Farmacologia e anestetici

The initial distribution volume of glucose (IDVG) is believed to be clinically relevant as a marker of cardiovascular and fluid management in critically ill patients without a significant modification of glucose metabolism. This book covers all aspects of IDVG measurement, including the basic concept, its relationship with other fluid volumes, and the clinical application of this technique in the intensive care unit.

L'interesse per la categoria degli anestetici inalatori negli anni settanta era molto elevata in considerazione anche del fatto che le tecniche analgesiche, e in particolare la neuroleptoanalgesia, sembravano sempre meno assorbire l'interesse degli anestesisti. Negli anni successivi l'attenzione degli addetti ai lavori si andò man mano spostando verso i vantaggi clinici che i nuovi anestetici introdotti in campo clinico, enflurane e isoflurane, presentavano nei confronti dell'halothane e, in particolare, venivano evidenziati i diversi effetti sui vari apparati. Negli ultimi anni si è assistito a un importante sviluppo della ricerca nel settore degli anestetici inalatori, che si è concentrata in particolare sul desflurane e sul sevoflurane, e che ha ben focalizzato il ruolo dei due alogenati nella pratica clinica tracciando anche un nuovo profilo sul loro impiego in situazioni cliniche specifiche. Sono inoltre emerse anche nuove proprietà di questi farmaci quali la cardioprotezione. È stato possibile tracciare una nuova visione della tecnica di anestesia più ampiamente impiegata, l'anestesia bilanciata inalatoria, e dei nuovi metodi di controllo dello stato di ipnosi. È stato messo in discussione l'estensivo impiego del protossido e sono state introdotte nuove metodiche di somministrazione. Questi nuovi e importanti elementi hanno indotto l'autore a preparare questa nuova edizione che ha incluso tutte le nuove tematiche.

Essential at-a-glance guidance whenever and wherever it's needed. Previously published as the "Anesthesia Drug Manual", this handy guide, now entitled "Perioperative Drugs", once again concisely reviews the essential pharmacokinetic and pharmacodynamic properties of more than 400 drugs in 36 drug classes to give readers an informed basis for sound decision-making. It enables clinicians to quickly review the pharmacologic properties of all of the drugs a patient might be taking, and to anticipate interactions between these medications and anesthetics. The concisely organized, templated format facilitates quick reference, and a PDA version makes it accessible any setting.

Meet the clinical challenge of the difficult and failed airway--with this updated full-color guide Includes DVD with clinical cases Written by the founders of The Difficult Airway Course: Anesthesia(R) and utilizing an instructive case-based approach, this text/DVD presents all of the leading-edge principles, tools, and procedures of airway assessment and management. The scope of the book encompasses the many airway devices that have been developed since the publication of the first edition, many of which have the potential to markedly enhance airway management. Extensively revised and updated, the second edition of Management of the Difficult and Failed Airway emphasizes how airway management is context-sensitive: included are strategies for treating patients in a range settings, from prehospital care to the ER, as well as proven techniques for special patient populations. In addition, new chapters have been added to further refresh the book's content and provide you with a solid grasp of the most critical topics in this fast-evolving area. The book's effective organization has been maintained, beginning with the first section's focus on the basic foundations of difficult and failed airways management. The second section reviews must-know airway devices and techniques, while the third part of the text introduces case studies that thoroughly examine the application of these techniques in complex clinical situations. A final section covers the practical considerations, such as difficult airway carts and teaching and simulation in airway management. FEATURES Skill-building, case-based approach highlights the right tools and techniques for stabilizing the patient, plus important safety precautions relevant to the clinical setting New "context-sensitive" focus links airway techniques to specific clinical environments, including airway cases in prehospital care, the emergency department, the critical care unit, and the operating room Essential new chapters cover the fundamental principles of bag-mask-ventilation, single lung ventilation using double lumen tubes, airway management in austere environment, in addition to airway education and simulation Mnemonics, easy-to-follow algorithms, and alternative strategies (Plan A, . Plan B, etc.) in every chapter reinforce pivotal concepts Chapter-ending questions offer effective self-assessment Accompanying DVD packed with case study videos visually explains common procedures in a learn-as-you-go style