By Peter S.A. Glass MD
This factor brings the anesthesiologist modern on present crucial subject matters in ambulatory anesthesia. issues lined contain obstructive sleep apnea, pediatric ambulatory anesthesia, supraglottic airway units, matters in office-based ambulatory anesthesia, complicated sedation, the position of neighborhood anesthesia within the ambulatory setting, neighborhood catheters, postoperative soreness administration for the ambulatory sufferer, and updates on PONV and PDNV. Authors additionally discover the questions of ways a lot checking out might be performed, find out how to make your self ASC fascinating to sufferers and surgeons, and extra.
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Additional resources for Ambulatory Anesthesia, An Issue of Anesthesiology Clinics (The Clinics: Surgery)
33 The ASA guidelines, however, remain equivocal regarding whether combined regional and general anesthetics techniques are useful. PLANNING FOR POSTOPERATIVE ANALGESIA Optimal intraoperative management encompasses knowledge of the problems associated with OSA, and taking measures to minimize the aggravating effects of anesthesia. Patients with OSA are sensitive to the respiratory depressant effects of anesthetic drugs, in particular opioid analgesic agents. This sensitivity is largely a result of the propensity of airway collapse, sleep deprivation, and blunting of the physiologic response to hypercarbia and hypoxia.
Short- and long-term effects of PAP on upper airway anatomy and collapsibility in OSAH. Sleep Breath 2009;13:187–93. 44. Li RH, Zeng Y, Wang YJ, et al. [Perioperative management of severe obstructive sleep apnea hypopnea syndrome]. Nan Fang Yi Ke Da Xue Xue Bao 2006;26: 661–3 [in Chinese]. 45. Kheterpal S, Han R, Tremper KK, et al. Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology 2006;105:885–91. 46. Siyam MA, Benhamou D. Difficult endotracheal intubation in patients with sleep apnea syndrome.
14. Chung F, Ward B, Ho J, et al. Preoperative identification of sleep apnea risk in elective surgical patients using the Berlin questionnaire. J Clin Anesth 2007;19:130–4. 15. Fleetham J, Ayas N, Bradley D, et al. Canadian Thoracic Society guidelines: diagnosis and treatment of sleep disordered breathing in adults. Can Respir J 2006; 13:387–92. 16. Iber C, Ancoli-Israel S, Cheeson A, et al. The AASM manual for the scoring of sleep and associated events, rules, terminology and technical specifications.