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Monitoring in anesthesia and perioperative care

Author: David L ReichRonald A KahnAndrew B LeibowitzAlexander J MittnachtMarc E StoneAll authors
Publisher: Cambridge : Cambridge University Press, 2011.
Series: Cambridge medicine (Series)
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
"Monitoring in Anesthesia and Perioperative Care is a practical and comprehensive resource documenting the current art and science of perioperative patient monitoring, addressing the systems-based practice issues that drive the highly regulated health care industry of the early twenty-first century. Initial chapters cover the history, medicolegal implications, validity of measurement, and education issues relating  Read more...
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Genre/Form: Electronic books
Additional Physical Format: Print version:
Monitoring in anesthesia and perioperative care.
Cambridge : Cambridge University Press, 2011
(DLC) 2010045695
(OCoLC)672979004
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: David L Reich; Ronald A Kahn; Andrew B Leibowitz; Alexander J Mittnacht; Marc E Stone; James B Eisenkraft
ISBN: 9781139127172 1139127179 9781139116510 1139116517
OCLC Number: 759865310
Description: 1 online resource (xii, 419 pages) : illustrations (some color).
Contents: Cover; Title; Copyright; Contents; Contributors; Foreword; Preface; 1 The history of anesthesia and perioperative monitoring; Introduction; Early advocacy of monitoring the pulse and respiration; Auscultation of heart tones; The anesthesia record; Indirect measurement of arterial blood pressure; Eye signs of anesthesia depth; Direct measurement of arterial blood pressure; The electrocardiogram in the operating room; Central venous and pulmonary artery catheterization; Monitoring of oxygenation, blood gases, and acid-base status; Neuromuscular monitoring; Safety-driven monitoring standards. AcknowledgmentsReferences; 2 Medicolegal implications of monitoring; Introduction; Burden of proof; Monitoring standards; Monitoring beyond the standards; Importance of training; Physiologic alarms --
unintended consequences?; Conclusions; Acknowledgment; References; 3 Validity, accuracy, and repeatability of monitoring variables; Introduction; What is the monitored variable?; How is the variable measured?; How accurate is the measurement?; How reproducible is the measurement?; Conclusions; References; 4 Teaching monitoring skills; Introduction. Philosophical framework for teaching monitoring skills in perioperative medicinePreoperative phase; Intraoperative phase; Postoperative phase; Role of simulation in teaching monitoring skills; History and classification of medical simulation; General uses and benefits of simulated patients; Utility of simulation for monitoring skills development; References; 5 Electrocardiography; Introduction; Technical concepts; Historical perspective; Power spectrum of the ECG; Frequency response of ECG monitors: monitoring and diagnostic modes; Intrinsic and extrinsic artifacts; Lead systems. History and description of the 12-lead systemDetection of myocardial ischemia; Pathophysiology of ST segment responses; ECG manifestations of ischemia; Perioperative ECG ischemia monitoring; Perioperative arrhythmia monitoring; Summary; References; 6 Arterial pressure monitoring; Introduction; Technical concept; General principles; Noninvasive BP measurement; Invasive arterial blood pressure monitoring; Arterial cannulation; Arterial cannulation sites; Arterial pressure waveform; Coupling system and pressure transducers; Characteristics of a pressure measurement system. Evidence of utility (clinical outcome)Complications; Credentialing; Practice parameters (indications for arterial BP monitoring); Contraindications; References; 7 Central venous and pulmonary artery catheterization; Introduction; Technical concept; Techniques and insertion sites; Ultrasonic guidance of IJV cannulation; External jugular vein; Subclavian vein; Antecubital veins; Femoral vein; Pulmonary artery catheterization; Parameters monitored; Central venous pressure; PAC; Evidence of utility; CVP monitoring; PAC monitoring; Patients undergoing cardiac surgery.
Series Title: Cambridge medicine (Series)
Responsibility: [edited by] David L. Reich, Ronald A. Kahn, Andrew B. Leibowitz, Andrew J. Mittnacht, Marc E. Stone, James B. Eisenkraft.

Abstract:

Describes the devices, techniques and principles of perioperative monitoring of surgical patients, covering the entire armamentarium used by modern anesthesiologists.  Read more...

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