Post-operative recovery and pain relief:
Gespeichert in:
| Hauptverfasser: | , , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
London ; Berlin ; Heidelberg ; New York ; Barcelona ; Budapest
Springer
1998
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII, 199 S. Ill., graph. Darst. |
| ISBN: | 3540760784 |
Internformat
MARC
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| 003 | DE-604 | ||
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| 100 | 1 | |a Eltringham, Roger |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Post-operative recovery and pain relief |c R. Eltringham, W. Casey and M. Durkin |
| 264 | 1 | |a London ; Berlin ; Heidelberg ; New York ; Barcelona ; Budapest |b Springer |c 1998 | |
| 300 | |a XII, 199 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 650 | 4 | |a Pain, Postoperative |x therapy |v Nurses' Instruction | |
| 650 | 4 | |a Post anesthesia nursing | |
| 650 | 4 | |a Postanesthesia Nursing |v Nurses' Instruction | |
| 650 | 4 | |a Postoperative Care |v Nurses' Instruction | |
| 650 | 4 | |a Postoperative Complications |x prevention & control |v Nurses' Instruction | |
| 650 | 4 | |a Postoperative care | |
| 650 | 4 | |a Postoperative pain | |
| 650 | 4 | |a Recovery Room |v Nurses' Instruction | |
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| 700 | 1 | |a Durkin, Michael |e Verfasser |4 aut | |
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Datensatz im Suchindex
| _version_ | 1804126017874296832 |
|---|---|
| adam_text | Contents
Cha pter 1 The Role of the Recovery Room 1
Introduction 1
Designing a Post anaesthesia Care Unit 1
Equipment 2
Equipment Required at Each Recovery Bay 3
Cardiorespiratory Equipment 3
Paediatric Equipment 4
Miscellaneous Equipment 4
Drugs and Intravenous Fluids 5
Safety 5
Pollution 5
Blood borne Infections 5
Staffing 6
Continuing Education and Training 7
Policies and Protocols 8
References and Bibliography 8
Chapter 2 Normal Recovery 9
Physiology of the Elimination of Drugs Used During Anaesthesia 9
Volatile Agents 9
Intravenous Induction Agents 9
Suxamethonium 9
Non depolarising Muscle Relaxants 10
Analgesics 10
Progress of Normal Recovery 10
Stage IV: Medullary Paralysis 11
Stage III: The Stage of Surgical Anaesthesia 11
Stage II: The Stage of Excitement 11
Stage I: The Stage of Analgesia 12
Care plan Nursing 12
Reception of the Patient 13
Basic Nursing Position and Safety 14
Routine Observations 14
Assessment of Colour 15
Peripheral and Central Cyanosis 15
Assessment of Respiratory Function 16
Assessment of Cardiovascular Function 16
Tissue Perfusion 16
vii
Pulse Measurement 17
Doppler Ultrasonic Recorder 17
Blood Pressure Measurement 18
Sphygmomanometer and Stethoscope 18
Oscillotonometer 19
Automatic Blood pressure Recording 19
Direct Arterial Pressure Measurement 20
Assessment of Level of Consciousness 23
Recognition of Blood Loss 24
Maintenance of the Airway 24
Insertion of Oropharyngeal Airway 25
Insertion of Nasopharyngeal Airway 26
Suction of the Upper Airway 27
Care of the Intubated Patient 28
Endotracheal Suction 28
Extubation 28
Care of the Patient with a Laryngeal Mask Airway (LMA) 29
The Ventilated Patient 29
Oxygen Therapy 30
Administration of Oxygen 30
Maintenance of Fluid Balance 33
Intravenous Fluid Therapy 34
Intravenous Infusions 34
Intravenous Infusion Drip Rates 34
Intravenous Injections 35
Blood Transfusion 35
Drainage Systems 37
Record Keeping and Charting 38
Criteria for Discharge 42
Discharge to a Ward 42
Discharge to Intensive Care or High dependency Unit 43
Transfer of Patient to Ward Staff 43
References and Bibliography 43
Cha pter 3 Pain Relief and Local Anaesthesia 45
Introduction 45
Gate control Theory of Pain 45
Methods of Pain Relief 47
Analgesic Drugs 47
Patient controlled Analgesia 49
Balanced Analgesia 49
Local Anaesthetic Techniques 53
Management of Toxic Reactions 54
Local Anaesthetic Agents 55
Specific Local Anaesthetic Blocks 56
Spinal Blockade 56
Epidural Blockade 57
Caudal Blockade 60
Local Infiltration 61
Intercostal Nerve Blockade 61
Contents ix
Intrapleural Blockade 61
Inguinal Field Blockade 62
Penile Nerve Block 62
Brachial Plexus Blockade 62
Intravenous Regional Anaesthesia (Bier s Block) 63
Digital Nerve Blockade 64
Femoral Nerve Blockade 64
Patient Management in the PACU 65
References and Bibliography 65
Chapter 4 Complications 67
Respiratory Complications 67
Signs of Hypoxaemia 67
Signs of Hypercarbia 67
Upper Airway Obstruction 68
Inadequate Ventilation (Hypoventilation) 70
Hypoxaemia 75
Bronchospasm 76
Aspiration of Gastric Contents 77
Pneumothorax and Haemothorax 78
Tension Pneumothorax 79
Cardiovascular Complications 80
Hypotension 80
Hypertension 83
Bradycardia 83
Tachycardia 85
Dysrhythmias 87
Cardiac Arrest 90
Initial Management 92
Miscellaneous Complications 93
Delayed Return of Consciousness 93
Restlessness, Excitement and Delirium 96
Nausea and Vomiting 97
Shivering 98
Convulsions 99
Hypothermia 100
Hyperthermia 101
Malignant Hyperthermia 102
Blood Transfusion Reactions 103
Problems Associated with Massive Blood Transfusion 104
Failure of Coagulation 106
Oliguria 109
References and Bibliography 111
Chapter 5 Recovery in Different Branches of Surgery 113
Emergency Surgery 113
Surgery for Trauma 113
Surgery in the Accident Department 114
Gastroenterology 114
Endoscopy 114
Upper Gastrointestinal Tract Bleeding 115
Surgery for Intestinal Obstruction or Peritonitis 115
Bowel Surgery. _ 115
Orthopaedic Surgery 116
Plaster Casts 116
Traction 117
Reduction of Fractures 117
Hip Operations 117
Fractured Vertebrae 118
Obstetrics and Gynaecology 118
Caesarian Section 118
Evacuation of Retained Products of Conception; Suction
Termination of Pregnancy 119
Laparoscopy 119
Hysterectomy 120
Ear, Nose and Throat Surgery. 120
Tonsillectomy 120
Laryngoscopy 121
Tracheostomy. 121
Operations on the Nose 122
Middle ear Surgery 123
Thyroid Surgery 123
Airway Problems 123
Thyroid Crisis or Storm 124
Dental and Faciomaxillary Surgery 124
Post operative Bleeding 124
Wiring of the Jaw 125
Fracture of the Zygomatic Arch 125
Mentally Handicapped Patients 125
Ophthalmic Surgery 125
Position 126
Intra ocular Pressure (IOP) 126
Pupil Size 126
Analgesia 126
Drug Interactions 126
Neurosurgery 126
Thoracic Surgery 130
Bronchoscopy 130
Thoracotomy 131
Pain Relief 132
Vascular Surgery 133
Pain Relief 134
Genito urinary Surgery 135
Prostatectomy 135
Nephrectomy... 136
Circumcision 137
Paediatric Surgery 137
Maintenance of Airway and Adequacy of Ventilation 137
Maintenance of Adequate Cardiovascular Function 139
Temperature Regulation 140
Contents xi
Fluid Balance 141
References and Bibliography 141
Chapter 6 Pre existing Factors Affecting Recovery 143
Premedication 143
Anaesthetic Technique 143
Intravenous Induction Agents 143
Long acting Inhalational Agents 144
Analgesic and Relaxant Technique 144
Regional Anaesthesia 144
Induced Hypotension 145
Ketamine 145
Pre operative Drug Therapy 146
Anti hypertensive Agents 146
Monoamine Oxidase Inhibitors (MAOIs) 146
Corticosteroids 147
Insulin and Hypoglycaemic Agents 147
Anticoagulants 147
Diuretics 147
Antibiotics 148
Digoxin 148
Respiratory Disease 148
Chronic Bronchitis 148
Asthma 149
Cardiovascular Disease 149
Coronary Artery Disease 149
Hypertension 150
Cardiac Failure 150
Pacemaker 150
Neuromuscular Disease 151
Myasthenia Gravis 151
Muscular Dystrophy 152
ParaDleeia 152
Liver Disease 152
Renal Disease 153
Endocrine Disorders 154
Diabetes Mellitus 154
Thyroid Disease 155
Hypothyroidism 155
Hyperthyroidism 155
Phaeochromocytoma 155
Porphyria 156
Haematological Disease 156
Iron deficiency Anaemia 156
Haemophilia 156
Sickle Cell Disease 157
Deficiency of Clotting Factors 158
Musculoskeletal Disease 158
Rheumatoid Arthritis 158
Osteoporosis 158
Ankylosing Spondylitis 159
Geriatric Patients 159
Pregnancy 160
Malnourishment 160
Obesity. 160
References and Bibliography 161
Chapter 7 Recovery and Day Surgery 163
Patient Selection 163
Social Circumstances 163
Medical Factors 164
Procedure Selection 164
Examples of Suitable Procedures 164
Pre admission Clinic 165
Documentation 166
Anaesthetic Management 166
Recovery from Anaesthesia 167
Discharge from the Hospital 167
Paediatrics 168
Management 169
Post anaesthetic Complications 169
Pain 169
Regional or Local Anaesthesia 169
General Anaesthesia 170
References and Bibliography 171
Chapter 8 Monitoring 173
ASA Classification 174
Routine Monitoring 174
Respiratory System 175
Cardiovascular System 176
Metabolic Systems 176
Neurological System 176
Specific Monitors 177
Electrocardiograph (ECG) 177
Arterial Pressure 179
Invasive Methods 179
Non invasive Methods 179
Pulmonary Artery Pressure 180
Oxygen Saturation 181
Neuromuscular Blockade 182
Carbon Dioxide Tension 183
References and Bibliography 183
Appendix A Drugs Commonly Used in the PACU 185
Appendix B Translations of Standard Recovery Phrases 191
Index 193
|
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| author | Eltringham, Roger Casey, William 1949- Durkin, Michael |
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| dewey-sort | 3617 3919 |
| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| format | Book |
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| id | DE-604.BV011497189 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T18:10:46Z |
| institution | BVB |
| isbn | 3540760784 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-007737290 |
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| owner_facet | DE-355 DE-BY-UBR DE-19 DE-BY-UBM |
| physical | XII, 199 S. Ill., graph. Darst. |
| publishDate | 1998 |
| publishDateSearch | 1998 |
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| publisher | Springer |
| record_format | marc |
| spelling | Eltringham, Roger Verfasser aut Post-operative recovery and pain relief R. Eltringham, W. Casey and M. Durkin London ; Berlin ; Heidelberg ; New York ; Barcelona ; Budapest Springer 1998 XII, 199 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Pain, Postoperative therapy Nurses' Instruction Post anesthesia nursing Postanesthesia Nursing Nurses' Instruction Postoperative Care Nurses' Instruction Postoperative Complications prevention & control Nurses' Instruction Postoperative care Postoperative pain Recovery Room Nurses' Instruction Patientenüberwachung (DE-588)4115513-0 gnd rswk-swf Genesung (DE-588)4156622-1 gnd rswk-swf Analgesie (DE-588)4001847-7 gnd rswk-swf Komplikation (DE-588)4123547-2 gnd rswk-swf Postoperative Phase (DE-588)4215423-6 gnd rswk-swf Postoperative Phase (DE-588)4215423-6 s Genesung (DE-588)4156622-1 s DE-604 Analgesie (DE-588)4001847-7 s Patientenüberwachung (DE-588)4115513-0 s Komplikation (DE-588)4123547-2 s Casey, William 1949- Verfasser (DE-588)173167144 aut Durkin, Michael Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007737290&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Eltringham, Roger Casey, William 1949- Durkin, Michael Post-operative recovery and pain relief Pain, Postoperative therapy Nurses' Instruction Post anesthesia nursing Postanesthesia Nursing Nurses' Instruction Postoperative Care Nurses' Instruction Postoperative Complications prevention & control Nurses' Instruction Postoperative care Postoperative pain Recovery Room Nurses' Instruction Patientenüberwachung (DE-588)4115513-0 gnd Genesung (DE-588)4156622-1 gnd Analgesie (DE-588)4001847-7 gnd Komplikation (DE-588)4123547-2 gnd Postoperative Phase (DE-588)4215423-6 gnd |
| subject_GND | (DE-588)4115513-0 (DE-588)4156622-1 (DE-588)4001847-7 (DE-588)4123547-2 (DE-588)4215423-6 |
| title | Post-operative recovery and pain relief |
| title_auth | Post-operative recovery and pain relief |
| title_exact_search | Post-operative recovery and pain relief |
| title_full | Post-operative recovery and pain relief R. Eltringham, W. Casey and M. Durkin |
| title_fullStr | Post-operative recovery and pain relief R. Eltringham, W. Casey and M. Durkin |
| title_full_unstemmed | Post-operative recovery and pain relief R. Eltringham, W. Casey and M. Durkin |
| title_short | Post-operative recovery and pain relief |
| title_sort | post operative recovery and pain relief |
| topic | Pain, Postoperative therapy Nurses' Instruction Post anesthesia nursing Postanesthesia Nursing Nurses' Instruction Postoperative Care Nurses' Instruction Postoperative Complications prevention & control Nurses' Instruction Postoperative care Postoperative pain Recovery Room Nurses' Instruction Patientenüberwachung (DE-588)4115513-0 gnd Genesung (DE-588)4156622-1 gnd Analgesie (DE-588)4001847-7 gnd Komplikation (DE-588)4123547-2 gnd Postoperative Phase (DE-588)4215423-6 gnd |
| topic_facet | Pain, Postoperative therapy Nurses' Instruction Post anesthesia nursing Postanesthesia Nursing Nurses' Instruction Postoperative Care Nurses' Instruction Postoperative Complications prevention & control Nurses' Instruction Postoperative care Postoperative pain Recovery Room Nurses' Instruction Patientenüberwachung Genesung Analgesie Komplikation Postoperative Phase |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007737290&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT eltringhamroger postoperativerecoveryandpainrelief AT caseywilliam postoperativerecoveryandpainrelief AT durkinmichael postoperativerecoveryandpainrelief |