Postanesthesia care unit:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, PA
Saunders
2012
|
| Schriftenreihe: | Anesthesiology clinics
30,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII S., S. 427 - 571 Ill., graph. Darst. |
| ISBN: | 9781455742097 |
Internformat
MARC
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| 245 | 1 | 0 | |a Postanesthesia care unit |c guest ed. Scott A. Falk |
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| 336 | |b txt |2 rdacontent | ||
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Datensatz im Suchindex
| _version_ | 1804149588324515840 |
|---|---|
| adam_text | Postanesthesia Care Unit
Contents
Foreword
ix
Lee A. Fleisher
Preface: Postoperative Care
xi
Scott
A. Falk
Interdisciplinary Rounds in the Postanesthesia Care Unit: A New
Perioperative
Paradigm
427
Nicole Hoke and Scott
A. Falk
Patients in the
perioperative
and postanesthesia care unit (PACLJ) experi¬
ence several transitions in patient care at the same time that the majority of
major morbidities will arise. The transitions for these patients are at the crit¬
ical juncture between surgery and a steady sustained recovery. Historically
these important medical problems have been addressed as a nonformal-
ized process. The authors have introduced a formalized process, based on
interdisciplinary rounding strategies used in intensive care units, to attend
patients and address problems.
Postoperative Considerations of Neuraxial Anesthesia
433
Jason Cwik
Spinal and epidural anesthesia and analgesia, and the combination of the
two techniques, have been excellent choices for the management of cer¬
tain surgical procedures and continue to grow in popularity. The demand
for increased patient mobility and quicker discharge for both inpatients
and outpatients lends itself to the benefits of regional anesthesia. A neu¬
raxial block is indicated for any surgical procedure in which the appropri¬
ate sensory level can be accomplished without any adverse outcome. This
article outlines the indications and contraindications for these techniques.
Perioperative
Glycémie
Control
445
Nicholas
Russo
Perioperative hyperglycemia
has potential significant adverse conse¬
quences of increased mortality and morbidity including surgical site infec¬
tion, renal insufficiency and anemia requiring transfusion. Both diabetiG
and non-diabetic patients are affected adversely by
perioperative
hypergly¬
cemia. However, these two subgroups do not necessarily benefit equally
from
perioperative
glycémie
control. Moreover, ideal target glucose range
as well as the appropriate patient population(s) for whom
glycémie
control
offers the most benefit have yet to be fully elucidated. However, there are
clear potential adverse consequences of tight control such as hypoglycemia.
Anxiolytic Use in the Postoperative Care Unit
467
W. Scott Jellish and Michael O Rourke
Postoperative anxiety has received less attention historically than
pre¬
operative
anxiety. Recognition that anxiety occurs throughout the perio-
perative period has led to increased interest in identifying and treating
Contents
anxiety
¡η
the postoperative period. This article outlines the causes of post¬
operative anxiety, how it is classified, the effects of anxiety on outcomes
after surgery, and some of the clinical procedures that produce the highest
levels of anxiety for patients. In addition, an attempt is made to delineate
the major risk factors for developing postoperative anxiety and the classic
therapeutic modalities used to reduce symptoms and treat the psycholo¬
gical manifestations of anxiety.
Management of Postoperative Nausea and Vomiting: How to Deal with
Refractory PONV
481
Johanna Jokinen, Andrew F. Smith,
Norbert Roewer,
Leopold H.J.
Eberhart,
and Peter
Kranke
Postoperative nausea and vomiting (PONV) constitutes a significant factor
in delaying recovery after anesthesia and impairing patient satisfaction. To
date the prevention of PONV using single or
multimodal
interventions,
usually based on risk assessment, has gained some popularity. However,
comprehensive implementation and knowledge transfer of the latest
accomplishments in the prevention of PONV is only slowly being adopted
into clinical practice. Preventing PONV is the first step in avoiding refrac¬
tory PONV. This review comments mainly on the management of refractory
PONV. As the data on coping with established PONV are rare, further stud¬
ies focusing on treatment of established PONV are needed.
Postoperative Noninvasive Ventilation
495
Patrick J. Neligan
General anesthesia and surgery are associated with changes in the shape
of the chest that result in atelectasis, a major factor in the development of
postoperative respiratory failure. Postoperative noninvasive positive pres¬
sure ventilation (NIPPV) has been shown to improve
oxygénation
and ven¬
tilation for high-risk patients. NIPPV has been used as rescue therapy for
patients developing acute respiratory distress postoperatively, and ap¬
pears to be most frequently successful in patients whose problem is atel¬
ectasis or obesity. Failure to respond to NIPPV after
20
minutes is usually
an indication of intubation, mechanical ventilation, and transfer to the in¬
tensive care unit.
Decreased Urine Output and Acute Kidney Injury in the Postanesthesia Care Unit
513
Kara Beth Chenitz and Meghan B. Lane-Fall
Decreased urine output and acute kidney injury (also known as acute renal
failure) are among the most important complications that may develop in
the postanesthetic period. In this article, the authors present definitions of
decreased urine output,
oligúria,
and acute kidney injury. They review the ep¬
idemiology, pathophysiology, and prevention of postoperative acute kidney
injury. Finally, the article offers approaches to diagnosis and management of
the postsurgical patient with decreased urine output or acute kidney injury.
Hemodynamic and Related Challenges: Monitoring and Regulation in the
Postoperative Period
527
Andrew
Plante,
Eliot Ro, and James R. Rowbottom
The clinician caring for patients in the immediate postoperative period must
maintain a high index of suspicion for the development of complications.
Contents
Evolving illness manifests itself throughout the continuum of care and must
be recognized and aggressively managed to ensure optimal outcome. This
article discusses common hemodynamic problems encountered in the
:
postanesthesia care unit. These problems are presented in a clinical frame¬
work that is familiar to experienced practitioners and recognizable to
trainees. This article reviews of these common problems including relevant
physiologic principles; effects on hemodynamics; and a logical approach to
evaluation, monitoring, and management of a complex postoperative
patient.
.
Perioperative
Quality and Improvement
555
Richard Morrow
Health care quality and safety are becoming more transparent, and con¬
sumers will increasingly value safety and quality rating in choosing where
they go for surgery.
Perioperative
services are major drivers to a hospital s
safety rating. Surgical services are often the most, or one of the most, prof¬
itable services, and loss of referrals and poor media reports will directly re¬
duce margins. This article aims to guide leaders and
perioperative
staff in
how to start improving
perioperative
quality and safety in health care and
surgical services.
Index
565
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| illustrated | Illustrated |
| indexdate | 2024-07-10T00:25:25Z |
| institution | BVB |
| isbn | 9781455742097 |
| language | English |
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| physical | XII S., S. 427 - 571 Ill., graph. Darst. |
| publishDate | 2012 |
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| publisher | Saunders |
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| series | Anesthesiology clinics |
| series2 | Anesthesiology clinics |
| spelling | Postanesthesia care unit guest ed. Scott A. Falk Philadelphia, PA Saunders 2012 XII S., S. 427 - 571 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Anesthesiology clinics 30,3 Aufwachstation (DE-588)4143432-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Aufwachstation (DE-588)4143432-8 s DE-604 Falk, Scott A. Sonstige (DE-588)102721391X oth Anesthesiology clinics 30,3 (DE-604)BV021538977 30,3 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025357821&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Postanesthesia care unit Anesthesiology clinics Aufwachstation (DE-588)4143432-8 gnd |
| subject_GND | (DE-588)4143432-8 (DE-588)4143413-4 |
| title | Postanesthesia care unit |
| title_auth | Postanesthesia care unit |
| title_exact_search | Postanesthesia care unit |
| title_full | Postanesthesia care unit guest ed. Scott A. Falk |
| title_fullStr | Postanesthesia care unit guest ed. Scott A. Falk |
| title_full_unstemmed | Postanesthesia care unit guest ed. Scott A. Falk |
| title_short | Postanesthesia care unit |
| title_sort | postanesthesia care unit |
| topic | Aufwachstation (DE-588)4143432-8 gnd |
| topic_facet | Aufwachstation Aufsatzsammlung |
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