Essential Surgical Procedures

Ultrasound use for Intravascular Access

Goals/Objectives Basic Principles Anatomy Physiologic Considerations Technical Considerations Management of Complications Ultrasound-Guided Vascular Access Andrew W. Shannon Christine Butts Justin Cook From Adams JG, et al: Emergency Medicine Clinical Essentials, 2nd edition (Saunders 2012) Key Points The use of ultrasound for vascular access is…

Thoracentesis

Goals/Objectives Anatomy and Physiology Review Indications Technical considerations Pleural Effusion Bret A. Nicks David E. Manthey From Adams JG, et al: Emergency Medicine Clinical Essentials, 2nd edition (Saunders 2012) Ultrasonography Ultrasonography is effective for visualizing an effusion and determining whether the fluid is…

Pulmonary Artery Catheter Placement

Goals/Objectives Indications Anatomic considerations Technical considerations Hemodynamic Monitoring Andrew Rhodes R. Michael Grounds E. David Bennett From Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP: Textbook of Critical Care, 6th edition (Saunders 2011) Arterial Pressure Monitoring Noninvasive measurement of blood pressure…

Paracentesis

Goals/Objectives Indications Anatomic Considerations Technical Considerations Paracentesis and Diagnostic Peritoneal Lavage Louis H. Alarcon From Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP: Textbook of Critical Care, 6th edition (Saunders 2011) Paracentesis: Before Procedure Indications Paracentesis is the insertion…

Oxygen Administration Devices

Goals/Objectives Indications Types of therapy Devices Surgical Critical Care Charles A. Adams Andrew Stephen William G. Cioffi From Townsend CM: Sabiston Textbook of Surgery, 19th edition (Saunders 2012) Ventilatory Support Noninvasive Ventilatory Support Many patients require more support than a passive O 2…

Enteral Feeding Tube Placement

Goals/Objectives Rationale for Enteral vs Parenteral Indications Modes of delivery Complications Metabolism in Surgical Patients Ahmed Al-Mousawi Noe A. Rodriguez David N. Herndon From Townsend CM: Sabiston Textbook of Surgery, 19th edition (Saunders 2012) Nutritional Support Surgical patients with suboptimal nutritional support have…

Endotracheal Intubation

Goals/Objectives Basic Principles Anatomy Physiologic Considerations Technical Considerations Management of Complications Tracheal Intubation Scott Savage From Pfenninger JL, Fowler GC: Pfenninger & Fowler's Procedures for Primary Care, 3rd edition (Saunders 2010) Airway emergencies can be some of the most daunting situations…

Defibrillation and Cardioversion

Goals/Objectives Indications Technical considerations Cardiopulmonary and Cerebral Resuscitation Clifton W. Callaway From Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP: Textbook of Critical Care, 6th edition (Saunders 2011) Rational Use of Rescue Shocks for Defibrillation Delivery of immediate transthoracic…

Compartment Pressures (Abdomen, Extremity) – Measurement

Goals/Objectives Etiology Anatomic considerations Management considerations Abdominal Compartment Syndrome and Management of the Open Abdomen Joseph F. Sucher Zsolt J. Balogh Frederick A. Moore From Cameron JL, Cameron AM: Current Surgical Therapy, 10th edition (Mosby 2011) Diagnosis Identifying at-risk patients and preventing ACS…

Central Venous Catheter Placement

Goals/Objectives Anatomic landmarks Technique of insertion Ultrasound guided Complications Hemodynamic Monitoring Andrew Rhodes R. Michael Grounds E. David Bennett From Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP: Textbook of Critical Care, 6th edition (Saunders 2011) Central Venous Pressure Central venous…