By Pat Sullivan

ISBN-10: 0969980108

ISBN-13: 9780969980100

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Sample text

Anesthesiology 72262, 1990. Goldman L, Caldera DL, Nussbaum SR, et al: Multi-factoria1 index of cardiac risk in non cardiac surgical procedures. N Engl J Med 297:845, 1977. - , , ' , , ' , Chapter 3 Preoperative Assessmenf 19. Detsky AS, Abrams HB, Forbath N, et al: Cardiac assessment for patients undergoing non cardiac surgery: A multifactorial clinical risk index. Arch Intern Med 146:2131, 1986. 20. Tarhan S, Moffitt EA,Taylor WF, et al: Myocardial infarction after general anesthesia. JAMA 220:1451, 1972.

111. ) IV. To provide positive pressure ventllatlon during general anaesthesia. Additional indications for intubation under general anaesthesia include: long procedure anticipated, difficult mask ventilation, operative site near patients airway, thoracic cavity opened, muscle relaxants required, and if the patient is in a difficult position to maintain mask anaesthesia. V. Clinical signs of respiratory failure and fatigue. ). VI. e. not responding to medical management in the first 35 45 minutes).

The individual criteria are not absolute indications. They are to be used together, in the context of the patient's clinical presentation, in formulating a decision concerning the patients need for intubation. Case Studies on intubation decisions: Case 1: On the first day of your rotation, you are scheduled to assist with anaesthesia in the general surgical room. The first patient is a moderately obese forty year old female who is scheduled for an open cholecystectomy. What kind of anaesthesia should we provide for this patient?

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