Skyscape Web Viewer : Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management : Main Index

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See Prothrombin complex concentrate (PCC) B.1. What is dabigatran (Pradaxa)? How is its effect measured? How far in advance of elective surgery should it be stopped? Can its effect be reversed? C.21. What concentrated factors and hemostatic agents are available for bleeding patients? C.9. Two hours later, estimated blood loss (EBL) is approximately 2 L and the patient has been resuscitated with 3 units of packed red blood cells (pRBCs), 229 mL intraoperative cell salvage (cell saver), and 500 mL albumin in addition to 4 L crystalloid. The surgeon says the field is still "oozy" and there is ongoing blood loss. What are your concerns for resuscitation moving forward? How will you guide your resuscitation? Traumatic Brain Injury (TBI) B.9. What coagulation abnormalities are present after TBI? What modalities can be used to provide hemostasis and reduce intracranial hematoma expansion? C.22. What is thromboelastometry? How can it guide transfusion? See Prothrombin complex concentrate (PCC)
Pacemakers, permanent (PPMs)
Pain management, postoperative
See Patient-controlled epidural analgesia, in bariatric surgery (PCEA) A.7. What are the usual doses and concentrations of the anesthetic combinations commonly employed in epidural analgesia? A.1. What is your advice to this patient for the planned open reduction and internal fixation (ORIF) of her right hip and postoperative pain relief? D.6. How would you control postoperative pain? What are the sources of surgical pain? What is the role of regional anesthesia in the bariatric surgery?
See Pseudocholinesterase (PChE) A.4. What is the mechanism of action of succinylcholine, and how is it metabolized? What are the side effects of succinylcholine? A.8. What are some factors that can lower PChE levels? Metoclopramide Postoperative Residual Neuromuscular Weakness and Prolonged Apnea A.6. What are acetylcholinesterase and plasma cholinesterase? What is the clinical significance of heterozygosity for atypical pseudocholinesterase (PChE)? B.1. How is the choice of NMBA made? Neostigmine Succinylcholine
PCIA. See Patient-controlled intrathecal analgesia, in bariatric surgery (PCIA)
See Pulmonary capillary wedge pressure (PCWP) A.3. Describe IABP inflation and deflation timing. B.5. What is part of the LVAD assessment process? C.3. What additional monitors would you employ? C.7. What are the hemodynamic changes of aortic cross-clamp placement? What efforts can be made to minimize these changes both before and during cross-clamping? If the patient develops ST-segment depressions with a rising pulmonary capillary wedge pressure (PCWP) during cross-clamp, what maneuvers should be taken? Nitroglycerin Abdominal Aortic Aneurysm Repair C.2. What various monitors are available for myocardial ischemia? Is a pulmonary artery catheter (PAC) helpful in determining the occurrence of ischemia? C.4. What is the pathophysiology of aortic clamping and unclamping? Nicardipine See Pulmonary capillary wedge pressure (PCWP)
See Pulsed-dye laser, for laryngeal lesions (PDL) C.3. What is a laser and how does it work? C.5. What are some advantages of using lasers for laryngeal surgery?
Paired donor exchange transplant program
Palatoplasty
Palonosetron
PAOP
Paracentesis, preoperative, for liver transplantation
Paradoxical air embolism (PAE), in craniotomy
Paraneoplastic syndromes, neurologic
Parkland formula, for fluid resuscitation
See Pericardial decompression syndrome (PDS) C.7. What is pericardial decompression syndrome (PDS)? Cardiac Tamponade
Pediatrics
Pericardium
See Pain management, perioperative C.9. What are the strengths, weaknesses, benefits, and challenges of ERAS? D.5. You were able to perform a continuous spinal epidural (CSE) at L3-L4 and used 0.125% bupivacaine via the epidural catheter for postoperative pain control. The patient reports that he is comfortable regarding both his back pain and his ankle pain. What benefit would continuing methadone confer in this case? See Pain management, perioperative A.4. What would be your perioperative analgesic strategy? D.2. Why is it important to control postoperative pain? How would you achieve this? Perioperative Pain Management and Multimodal Pain Management
Peripheral nerve stimulation A.13. What can affect the accuracy of a two-wavelength pulse oximeter? B.2. What interventional treatments are available and how should they be used? B.18. What is neuromodulation? What is the role of stimulation-based therapies in treating CRPS?
Peripheral nerve stimulator C.1. How would you monitor this patient? C.10. Which neuromuscular blocking agents would you use? Why? C.6. What monitors and devices would you apply to the patient? Why? C.II-18. Would you give NMBDs during CPB? How is their action affected during CPB? Vecuronium B.8. How accurate are qualitative estimates of the TOF ratio, and what purpose do peripheral nerve stimulator (PNS) monitors serve? C.1. What monitors would you use in this functional New York Heart Association (NYHA) class II patient during cesarean delivery? C.2. How should this patient be monitored intraoperatively? C.7. Which neuromuscular blocking agent would you use? Postoperative Residual Neuromuscular Weakness and Prolonged Apnea
See Pacemakers, permanent Cardiac Implantable Electronic Devices A.1. What are the indications for permanent pacemakers (PPMs)?
Persistent
Phenoxybenzamine A.14. What is the mechanism of action of the major antihypertensive drugs? B.2. How do you pharmacologically prepare the patient with a pheochromocytoma for surgery? B.14. What is the pharmacologic management of CRPS? D.1. What is the significance of postoperative hypotension? How is it treated?
PAS
PCA
Phentolamine A.14. What is the mechanism of action of the major antihypertensive drugs? C.10. During the surgery, the blood pressure increases to 220/120 mm Hg. How would you treat the hypertension? B.15. What is the role of intravenous regional block (Bier block) in diagnosis and treatment of CRPS? C.4. What drugs are used to control the effects of catecholamine stimulation during surgery?
Phenylephrine
Physical therapy B.1. What are the noninterventional treatments available? B.2. What interventional treatments are available and how should they be used? D.2. What physical modalities have been successful in cancer pain management? H.3. How will you recognize when the patient is ready for tracheal extubation? A.2. What are the nonsurgical treatment options for back pain? B.13. How will you treat this patient? D.1. What are the various nonpharmacologic techniques of cancer pain management? G.2. What is the adjunctive medical therapy for ARDS?