Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:
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First Things First (assess & treat for the following)
- The age-old dictum is “a patient is not dead until he is warm and dead.”
- Continue rewarming efforts in pulseless, lifeless pts until core body temp is 32 C or higher.
- Hypothermia: core temp 35 C (95 F) or less
- Aggressiveness of required rewarming is dictated by the severity of hypothermia.
- Pts w/ significant hypothermia & obtundation are at increased risk for gastric aspiration; secure their airways early.
- ACLS resuscitation drugs are unlikely to be effective until core temp exceeds 28-30 C.
- Be sure your thermometer has an effective range that will capture actual body temp (many don’t go low enough).
- Excessive pt handling may precipitate arrhythmias.