Educational Blog about Anesthesia, Intensive care and Pain management

Evaluation of Morbid Obese Patient

Preoperative Anesthetic Evaluation of Morbid Obese PatientGoals: 1-Obtain data regarding the patient’s medical and surgical history. 2-Optimize current physiologic function. 3-Prepare an appropriate anesthetic plan. 1-Medications: ➧ The obese person must be assessed for the use of weight-reducing substances, herbal supplements, and anorexiant drugs. ➧ Chronic...

Anesthetic Management of Morbid Obese Patient

Anesthetic Management of Morbid Obese Patient Preoperative: A) Evaluation: Read more ☛ Preoperative Anesthetic Evaluation B) Preparation: 1-Equipments: ➧ New model operating room tables can accommodate up to 270 kg (600 pounds) of weight. ➧ Older model operating room tables could accommodate up to 135-160 kg (300 - 350 pounds) of weight. ➧ In cases of extreme morbid...

Peripartum Cardiomyopathy (PPCM)

Anesthetic Management of Peripartum Cardiomyopathy (PPCM) ➧ It is a form of heart failure affecting females in their last months of pregnancy or early puerperium. ➧ The role of the anesthesiologist is important in the peri-operative and ICU. Diagnostic Criteria for PPCM: ➧ Development of heart failure within the last month of pregnancy or 6 months postpartum. ➧...

INVOS™: In Vivo Optical Spectroscopy

INVOS™: In Vivo Optical SpectroscopyOverview: ➧ INVOS™ system technology gives a noninvasive “window” to the body’s microvasculature; a direct and dynamic site of gas exchange that transports about half the body’s blood volume.  ➧ Measuring blood oxygenation in the microvasculature results in sensitive and site-specific insights on perfusion adequacy and multi-sensor...

Acute Kidney Injury Biomarkers

Acute Kidney Injury Biomarkers I) Functional markers 1-Serum Creatinine (SCr): ➧ It is a degradation product of muscle cells and represents a surrogate for the efficiency of glomerular filtration. ➧ It has poor predictive accuracy for renal injury, particularly, in the early stages of AKI. ➧ In the case of critical illness, SCr concentrations are subject to large...