... before surgery and
then On again post-operatively to prevent unwanted discharge due to spurious
ANAESTHESIA FOR THE HIGH RISK PATIENT
210
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•
In the non-critically ... with
Epoetin-. J Lab Clin Med 199 7; 1 29: 97 –105.
24. ASA Task Force on blood component therapy. Practice guidelines for blood
component therapy. Anesthesiology 199 6; 8...
... occurs.
ANAESTHESIA FOR THE HIGH RISK PATIENT
106
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ANAESTHESIA FOR THE ELDERLY PATIENT
The two recent CEPOD reports
19, 20
highlighted the impact that the elderly ... Respir Dis
198 1; 124: 387 91 .
ANAESTHESIA FOR THE HIGH RISK PATIENT
114
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Improving outcome
Having identified...
... at high risk:
•
to identify those suitable for coronary revascularisation (either bypass
grafting or angioplasty),
ANAESTHESIA FOR THE HIGH RISK PATIENT
4
Chap-01.qxd 2/1/02 12:03 PM Page 4
•
The ... surgery.
•
The index underestimated risk in Class I and II patients undergoing
aortic surgery.
•
The study group included elective non-emergent cases only.
ANAESTHESIA...
... angiography
to assess cardiac risk before abdominal aortic surgery. N Engl J Med 199 4; 330:
663 9.
ANAESTHESIA FOR THE HIGH RISK PATIENT
28
Chap-01.qxd 2/1/02 12:03 PM Page 28
Adequate pre-operative assessment ... bypass
grafting (CABG) before non-cardiac surgery when the stress of elective non-cardiac
surgery is likely to exceed the stress of daily life.
ANAESTHESIA FOR...
... assessment
The 199 0 Report of the Working Party of the Royal College of Surgeons and
College of Anaesthetists recommended the systematic assessment and recording of
ANAESTHESIA FOR THE HIGH RISK PATIENT
54
Chap-04.qxd ... HB, Hoile RW, Lunn JN. The report of the National
Confidential Enquiry into Perioperative Deaths 199 2/ 199 3. NCEPOD, London,
199 5.
10. Extremes...
... commonly with the aid of a PAFC.
ANAESTHESIA FOR THE HIGH RISK PATIENT
90
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3. The intensive care unit
This group of patients have the advantage to the anaesthetist ... Care Med 199 9; 27: 2142–6.
ANAESTHESIA FOR THE HIGH RISK PATIENT
100
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has been poorly studied in these patients alt...
... anesthesia. J Clin Anesth Mar–Apr 199 3; 5 (2):
154–7.
4. Brighouse D. Anaesthesia for caesarean section in patients with aortic stenosis:
the case for regional anaesthesia. Anaesthesia Feb 199 8; ... Association
Task Force on practice guidelines (Committee on Perioperative Cardio-
vascular Evaluation for Noncardiac Surgery). JACC 199 6; 27: 91 0–48.
ANAESTHESIA FOR THE H...
... persist for some time.
The cross-clamp phase usually allows the anaesthetist to stabilise the patient and
prepare them for the reperfusion stage of the operation.
Although the retro- or intra-peritoneal ... knowledge of providing anaesthesia for the high
risk gastrointestinal patient will be gleaned purely from experience gained in man-
aging other patients. In o...
... treated for ARF at the Mayo
Clinic have been published:
24
ANAESTHESIA FOR THE HIGH RISK PATIENT
194
Patients Survival (%)
197 7– 79 71 32
199 1 92 71 52
Chap-13.qxd 2/1/02 12: 09 PM Page 194
non-oliguric ... oliguric patient.
ANAESTHESIA FOR THE HIGH RISK PATIENT
192
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Fluid therapy
The role of adequate fluid therapy...