Pub Date : 1987-07-01DOI: 10.1213/00000539-198707000-00036
K. Golden
{"title":"Anesthesia and ENT surgery.","authors":"K. Golden","doi":"10.1213/00000539-198707000-00036","DOIUrl":"https://doi.org/10.1213/00000539-198707000-00036","url":null,"abstract":"","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"9 1","pages":"1-173"},"PeriodicalIF":0.0,"publicationDate":"1987-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/00000539-198707000-00036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66377441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunosuppression following cardiac transplantation.","authors":"J G Copeland, R W Emery, M M Levinson, T Icenogle","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"10 ","pages":"233-40"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14678385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An institutionwide commitment is necessary for the success of a liver transplantation program. Although the number of people available to manage anesthesia for such surgery may vary, a minimally staffed transplantation team must include a staff anesthesiologist, an anesthesia resident, one or two certified nurse-anesthetists, and a nonprofessional to obtain and run specimens to the laboratory and blood bank; the operating room must be connected by intercom and telephone to support services. Another technician may be present to collect specimens and data for research purposes. Additional staff anesthesiologists, certified nurse-anesthetists, and anesthesia residents should be on call for other emergency surgery. The staff of laboratory and blood bank facilities must participate wholeheartedly to meet ongoing requirements during a liver transplantation. Enormous quantities of packed red cells (up to 250 units), fresh-frozen plasma, platelets, and occasionally cryoprecipitate must be immediately available. In addition, the donor pool and the supply of on-hand blood must be large enough to prevent shortages of blood for other emergency or routine surgery. Liver transplantation procedures last an average of 12 hours and cannot easily be accommodated in a busy operating room schedule. It is not reasonable to expect other patients, other surgeons, the anesthesiology department, and the hospital to postpone routine or other emergency surgery while a liver transplantation is being performed. Thus, the hospital must provide facilities to accommodate such a program either by new construction or by remodeling or reassigning operating space.
{"title":"Anesthesia considerations for orthotopic liver transplantation.","authors":"L M Borland, D J Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An institutionwide commitment is necessary for the success of a liver transplantation program. Although the number of people available to manage anesthesia for such surgery may vary, a minimally staffed transplantation team must include a staff anesthesiologist, an anesthesia resident, one or two certified nurse-anesthetists, and a nonprofessional to obtain and run specimens to the laboratory and blood bank; the operating room must be connected by intercom and telephone to support services. Another technician may be present to collect specimens and data for research purposes. Additional staff anesthesiologists, certified nurse-anesthetists, and anesthesia residents should be on call for other emergency surgery. The staff of laboratory and blood bank facilities must participate wholeheartedly to meet ongoing requirements during a liver transplantation. Enormous quantities of packed red cells (up to 250 units), fresh-frozen plasma, platelets, and occasionally cryoprecipitate must be immediately available. In addition, the donor pool and the supply of on-hand blood must be large enough to prevent shortages of blood for other emergency or routine surgery. Liver transplantation procedures last an average of 12 hours and cannot easily be accommodated in a busy operating room schedule. It is not reasonable to expect other patients, other surgeons, the anesthesiology department, and the hospital to postpone routine or other emergency surgery while a liver transplantation is being performed. Thus, the hospital must provide facilities to accommodate such a program either by new construction or by remodeling or reassigning operating space.</p>","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"10 ","pages":"157-82"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14678540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiac transplantation: recipient selection criteria and pathophysiology and management of advanced heart failure.","authors":"S S Algeo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"10 ","pages":"47-72"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14678387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The total artificial heart.","authors":"R C Cork, J E Riley, J A Gallo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"10 ","pages":"133-56"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14678539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Many additional considerations go into the anesthetic management of an otolaryngologic case involving laser surgery. All these considerations involve techniques for facilitating cooperation between the anesthesiologist and the surgeon, while at the same time doing what's best for the patient. The additional risk of fire and inadvertent injury to either the patient or medical personnel should receive high-priority attention by both the surgeon and the anesthesiologist. In short, "vigilance" takes on additional and special meanings when a laser is in use.
{"title":"Anesthesia for otolaryngologic surgery involving use of a laser.","authors":"R C Cork","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many additional considerations go into the anesthetic management of an otolaryngologic case involving laser surgery. All these considerations involve techniques for facilitating cooperation between the anesthesiologist and the surgeon, while at the same time doing what's best for the patient. The additional risk of fire and inadvertent injury to either the patient or medical personnel should receive high-priority attention by both the surgeon and the anesthesiologist. In short, \"vigilance\" takes on additional and special meanings when a laser is in use.</p>","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"9 ","pages":"127-40"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14909091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cocaine applied by knowledgeable otolaryngologists is an excellent topical anesthetic agent. For procedures of the upper respiratory tract, it is unrivaled by the synthetic anesthetics. It possesses a short latency, an adequate duration of action, and a valuable inherent vasoconstrictive capability. To prevent accidental injection of cocaine solutions, we recommend that the solutions be colored by the pharmacy. Our recommended total dose for most adult procedures is 200 to 300 mg of cocaine. In the uncommon case in which this amount may be inadequate, injections of lidocaine with dilute epinephrine can be used to supplement the cocaine. To prevent overdosing, we recommend starting with a known amount, recording the amount given, and not exceeding this total dose. Familiarity with the pharmacology of cocaine is essential for its safe application in otolaryngology.
{"title":"Cocaine applications in otorhinolaryngologic anesthesia.","authors":"G T Hashisaki, M E Johns","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cocaine applied by knowledgeable otolaryngologists is an excellent topical anesthetic agent. For procedures of the upper respiratory tract, it is unrivaled by the synthetic anesthetics. It possesses a short latency, an adequate duration of action, and a valuable inherent vasoconstrictive capability. To prevent accidental injection of cocaine solutions, we recommend that the solutions be colored by the pharmacy. Our recommended total dose for most adult procedures is 200 to 300 mg of cocaine. In the uncommon case in which this amount may be inadequate, injections of lidocaine with dilute epinephrine can be used to supplement the cocaine. To prevent overdosing, we recommend starting with a known amount, recording the amount given, and not exceeding this total dose. Familiarity with the pharmacology of cocaine is essential for its safe application in otolaryngology.</p>","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"9 ","pages":"31-45"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14662162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Upper airway obstruction: diagnosis and management options.","authors":"G E Barratt, S W Coulthard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"9 ","pages":"73-96"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14662165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号