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Author: Fanny Fabre
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Le syndrome d'apnées obstructives du sommeil (SAOS) est hautement prévalent dans la population générale. Du fait d'une couverture diagnostique générale encore insuffisante, près de la moitié des patients dont le SAOS nécessiterait un traitement ignorent leur pathologie. Il existe possiblement une morbidité associée au SAOS, liée à l'absence de diagnostic et/ou de traitement de ces patients. Le but de cette revue est de faire le point sur les données épidémiologiques et l'impact péri-opératoire du SAOS, depuis la consultation d'anesthésie (dépistage), jusqu'à la gestion per-opératoire. Existe-t-il un fondement suffisant pour statuer si le SAOS est lié à des complications postopératoires et nécessite une gestion de l'antalgie et de la ventilation spécifique ? Les évènements respiratoires sont les principales complications observées en post-opératoire. La physiopathologie de l'aggravation du SAOS reste encore peu définie, et l'absence d'essai interventionnel disponible suffisant ne permet pas d'affirmer qu'un traitement spécifique est requis pour ces patients. La consultation d'anesthésie est, en plus d'être un moment pour dépister une pathologie cardio-vasculaire, une occasion de suspecter le SAOS. Ceci est important car la simple suspicion de cette pathologie permet d'anticiper les éventuelles difficultés de la prise en charge péri-opératoire. Nous proposons une étude (Anesthésie, Arythmies, Apnées : 3A) qui a débuté au CHU de Grenoble et permettra une approche physiopathologique par un dépistage du SAOS après la consultation anesthésie et l'analyse des anomalies électrocardiographiques dans un contexte de routine clinique post-opératoire.
Author: Fanny Fabre
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Le syndrome d'apnées obstructives du sommeil (SAOS) est hautement prévalent dans la population générale. Du fait d'une couverture diagnostique générale encore insuffisante, près de la moitié des patients dont le SAOS nécessiterait un traitement ignorent leur pathologie. Il existe possiblement une morbidité associée au SAOS, liée à l'absence de diagnostic et/ou de traitement de ces patients. Le but de cette revue est de faire le point sur les données épidémiologiques et l'impact péri-opératoire du SAOS, depuis la consultation d'anesthésie (dépistage), jusqu'à la gestion per-opératoire. Existe-t-il un fondement suffisant pour statuer si le SAOS est lié à des complications postopératoires et nécessite une gestion de l'antalgie et de la ventilation spécifique ? Les évènements respiratoires sont les principales complications observées en post-opératoire. La physiopathologie de l'aggravation du SAOS reste encore peu définie, et l'absence d'essai interventionnel disponible suffisant ne permet pas d'affirmer qu'un traitement spécifique est requis pour ces patients. La consultation d'anesthésie est, en plus d'être un moment pour dépister une pathologie cardio-vasculaire, une occasion de suspecter le SAOS. Ceci est important car la simple suspicion de cette pathologie permet d'anticiper les éventuelles difficultés de la prise en charge péri-opératoire. Nous proposons une étude (Anesthésie, Arythmies, Apnées : 3A) qui a débuté au CHU de Grenoble et permettra une approche physiopathologique par un dépistage du SAOS après la consultation anesthésie et l'analyse des anomalies électrocardiographiques dans un contexte de routine clinique post-opératoire.
Author: Basavana G. Goudra
Publisher: Springer
ISBN: 3319747665
Category : Medical
Languages : en
Pages : 862
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Book Description
This book provides a practical approach to the anesthetic management of surgical and nonsurgical procedures across the spectrum of anesthesia sub-specialties. This book will assist the practitioner to plan their anesthetic from preoperative evaluation phase to complete recovery or transfer to another special care area. The emphasis is on both the planned technique and more importantly the logic or reasoning behind the suggested technique. This book addresses all important procedures in anesthesiology, including preoperative evaluation, airway management, and fluid administration. Every chapter discusses a specific surgery or procedure. Some topics of special interest are also included. Anesthesiology: A Practical Approach is aimed at anesthesia residents, anesthesia nurse practitioners, and experienced anesthesiologists called upon to work in any area or anesthetizing location.
Author: Carlo Enrique Marcucci
Publisher: Springer
ISBN: 3642550045
Category : Medical
Languages : en
Pages : 456
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Book Description
All anesthesiologists are confronted with patients who show bleeding disorders, whether congenital, acquired, or pharmacologically induced. Although many studies, meta-analyses, guidelines, and textbooks have been published on the subject, they mostly cover specific aspects or require a thorough knowledge of hemostasis. The goal of this book is to provide the anesthesiologist with an overview of hemostasis and the mechanisms underlying bleeding and coagulation in general and to assist in the understanding of specific coagulation disorders as they may occur in the various anesthesia subspecialties. It is hoped that, through the provision of practical information and tools, the book will help residents and trained anesthesiologists to manage one of the most frustrating challenges that they face: the bleeding patient. A full understanding of coagulation requires a lifelong career, and this book is not intended to replace the consulting hematologist, whose expert opinion should always be sought. The available procoagulant blood products and drugs all have potentially dangerous side-effects; furthermore, in bleeding disorders pitfalls are frequent and a misdiagnosis can have potentially catastrophic consequences. The aim of the editors is thus instead to enhance the collaboration between the disciplines of Anesthesiology and Hematology.
Author: Jordan Katz
Publisher: W.B. Saunders Company
ISBN:
Category : Medical
Languages : en
Pages : 928
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Book Description
Author: Jean-Philippe Bastard
Publisher: Springer Science & Business Media
ISBN: 2817803434
Category : Medical
Languages : en
Pages : 432
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Book Description
The scientific advances in the physiology and pathophysiology of adipose tissue over the last two decades have been considerable. Today, the cellular and molecular mechanisms of adipogenesis are well known. In addition, adipose tissue is now recognized as a real endocrine organ that produces hormones such as the leptin acting to regulate food intake and energy balance in the central nervous system, a finding that has completely revolutionized the paradigm of energy homeostasis. Other adipokines have now been described and these molecules are taking on increasing importance in physiology and pathophysiology. Moreover, numerous works have shown that in obesity, but also in cases of lipodystophy, adipose tissue was the site of a local low-grade inflammation that involves immune cells such as macrophages and certain populations of lymphocytes. This new information is an important step in the pathophysiology of both obesity and related metabolic and cardiovascular complications. Finally, it is a unique and original work focusing on adipose tissue, covering biology and pathology by investigating aspects of molecular and cellular biology, general, metabolic, genetic and genomic biochemistry.
Author: John B. Mulliken
Publisher: W.B. Saunders Company
ISBN:
Category : Medical
Languages : en
Pages : 504
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Book Description
Author: Derek Dillane
Publisher: Springer Nature
ISBN: 3030588424
Category : Medical
Languages : en
Pages : 326
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Book Description
This book uses a case-based approach to provide current information on a range of medical issues with the goal of enhancing preoperative evaluation and optimization. It meets the market need for a resource that concisely encapsulates current knowledge on the medical management of specific topics in a setting relevant to the preoperative clinic. In so doing the book aims to improve patient care and safety, enhance resource use, facilitate appropriate and timely management of preexisting conditions and diminish patient concerns. Organized into sections according to body system, each section consists of chapters delineating a specific disorder. Each chapter starts with a clinical vignette followed by a question-and-answer style investigation of the relevant issues. These questions attempt to address commonly encountered clinical dilemmas where opinion often differs between, and occasionally within, medical sub-specialties. Expertly written chapters are also supplemented by a number of chapters which address special considerations such as the frail patient and chronic opioid use. Preoperative Assessment: A Case-Based Approach is an invaluable reference for all physicians involved in preoperative assessment including anesthesiologists, surgeons, internists, family doctors and residents in these fields. Nurse practitioners and other allied heath professionals involved in preoperative evaluation may also find this a book a valuable and timely resource.
Author: Louis Sanford Goodman
Publisher: McGraw Hill Professional
ISBN: 0071443436
Category : Medical
Languages : en
Pages : 1232
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Book Description
Put the authority of Goodman & Gilman's in the palm of your hand! 5 STAR DOODY'S REVIEW! "...the most authoritative and trusted source of pharmacological information, has now spawned a portable pocket drug guide....This manual extracts the essential core drug information from the eleventh edition of the parent book, referring the reader to the online version of the parent book for historical aspects, many chemical and clinical details, and additional figures and references. This makes G & G a very useful book. This will be of use to individuals in training or practice in the fields of pharmacy, medicine, nursing, or allied health disciplines where knowledge of drug actions are important....Each chapter provides the core essential information provided in the parent book in a very readable format. Readers can use this easy to handle and read manual for essential information along with the online version of the parent book as a reference for more in-depth specific information on drugs."--Doody's Review Service The Goodman & Gilman Manual of Pharmacology and Therapeutics offers the renowned content of Goodman & Gilman's Pharmacological Basis of Therapeutics, Eleventh Edition, condensed into an ultra-handy, streamlined reference. More than just a pocket drug guide, this indispensable resource offers: A carry-along source of essential fundamental information, with all the authority of Goodman & Gilman's Pharmacological Basis of Therapeutics, Eleventh Edition The benefits of the world's leading pharmacology text in a convenient, portable format Comprehensive, yet streamlined and clinically relevant coverage of the pharmacological basis of therapeutics High-yield overview of pharmacokinetics, pharmacodynamics, and the foundations of pharmacology Expert insights into the properties, mechanisms, and uses of all the major drug classes Considerations of vital patient-specific issues
Author: Diego Preciado
Publisher: Springer
ISBN: 3030046001
Category : Medical
Languages : en
Pages : 210
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Book Description
The advancement of tactics used in managing pediatric airway disorders can be attributed to an overall growth of collective knowledge among medical health professionals. This book is designed to sustain that growth of knowledge, with 18 chapters of insight and information by distinguished medical experts in both pediatric anesthesia and pediatric otolaryngology. It concisely and thoroughly covers topics such as subglottic stenosis, pharyngeal airway obstruction, laryngeal airway obstruction, obesity and sleep apnea and thoracic airway obstruction, among others. Chapters include scenarios where the skills and expertise of both anesthesiologists and otolaryngologists are being continually tested; the use of newer drugs and repurposing of older drugs; the combination of smaller amounts of different types of sedatives while avoiding intra-op narcotics and maintaining spontaneous ventilation are described in detail; Finally, a comprehensive review of new research emerging about ultra-rapid narcotics metabolizers among patients, making them more susceptible to medications, such as codeine, along with the latest information on the purported potential neurodevelopmental toxicity of some anesthetic agents are also included. Working as both an educational tool and a practical resource, medical practitioners, students and educators will find this text to be a valuable tool for the safely managing the pediatric patient undergoing anesthesia for difficult airway scenarios.
Author: Jean-Luc Fellahi
Publisher: Springer
ISBN: 3319608045
Category : Medical
Languages : en
Pages : 341
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Book Description
This book describes the approach to anesthetic and perioperative management in different categories of high-risk patient scheduled to undergo elective noncardiac surgery. Individual sections focus on patients with conditions entailing cardiac and hemodynamic risks, respiratory risks, renal and metabolic risks, neurological risks, and other forms of risk. For each condition, up-to-date guidance is provided on risk evaluation, risk stratification, and intraoperative and postoperative anesthetic management. This is the first time that such different clinical situations have been gathered together in a single textbook of anesthesiology. All of the authors are international experts with extensive clinical experience. The aim is to provide trainee anesthesiologists with clear guidance that will prove invaluable when managing a wide range of patients with serious illnesses or conditions that pose a significant anesthetic risk. The book will also serve as a valuable reference for more experienced anesthesiologists and intensivists.
