Download Clinical Anesthesia Procedures of the Massachusetts General by William E. Hurford, Michael T. Bailin, J. Kenneth Davison, PDF

By William E. Hurford, Michael T. Bailin, J. Kenneth Davison, Kenneth L. Haspel, Carl E. Rosow, Susan A. Vassallo

Trusted for two decades through resident and working towards anesthesiologists and CRNAs, this best-selling pocket reference is now in its 6th variation. In easy-to-scan define layout, it presents present, complete, concise, constant, and clinically suitable directions for anesthesia tactics during the preoperative, intraoperative, and postoperative classes. every one bankruptcy is written through a Massachusetts basic medical institution resident with a college mentor, and the total ebook has been reviewed, up-to-date, and field-tested by means of the anesthesia employees. This variation comprises new info on muscle relaxants, opioids, minimally invasive belly surgical procedure, pediatrics, end-of-life concerns, and latex asthma, plus a complete, alphabetical drug appendix. medical Anesthesia strategies of the Massachusetts basic health facility, 6th variation, is now to be had electronically for hand-held desktops. See PDA directory for information in this new digital model, edited by means of Peter Dunn, MD of the Massachusetts basic medical institution.

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Adrenal insufficiency. In: Bardin CW, ed. Current therapy in endocrinology and metabolism, 6th ed. New York: Mosby, 1997:142–147. Napolitano LM, Chernow B. Guidelines for corticosteroid use in anesthetic and surgical stress. Int Anesthesiol Clin 1988;26:226–232. Oelkers W. Adrenal insufficiency. N Engl J Med 1996;335:1206–1212. Salem M, Tainsh RE, Bromberg J, et al. Perioperative glucocorticoid coverage. Ann Surg 1994;219:416–425. Pheochromocytoma Kenady DE, McGrath PC, Sloan DA, et al. Diagnosis and management of pheochromocytoma.

Myasthenia gravis may be seen in some Graves patients (30-fold increased incidence), so relaxants should be titrated carefully. Large goiters may displace the trachea and compromise the airway. D. Hypothyroidism 1. Etiologies of hypothyroidism. Insufficient synthesis of thyroid hormone may be congenital, result from ablation (surgery, radioiodine), or follow radiation therapy. Other causes include Hashimoto thyroiditis, iodine deficiency, drug therapy (lithium or phenylbutazone), and late phase subacute thyroiditis.

Hypercalcemia may also respond to salmon calcitonin (4 to 8 IU/kg every 12 hours). Glucocorticoid therapy is effective in some cases of multiple myeloma, although not in other causes of hypercalcemia. d. Anesthetic considerations. Hypercalcemia warrants correction. Intravascular volume and other electrolyte abnormalities should be normalized. Hypercalcemia has an unpredictable effect on neuromuscular blockade so relaxants should be carefully titrated. Careful positioning is required, because these patients can be osteoporotic.

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