By Gandhi, Manju N.
Varieties of emergency situations divided into 9 sections to hide majority of the emergencies that it is easy to encounter and all of the perioperative facets of emergency anesthesia are lined in nice element besides cures. normal issues for adults, obstetric and pediatric sections were written individually to prevent duplication . part on common rules for emergency anesthesia and obstetric part covers situations with numerous clinical problems for emergency surgical procedures. Key issues are defined initially of every bankruptcy for speedy learn. This publication is an attem. Read more...
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Additional resources for A Practical Approach To Anesthesia For Emergency Surgery
Thirdly the chance of aspiration is diminished with rapid sequence intubation (RSI) by applying cricoid pressure, refraining from positive pressure ventilation after neuromuscular blocking agents and before tracheal intubation is accomplished. Laryngoscopy and intubation should be attempted only when neuromuscular blockade is adequate. One must be ready with airway rescue plan in case intubation is not successful with three repeated attempts by experienced anesthesiologist. Muscle relaxants are used to facilitate the intubation during rapid sequence intubation.
Chest X-ray: To know pulmonary congestion secondary to heart failure, dilatation of the heart in hypothyroidism and may help in diagnosing the retrosternal goiter. • Neck X-ray: Anterior and lateral view to look for deviation and compression of the trachea in case of thyroid swelling. • Cardiogram: Absolutely necessary as often depicts tachycardia, tachyarrhythmias (hyperthyroidism), bradycardia, low voltage ECG (hypothyroidism). • Target echocardiography: To know the heart function as there is often heart failure.
Hence, only the salient points about the history, examination, investigations and treatment are mentioned. The stress is given on emergency management of the condition and its anesthetic implications. General Section 1: Anaesthesia for Considerations Neurosurgical Procedures Section I PATIENT WITH THYROID DISEASE The thyroid gland is responsible for maintaining the optimum level of metabolism in the tissues leading to their normal functioning. 1 Its absence causes physical, metabolic and mental slowing, mental retardation in children and dwarfism.