Refresher courses in anesthesiology最新文献_第3页

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000020

A. Hadžić, M. Latmore, M. Levine, C. Vandepitte, Caroline Vloka

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Anesthesia-centric Advanced Cardiac Life Support 以麻醉为中心的高级心脏生命支持

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000016

M. O’Connor, G. Maccioli

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Radiofrequency Ablation for the Treatment of Spine Pain: Understanding the Basic Principles and Clinical Application 射频消融治疗脊柱疼痛:了解基本原理和临床应用

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000001

D. Provenzano

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Controversies in Critical Care: Glycemic Control 重症监护中的争议:血糖控制

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000018

B. Fahy

{"title":"Controversies in Critical Care: Glycemic Control","authors":"B. Fahy","doi":"10.1097/ASA.0000000000000018","DOIUrl":"https://doi.org/10.1097/ASA.0000000000000018","url":null,"abstract":"The pertinent perioperative issue of glucose control in known diabetics and in patients who exhibit stressinduced hyperglycemia is the focus of this chapter. With 8.3% of the population of the United States (approximately 26 million individuals) suffering from diabetes mellitus, the issue of glycemic control in the perioperative period will be encountered by every US anesthesiologist. The vast majority (more than 90%) of these patients suffer from a type of diabetes that results from inadequate production of insulin, lack of responsiveness to the insulin produced, or excessive gluconeogenesis; a combination of these factors may also be present. Evidence-based medicine (EBM) can help guide management. The evidence currently available and limitations of its application during the perioperative period will be reviewed, including the basis for the evidence supporting clinical recommendations and areas where additional research and data may be needed. The risks imposed by inadvertent hypoglycemia will be discussed and will provide a framework to address current controversies that clinicians face when attempting to optimize the care of patients with perioperative hyperglycemia based on EBM (Supplemental Digital Content 1, http://links.lww.com/ ASA/A497).","PeriodicalId":91163,"journal":{"name":"Refresher courses in anesthesiology","volume":"42 1","pages":"46-54"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ASA.0000000000000018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62016740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Advanced Trauma Life Support® (ATLS®) Update: What Every Anesthesiologist Should Know 高级创伤生命支持®(ATLS®)更新:每个麻醉师都应该知道的事情

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000019

M. Mccunn

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Physiological Brain Monitoring 脑生理监测

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000002

Martin R. Smith

{"title":"Physiological Brain Monitoring","authors":"Martin R. Smith","doi":"10.1097/ASA.0000000000000002","DOIUrl":"https://doi.org/10.1097/ASA.0000000000000002","url":null,"abstract":"Several techniques are available for global and regional brain monitoring that provide an assessment of cerebral perfusion, oxygenation, and metabolic status, and early warning of impending brain hypoxia and ischemia (Supplemental Digital Content 1, http:// links.lww.com/ASA/A397). Some monitoring modalities are well established, whereas others are relatively new to the clinical arena and their indications are still being evaluated; all have advantages and disadvantages (Table 1). The general indications for intracranial monitoring are summarized in Table 2. Monitoring of several physiological variables simultaneously (multimodal monitoring) has enabled a move away from rigid physiological target setting to an individually tailored, patient-specific approach toward management after acute brain injury. The pathophysiology of acute brain injury is complex and involves the interrelation between changes in cerebral blood flow (CBF), cerebral oxygen and glucose delivery and utilization, and electrophysiological derangements, with substantial regional and temporal heterogeneity. Although intracranial pressure (ICP) and cerebral perfusion pressure (CPP) are crucially important and are routinely monitored, they do not provide an assessment of the adequacy of cerebral perfusion. Therapeutic targets and choice of therapy are therefore best determined by multimodal monitoring.","PeriodicalId":91163,"journal":{"name":"Refresher courses in anesthesiology","volume":"42 1","pages":"119-128"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ASA.0000000000000002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62015276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fifty Facts in Fifty Minutes: An Update From the Anesthesia Quality Institute 50分钟内的50个事实:来自麻醉质量研究所的最新消息

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000011

R. Dutton

{"title":"Fifty Facts in Fifty Minutes: An Update From the Anesthesia Quality Institute","authors":"R. Dutton","doi":"10.1097/ASA.0000000000000011","DOIUrl":"https://doi.org/10.1097/ASA.0000000000000011","url":null,"abstract":"The Anesthesia Quality Institute (AQI) is a related organization of the American Society of Anesthesiologists (ASA). The AQI was formed in 2009 to promote quality in anesthesia patient care through collection and dissemination of clinical practice data. The AQI created the National Anesthesia Clinical Outcomes Registry (NACOR) in 2010, and the Anesthesia Incident Reporting System (AIRS) in 2011, to accomplish this purpose. Data are collected from anesthesia practices and anesthesiologists across the United States and are aggregated to create benchmarks for clinical outcomes. Benchmarks encompass all aspects of anesthesia quality, including operational efficiency, safety, and patient experience. Practices contributing to the AQI receive continual online access to their own data, as well as comparators on the basis of practice size and type drawn from the whole of NACOR. Aggregated information describes the practice of anesthesiology in the United States, and is available to ASA and subspecialty society leaders. Selected cases from AIRS that illustrate emerging threats to patient safety are used to generate teaching articles in the ASA Newsletter, which is circulated to more than 50,000 anesthesiologists around the world. Contribution of case-specific data to NACOR and AIRS will be increasingly important to practices in the future, to meet multiple regulatory requirements. The purpose of this chapter is to provide a brief overview of the structure, mechanics, and current status of the AQI and its registries, and to present some of the aggregate data gathered to date.","PeriodicalId":91163,"journal":{"name":"Refresher courses in anesthesiology","volume":"42 1","pages":"37-45"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ASA.0000000000000011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62015780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Synthetic Colloids in Cardiac Surgery: What Are the Indications? 心脏外科合成胶体的适应症是什么?

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000007

R. Sniecinski

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Anesthesiologist’s Guide to Perioperative Glycemic Management 麻醉医师围手术期血糖管理指南

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000008

B. Abdelmalak

引用次数: 3

Strategies to Optimize Pain Control Following Cesarean Delivery 剖宫产后疼痛控制优化策略

Refresher courses in anesthesiology Pub Date : 2014-01-01 DOI: 10.1097/ASA.0000000000000009

B. Carvalho

引用次数: 0