Critical Care

Download Anaesthesia and intensive care A-Z : an encyclopaedia of by S M Yentis; Nicholas Hirsch; James K Ip; G B Smith PDF

By S M Yentis; Nicholas Hirsch; James K Ip; G B Smith

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Additional info for Anaesthesia and intensive care A-Z : an encyclopaedia of principles and practice

Example text

G. renal failure. g. sideroblastic anaemia, thalassaemia. ◗ increased haemolysis. ◗ haemorrhage: - acute. - chronic. g. thalassaemia, iron deficiency, including chronic haemorrhage, chronic disease. ◗ normochromic, macrocytic: vitamin B12 or folate deficiency, alcoholism. g. infection, malignancy, renal failure, endocrine disease; aplastic anaemia, bone marrow disease or infiltration. g. g. iron, vitamin B12. ● Effects: ◗ reduced O2-carrying capacity of blood: fatigue, dyspnoea on exertion, angina.

Tracheal intubation may be required as below. : - antibacterial drugs for infection. - fresh frozen plasma or C1 esterase inhibitor for hereditary angio-oedema. - nebulised adrenaline for croup. - Heimlich manoeuvre for choking. - increasing gas flow: helium–O2 mixtures. - bypassing the obstruction: tracheal intubation, tracheostomy or cricothyrotomy. The last two may be difficult if the anatomy is distorted. g. bronchospasm, pneumothorax, inadequate neuromuscular blockade and coughing) should be considered.

Side effects: as for fibrinolytic drugs. Althesin. IV anaesthetic agent introduced in 1971, composed of two corticosteroids, alphaxalone 9 mg/ml and Alveolar gas transfer alphadolone 3 mg/ml. Withdrawn in 1984 because of a high incidence of adverse drug reactions, mostly minor but occasionally severe. These were thought to be due to Cremophor EL, the solubilising agent. Previously widely used because of its rapid onset and short duration of action; still used in veterinary practice. Altitude, high.

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