By Alden H. Harken MD, Ernest E. Moore MD
The recent variation of this best quantity within the secrets and techniques sequence® bargains the very newest evaluate of surgical perform. A two-color web page structure, question-and-answer technique, and an inventory of the “Top a hundred secrets and techniques” in surgical procedure provides the precise concise board evaluate or convenient medical reference, whereas up-to-date assurance all through equips you with the entire most modern and crucial wisdom within the box. worthwhile pearls, guidance, and reminiscence aids make this the correct source for a quick surgical assessment or reference.
- Uses bulleted lists, tables, brief solutions, and a hugely special index to expedite reference.
- Includes pearls, guidance, and reminiscence aids, making it excellent as a convenient surgical evaluate for board checks or scientific reference.
- Covers all of today’s most typical surgeries and methods.
- Presents a “Controversies” part in lots of chapters that highlights the professionals and cons of chosen systems and techniques.
- Features a compact trim dimension for more suitable portability.
- Features revisions all through to supply you with an updated review of today’s surgical care and perform.
- Includes new chapters on mechanical air flow, bariatric surgical procedure, adrenal incidentaloma, mechanical circulatory aid, and professionalism, to maintain you current.
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Additional info for Abernathy's Surgical Secrets
Discuss the use of dobutamine, epinephrine, and norepinephrine. See Table 4-1. TABLE 4-1. U S E O F D O B U T A M I N E , E P I N E P H R I N E , A N D N O R E P I N E P H R I N E Dobutamine is a b1-agonist (cardiac inotrope), but it also has some b2 effects (peripheral vasodilation). Start at: 5 micrograms per kilogram per minute and increase to point of toxicity (cardiac ectopy). Note: Infuse to desired effect (do not stick rigidly to a preconceived dose). Because dobutamine has some vasodilating effects, it may be frightening to infuse into typically hypotensive patients in shock.
Ventricular fibrillation (VF) is the predominate rhythm encountered in the first 3 to 5 minutes after sudden cardiac arrest. VF is characterized by chaotic rapid depolarizations and repolarizations that cause the heart to quiver so that it is unable to pump blood effectively. 3. What is the initial treatment for a patient found to be in ventricular fibrillation? Immediate therapy with defibrillation is the only effective treatment for VF and is most effective if performed within 5 minutes of collapse.
A number of commercially available devices can be added in-line with a bag-valve mask device to assist in delivering the proper number of breaths per minute. Hyperventilation should be avoided. 10. What are the advantages to central line insertion during cardiac resuscitation? Advantages to central line insertion & Delivery of large fluid volumes can be facilitated with a large-bore central catheter. & Peak drug concentrations are higher and circulation times are shorter with central catheters.
Abernathy's Surgical Secrets by Alden H. Harken MD, Ernest E. Moore MD