Anesthesiology CA-1 Pocket Survival Guide

Häftad, Engelska, 2018

Av Mary E. Arthur, Augusta University) Arthur, Mary E. (Associate Professor and Residency Program Director, Anesthesiology and Perioperative Medicine, Medical College of Georgia

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During the transition from the clinical base year to the first clinical anesthesia year (CA-1), the resident finds himself transforming from a bright and confident intern to an entirely unprepared anesthesiology resident surrounded by unfamiliar equipment and drugs and confronted by patients with acute and dynamically changing physiologies. This book is a concise step-by-step ready reference manual which will help interns to transition smoothly to life in theoperating room within the first few months. Anesthesiology CA-1 Pocket Survival Guide will flatten the learning curve and improve the comfort level of trainees entering the OR for the first time. Intended to help provide a smooth transition from intern to resident anesthesiologist, it highlights information to seek out during the orientation period. It provides easy-to-follow instructions for such common tasks as preparing the anesthesia machine, positioning the patient, and entering information into the electronic managementsystem (EMS) and suggests how to obtain and organize a patient's preoperative information to present to the attending anesthesiologist.

Produktinformation

Utgivningsdatum2018-08-01
FormatHäftad
SpråkEngelska
Antal sidor152
FörlagOxford University Press
ISBN9780190885885

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Mary E. Arthur MD FASE is an associate professor of anesthesiology with joint appointment with the department of surgery and a residency program director at the Medical College of Georgia at Augusta University, whose academic career focus is on teaching. She has more than 15 years of experience as an anesthesiologist, has won several resident teaching awards and published in many journals. Dr. Arthur's passion is to provide an optimal learning experience foranesthesiology residents to make a successful transition from internship to clinical anesthesia, providing them with the foundation for lifelong learning and personal development in passing the ABA basic examination.

1. What to Expect Sanjay Dwarakanath and Lindsey Van Drunen1.1 Orientation/Boot camp1.2 Mentor/Preceptor program1.3 Preop discussion with attending the day before 1.4 Anesthesia Knowledge Testing (AKT) 1.5 Working in multi-disciplinary teams2. Making the most of your CA-1 year Mary E. Arthur and Vaibhav Bora2.1 Do's and Don'ts2.2 Speaking up 2.3 Professionalism2.4 Interpersonal and communication skills2.5 Work-life balance2.6 Burnout and reaching out2.7 Examinations3. Pre-anesthesia Patient EvaluationEfrain Riveros-Perez and Mauricio Perilla3.1. Pre-Admission Testing3.1.1 Evaluating the patient3.1.1.1 Preanesthesia screening3.1.1.2 Physical status/co-morbidity awareness3.1.1.3 Medication reconciliation3.1.1.4 Risk stratification3.1.1.5 Preop testing 3.1.1.6 Informed consent3.1.1.7 Patient instructions3.1.1.8 Documentation of evaluation3.1.2 Communicating the evaluation3.2 Pre-anesthesia evaluation in special circumstances 3.2.1 Acute care setting 3.2.2 Obstetrics3.2.3 Cardiac evaluation for non-cardiac procedures3.2.4 Patients with end stage liver disease4. Anesthesia Care on the Day of SurgeryClaudia F. Clavijo, Mary E. Arthur, and Efrain Riveros-Perez4.1. Documentation4.1.1. Informed Consent4.1.2. Phases of care assessment/evaluation4.1.2.1. Final discussion of plan, completion of day of physical exam and documentation update4.1.3. Handwritten requirements4.1.4. Anesthesia information management systems 4.2. Operating room anesthesia set-up and considerations4.2.1. Equipment/ Standard Monitors and Safety Check 4.2.2. Patient safety considerations4.3. Anesthesia pharmacology basics4.4. Prepping the patient4.4.1. Pharmacologic considerations4.4.2. Airway considerations4.4.3. Monitoring considerations4.4.4. Ventilation considerations4.4.5. Positioning considerations 4.4.6. Positioning complications4.4.6.1. Peripheral neuropathy4.4.6.2. Upper extremity injuries4.4.6.2.1. Ulnar nerve4.4.6.2.2. Brachial plexus injury4.4.6.3. Lower extremity injuries4.4.6.3.1. Common peroneal nerve injury4.4.6.3.2. Sciatic nerve4.4.6.3.3. Femoral nerve4.4.6.3.4. Saphenous nerve4.4.6.3.5. Anterior tibila4.4.6.3.6. Obturator4.4.7. Eye Injury5. Fundamentals of Anesthesia Care Claudia F. Clavijo and Efrain Riveros-Perez5.1. Anesthesia care basics5.1.1. Surgical time out5.1.2. Induction5.1.3. Maintenance5.1.4. Emergence5.2. Patient Management5.2.1. Regional block for acute pain management5.2.2. Intraoperative Awareness5.2.3. Difficult Airway Algorithm5.2.4. Fluid Management5.2.5. Transfusion Therapy5.2.6. Hypoxemia5.2.7. Electrolyte Abnormalities5.2.8. PONV prevention5.2.9. Extubation Criteria and Delayed Emergence5.2.10. Rational Opioid Use5.2.11. Intra-operative Hypotension and Hypertension6. Crisis management in the Perioperative Setting Claudia F. Clavijo and Ronnie Zeidan6.1.1. Laryngospasm and Aspiration6.1.1.1. Laryngospasm6.1.1.2. Perioperative pulmonary aspiration 6.1.2. Oxygen failure in the OR6.1.3. Anaphylaxis6.1.4. Local Anesthetic Toxicity6.1.5. Malignant Hyperthermia6.1.6. ACLS in the OR setting6.1.7. Perioperative Antibiotics6.1.8. Operating room fires7. Post-anesthesia Care on the Day of AnesthesiaLindsey Van Drunen and Sanjay Dwarakanath7.1. Safe patient transport7.2. Hand-off reporting to next level of care7.2.1. Critical Care Handoff7.2.2. Post-Anesthesia Care Unit Phase I7.2.3. Fast-track to Phase II Post Anesthesia Care Unit7.3. Post-anesthesia care unit discharge7.4. Post-anesthesia evaluation7.4.1. In PACU7.4.2. On nursing unit7.4.3. By phone7.4.4. Considerations of care7.5. Post-anesthesia patient instructions for ambulatory patients8. Specialty practice situations Efrain Riveros-Perez and Mauricio Perilla8.1. Anesthesia in remote locations8.1.1. Endoscopy8.1.2. Eye room8.1.3. EP Lab8.1.4. Cath Lab8.1.5. Radiology suite 8.2. Emergency airway procedures/intubations9. Continuous Quality Improvement Sarah M. I. Cartwright9.1. Terminology9.1.1. Quality9.1.2. Continuous Quality Improvement9.2. Structured methodology and tools9.2.1. Lean9.2.2. Six sigma9.3. Quality improvement tools 9.3.1. Outcome measures9.3.2. Project charter9.3.3. Voice of the Customer Translation Matrix9.3.4. SIPOC Matrix9.3.5. Data collection plan9.3.6. Fishbone diagram9.4. Resources10. Glossary Nadine Odo, Augusta University