13 April 2009

Anesthesia for the Obese Patient



Anesthesia for the Obese Patient
By
Ireatha L. Wardsworth

Topics discussed

* Anesthetic management: preanesthetic evaluation Includes
• Medications
• Laboratory Tests
• Cardiac Assessment
• Respiratory Evaluation
• Airway Evaluation
• Vascular Access
• Cardiac Assessment

* Anesthetic management: preparation includes
• Equipment
• Monitoring
• Aspiration prophylaxis
• Airway equipment

* Anesthetic management:maintenance includes
• Intubation
• Effects of General Anesthesia on Respiration
• Choice of Anesthetic Technique
• Volume Replacement
• Intraoperative Positioning
• Integumentary Concerns
• Extubation
• Regional Anesthesia

* Anesthetic management: postoperative care includes
• Medications
• Laboratory Tests
• Cardiac Assessment
• Respiratory Evaluation
• Airway Evaluation
• Vascular Access

Anesthesia for the Obese Patient

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Anesthesia for Total Hip and Knee Arthroplasty



Anesthesia for Total Hip and Knee Arthroplasty
by
Nigel E. Sharrock, MB, ChB
Dept. of Anesthesiology, Hospital for Special Surgery
New York, NY

Typical approach
* Describe anesthesia technique

Rather
* Describe issues with THA and TKA
* How anesthesia can modify

Hypotensive Anesthesia
Hypotensive Epidural Anesthesia
Thromboembolism – THR
Selective Heparinization during Total Hip Arthroplasty
Pain – THA
Analgesia
Mortality
Spinal/Epidural Anesthesia
Total Knee Arthroplasty
and more are covered in this presentation.

Anesthesia for Total Hip and Knee Arthroplasty

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Surgical Anesthesia Components



Surgical Anesthesia Components
by
Jose D. Chinchilla, LVT, RLATG
Training Coordinator
Priority One Services

A Components Introduction
Anesthesia Components

o Frame
o Regulator
o Flowmeter
o Oxygen Flush Assembly
o Vaporizer
o Anesthetic Supply System
o Scavenging System
o Anesthesia Machine

Anesthesia Components Introduction

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