Anesthesia Secrets

Intracranial and cerebrovascular disease

1 What is normal cerebral blood flow (CBF)? At what level is CBF considered ischemic? Normal CBF in humans is 40 to 60 mL/100 g/min (15% of cardiac output). The cerebral metabolic rate for oxygen (CMRO 2 ) in adults…

Renal function and anesthesia

1 Describe the anatomy of the kidney. The kidneys are paired organs lying retroperitoneally against the posterior abdominal wall. Although their combined weight is only 300 g (about 0.5% of total body weight), they receive 20% to 25% of the…

Hepatic dysfunction and liver transplantation

1 Describe normal liver anatomy. How is blood supply provided to the liver? The human liver consists of four anatomic lobes (left, right, caudate, quadrate) and eight surgical lobes (I–VIII). The liver receives approximately 20% to 25% of the cardiac…

Acute respiratory distress syndrome

1 How would you define acute respiratory distress syndrome? The most commonly used definition for acute respiratory distress syndrome (ARDS), known as the Berlin definition ( Table 40.1 ), was described in 2012. The Berlin definition describes ARDS as: (1)…

Pulmonary hypertension

1 Define pulmonary hypertension and pulmonary artery hypertension. Pulmonary hypertension (PH) refers to a mean pulmonary arterial pressure (> 25 mm Hg) from any cause. Pulmonary artery hypertension (World Health Organization [WHO] group 1) was previously referred to as primary…

Valvular heart disease

1 Discuss the basic pathophysiology of valvular heart diseases. Valvular heart diseases cause chronic volume or pressure overload, where each evokes a characteristic ventricular response causing ventricular hypertrophy. Ventricular hypertrophy is an increase in left ventricular (LV) mass. Pressure overload…

Heart failure

1 What is heart failure? Heart failure (HF) is a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill or eject blood. The cardinal manifestations of HF…

Post-anesthetic care

1 Which patients should be cared for in the postanesthetic care unit? According to American Society of Anesthesiologists standards, all patients who have received an anesthetic of any kind shall receive postanesthetic management of some kind. Postanesthetic care unit (PACU)…