Spontaneous variations
• Brain tissue oxygenation probes
• Intraventricular intracranial pressure monitoring
• Severe traumatic brain injury
• Older adults
• Intraventricular ICP monitoring
• Hematoma enlargement
• Brain herniation
• Hemorrhagic stroke
• Optic nerve sheath diameter
• Trendelenburg position
• Non neurologic patients
• Optic nerve
• Mouth gag
• Intraorbital pressure
• trình bày báo cáo
• tài liệu báo cáo khoa học
• báo cáo y học
• kiến thức y học
• nghiên cứu y học
• Floor Biomechanics
• Teaching Aikido
• Skull Mechanics
• Simple Beam
• Computational Model
• báo cáo khoa học
• công trình nghiên cứu về y học
• tài liệu về y học
• cách trình bày báo cáo
• công trình y học
• báo cáo hóa học
• công trình nghiên cứu về hóa học
• tài liệu về hóa học
• Textbook of neurointensive care
• Neurointensive care
• Altered mental status
• Complex spine surgery
• Neuroradiological imaging
• Intraoperative neuroanesthesia
• Cerebral blood flow
• Critical care
• The stroke patient
• Cerebrovascular disease
• External ventricular drainage
• Administrative considerations
• Airway procedures
• Vascular access procedures
• Neurological procedures
• Critical care procedure book
• Airway monitoring
• Lumbar puncture
• Percutaneous tracheostomy
• Pulmonary artery