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By Gallagher, Christopher J.

"An fun step by step method of studying easy anesthesia suggestions and methods. Written in a funny, exciting kind, Anesthesia Unplugged, 2e is helping anesthesiologists in education advance the procedural abilities useful for the optimum care of the anesthetized sufferer. that includes an easy-to-navigate atlas-style presentation, the e-book covers all appropriate anesthesia approaches, detailing indications,  Read more...

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Example text

5-French (F) single-lumen catheter is most commonly used for routine applications. ). , to place special “endovent” and “endoplegia” catheters for minimally invasive valve surgery) (Figure 2-1). , “blind man’s”) approach • Create a safe work space and construct a sterile field as delineated above. • • • Place the patient in the Trendelenburg position and rotate the head away from the side that you are attempting to place the line on. Don’t overrotate the neck; the lateral separation between the carotid artery and the IJ vein is maximized with something less than 45 degrees of rotation.

When you get blood, stop. Disconnect the syringe from the needle. Make sure the blood is venous (transduce the CVP with a short length of tubing or examine the waveform by connecting to your monitor) (Figure 3-5). • Advance the guidewire through the needle. It should go in smoothly without any resistance. Watch for F IG U R E 3 - 1 Pos ition the patient in a 10- to 15-degree Trendelenburg pos ition to prevent venous air embolis m and engorge the vein for eas ier line placement . • • • • • • ectopy, and if any arrhythmia occurs, pull the wire back until it stops (Figure 3-6).

A pulse oximeter is requisite. • Controlling your work space. – Ensure that you have adequate room around the patient so that your movement is not encumbered and sterility is not compromised. ) to participate without having to move the patient or the bed/ stretcher/ table. Move the ECG leads that the floor or holding-area nurse infuriatingly may have placed right in your way, and tape the nasal oxygen tubing over the forehead to get it away from the field. Move the hanging IV tubing, which invariably tries to contaminate your field, out of the way.

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