Multiple Sclerosis for the Anesthesia Boards
AnesthesiaExam Podcast
For Board Review and Practice Management Updates TEXT the word
ANESTHESIAEXAM to the number 33444
For more information, CME credit and MOCA and Primary Board Prep,
For more information, CME credit and MOCA and Primary Anesthesiology Board Prep,
For Basic and Advanced Anesthesia Exam Review,
For CRNA Board Prep, go to CRNABoardPrep.com
For the Pediatric Anesthesiology Board Review, Go to PedsAE.com
David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medical Center and AABP Pain Managment
For evaluation and treatment of a Painful Disorder, go to www.AABPPain.com
718 436 7246
DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.
You should regularly consult a physician in matters relating to yours or another’s health. You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.
Copyright © 2015 QBazaar.com, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.
Dr. Rosenblum Discusses the management and treatment of
Lumbar DDD
PainExam Podcast
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For Board Review and Practice Management Updates TEXT the word
ANESTHESIAEXAM to the number 33444
For more information, CME credit and MOCA and Primary Board Prep,
For more information, CME credit and MOCA and Primary Anesthesiology Board Prep,
For Basic and Advanced Anesthesia Exam Review,
For CRNA Board Prep, go to CRNABoardPrep.com
For the Pediatric Anesthesiology Board Review, Go to PedsAE.com
David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medical Center and AABP Pain Managment
For evaluation and treatment of a Painful Disorder, go to www.AABPPain.com
718 436 7246
DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.
You should regularly consult a physician in matters relating to yours or another’s health. You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.
Copyright © 2015 QBazaar.com, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.
References
Frontera: Essentials of Physical Medicine and Rehabilitation, 2nd ed.
Copyright © 2008 Saunders, An Imprint of Elsevier Chapter 42
halothane | |
Effects on CNS |
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Effects on circulation |
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Effects on neuromuscular function |
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Effects on renal function |
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Effects on hepatic function |
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Effects on hematologic and immune systems |
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Minimum alveolar concentration and pressures |
288 mm Hg (at 24 Deg C) |
Trace concentrations, O.R. pollution, personnel hazards |
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Advantages |
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References:
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Isoflurane | |
Effects on CNS |
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Effects on circulation |
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Effects on respiration |
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Effects on GI function |
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Effects on neuromuscular function |
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Effects on hepatic function |
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Other system |
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Biotransformation; reaction with CO2 absorbants; toxicity |
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Minimum alveolar concentration and pressures | MAC = 1.15 vol % Vapor pressure 238 mm Hg 31.7 kPa (at 20 deg C) 295 mm Hg 48.9 kPa (at 25 deg C) 367 mm Hg 48.9 kPa (at 30 deg C) 450 mm Hg 60.0 kPa (at 35 deg C)
Blood gas partition coefficient = 1.4 Oil: gas partition coefficient = 98 |
Trace concentrations, O.R. pollution, personnel hazards |
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Advantages |
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References:
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Sevoflurane | |
Effects on CNS |
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Effects on circulation |
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Effects on respiration |
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Effects on GI function |
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Effects on neuromuscular function |
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Effects on renal function |
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Effects on hepatic function |
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Effects on hematologic and immune systems |
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Biotransformation; reaction with CO2 absorbants; toxicity |
|
Minimum alveolar concentration and pressures | MAC = 2.1 vol % MAC of sevoflurane decrease with age and with the addition of nitrous oxide Vapor pressure 157 mm Hg 22.9 kPa (at 20 deg C) 197 mm Hg 26.3 kPa (at 25 deg C) 317 mm Hg 42.3 kPa (at 36 deg C)
Blood gas partition coefficient = 0.68 Oil: gas partition coefficient = 47
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Trace concentrations, O.R. pollution, personnel hazards |
in adults, hypotension; in elderly, hypotension and bradycardia; in children, agitation and increased cough.
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Advantages |
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References:
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Desflurane | |
Effects on CNS |
|
Effects on circulation |
|
Effects on respiration |
|
Effects on GI function |
|
Effects on neuromuscular function |
|
Effects on renal function |
|
Effects on hepatic function |
|
Effects on hematologic and immune systems |
|
Biotransformation; reaction with CO2 absorbants; toxicity |
|
Minimum alveolar concentration and pressures | MAC = 6 vol % Vapor pressure 672 mm Hg 88.5 kPa (at 20 deg C) 804 mm Hg 107 kPa (at 24 deg C)
Blood gas partition coefficient = 0.42 Oil: gas partition coefficient = 19
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Trace concentrations, O.R. pollution, personnel hazards |
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Advantages |
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References:
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N2O | |
Effects on CNS |
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Effects on circulation |
|
Effects on respiration |
|
Effects on GI function |
|
Effects on neuromuscular function |
|
Effects on hepatic function |
|
Effects on hematologic and immune systems |
|
Other system |
|
Minimum alveolar concentration and pressures |
|
Trace concentrations, O.R. pollution, personnel hazards |
|
Advantages |
|
Clinical implications |
|
References
AnesthesiaExam Podcast For Board Review and Practice Management Updates TEXT the word ANESTHESIAEXAM to the number 33444 For more information, CME credit and MOCA and Primary Board Prep, For more information, CME credit and MOCA and Primary Anesthesiology Board Prep, For Basic and Advanced Anesthesia Exam Review, For CRNA Board Prep, go to CRNABoardPrep.com For the Pediatric Anesthesiology Board Review, Go to PedsAE.com David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medical Center and AABP Pain Managment For evaluation and treatment of a Painful Disorder, go to www.AABPPain.com 718 436 7246 DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. You should regularly consult a physician in matters relating to yours or another’s health. You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.
Copyright © 2015 QBazaar.com, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.
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