Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

5 results

  • Chapter 12 - Anesthesia for septoplasty and rhinoplasty

  • from Section 2 - Anesthesia for nasal, sinus and pituitary surgery
  • Edited by Basem Abdelmalak, John Doyle
  • Book:
    Anesthesia for Otolaryngologic Surgery
    Published online:
    05 November 2012
    Print publication:
    18 October 2012, pp 113-120

  • Summary

    This chapter highlights a technique of airway evaluation which is readily available to the anesthesiologist, is minimally invasive, and may provide enough information to reduce the use of awake intubation by providing improved clinical information. Preoperative endoscopic airway examination (PEAE), uses the commonly available flexible intubation scope, and unlike use of the same instrument for awake intubation, requires minimal time and patient preparation because it is well tolerated by patients, mimicking an ordinary office ENT laryngoscopic examination. Patients presenting to the operating room under the care of an otolaryngologist for management (diagnostic or therapeutic) of an airway lesions have, in most cases, undergone a flexible endoscopy in the surgeon's office. PEAE may be performed in the preoperative clinic setting, holding area or operating room. Patients who present with invisible airway pathology (e.g. papillomas, supraglottic masses), which may compromise the clinician's ability to control the airway, can be more thoroughly assessed.

  • 21 - Revising the Uniform Anatomical Gift Act – the role of physicians in shaping legislation

  • from 2 - End-of-life issues
  • Edited by Gail A. Van Norman, University of Washington, Stephen Jackson, Stanley H. Rosenbaum, Susan K. Palmer
  • Book:
    Clinical Ethics in Anesthesiology
    Published online:
    05 March 2012
    Print publication:
    28 October 2010, pp 123-127

  • Summary

    Female genital cutting (FGC) has wide acceptance in many cultures across the globe despite gender-related and more general human rights concerns raised by the practice. This chapter presents a case study on a healthy 5-year-old female patient scheduled for surgical correction of clitoral phimosis. Physicians must understand the potential medical sequelae of FGC to make reasoned decisions about whether or not to participate in the procedure. Immediate adverse outcomes of FGC include pain, post-operative infection, shock, tetanus, hemorrhage, and death. Whether an anesthesiologist should participate in FGC depends on his or her interpretation of ethical considerations. Mostprofessional societies provide only guidance, without a binding effect on members.Physician participation in FGC may prevent some health consequences but also perpetuates objectionable social practices. Physicians' decisions to participate in FGC currently rely on personal judgments, weighing adverse medical and psychological consequences against potential cultural benefits and harms.

  • 17 - Withholding and withdrawing life support in the intensive care unit

  • from 2 - End-of-life issues
  • Edited by Gail A. Van Norman, University of Washington, Stephen Jackson, Stanley H. Rosenbaum, Susan K. Palmer
  • Book:
    Clinical Ethics in Anesthesiology
    Published online:
    05 March 2012
    Print publication:
    28 October 2010, pp 97-102

  • Summary

    The principle of respect for patient autonomy supports a pregnant woman's rights to refuse recommended medical treatments, even if such refusal may be detrimental to her or to her fetus. The incidence of cesarean delivery without medical or obstetrical indications is increasing in the US, one component of which is cesarean deliveries at maternal request (CDMR). Principles of beneficence and nonmaleficence are particularly challenging with CDMR, since they must balance benefits and harms for both mother and baby in a situation where there is a lack of reliable authoritative data, physicians' own personal views may vary widely, and there is heated political as well as medical debate. The anesthesiologist probably would not have been directly involved in the patient's and obstetrician's decisions regarding mode of delivery. When patients request unnecessary interventions, additional ethical considerations include issues of distributive justice.

  • 14 - Informed consent for preoperative testing: pregnancy testing and other tests involving sensitive patient issues

  • from 1 - Consent and refusal
  • Edited by Gail A. Van Norman, University of Washington, Stephen Jackson, Stanley H. Rosenbaum, Susan K. Palmer
  • Book:
    Clinical Ethics in Anesthesiology
    Published online:
    05 March 2012
    Print publication:
    28 October 2010, pp 79-84

  • Summary

    Anesthesiologists should choose to involve children in medical decision-making with the ethical objective of enhancing the child's self-determination, while keeping the child engaged in their care. Anesthesiologists can use the patient's age as a first approximation of a patient's cognitive and emotional development. This chapter discusses the issues raised by incorporating the ethical concept of pediatric patient assent into the traditional process of parental (surrogate) informed consent. Competency is a legal term while decision-making capacity is the ability to make a specific decision at a specific time. It is important to resolve disagreements among the pediatric patient-parent-physician triad about the appropriate clinical plan. Response to requests for nondisclosure by parents must weigh the goal of the best Znterests of the patient. Emancipated minor and mature minor status pose distinct ethical and practical issues. Confidentiality must be honored, and failure to do so may be harmful to the patient.

  • The Gulf War: The Experience of a Department of Anesthesiology in the Management of Scud Missile Casualties

  • Yaw Adu-Gyamfi
  • Journal:
    Prehospital and Disaster Medicine / Volume 12 / Issue 2 / June 1997
    Published online by Cambridge University Press:
    28 June 2012, pp. 38-42
    Print publication:
    June 1997
  • Background:

    The pivotal role of anesthesiologists in the implementation of disaster plans is not widely appreciated.

    Objective:

    To describe the role of anesthesiologists as managers in the operating room (OR) especially during hospital disaster management.

    Methods:

    On 25 February 1991, King Fahd Hospital of the University in Eastern Saudi Arabia, was alerted, received, triaged, and treated the victims of a Scud missile attack on a United States military barracks which killed 28 and injured more than 100 service personnel.

    Results:

    There were 47 males and 15 females admitted to the hospital. Their initial triage categories of injuries were: 1) red, 23; 2) yellow, 27; and 3) green, 7. The flow of patients through the main operating rooms occurred in two peaks: 1) treated within nine hours (60%); and 2) during the next 11 hours (40%). A total 101 units of blood and blood products were consumed.

    The role of the Chief of Anesthesiology was vital in the dynamics of the situation regarding appropriate deployment of staff and ensuring an orderly throughput of victims in the operating room. He also was required to keep track of resources and supply levels in the operating room, so that he could advise the hospital administration appropriately.

    Conclusion:

    The successful management of a large multi-casualty incident, which involved use of the operating rooms, depended upon the efficient coordination of clearly defined functions with the Chief of Anesthesiology Service as the team leader.