As a Refresher Course in Anesthesiology 2005 by Alan J. Schwartz

By Alan J. Schwartz

ASA Refresher classes in Anesthesiology is the biggest promoting annual e-book in its box. each one new quantity contains as much as twenty whole and edited peer-reviewed lectures on subject matters of present medical curiosity which are chosen from nearby and nationwide ASA Refresher direction lectures.

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22–26 However, this author suggests that clinicians use the upper recommended time limit and wait 8 hours after the completion of surgery before administering the first dose of FONDA. 28 The fact that the first FONDA spinal hematoma was epidural-related may not be a coincidence, and spinal anesthesia may be the safer alternative when postoperative FONDA therapy is anticipated. Vitamin K Antagonists In North America, warfarin is the most widely used vitamin K antagonist; therefore, I only discuss warfarin in this review.

Anesthesiology 2004; 100:464–5. 19. Nelson TE, Rosenberg H, Muldoon SM: Genetic testing for malignant hyperthermia in North America. Anesthesiology 2004; 100:212–4. 20. : Malignant hyperthermia in North America: Genetic screening of the three hot spots in the type I ryanodine receptor gene. Anesthesiology 2004; 101:824–30. 21. : A novel ryanodine receptor mutation and genotype-phenotype correlation in a large malignant hyperthermia New Zealand Maori pedigree. Hum Mol Genet 2000; 9:1515–24. 22. : Recent advances in the diagnosis of malignant hyperthermia susceptibility: How confident can we be of genetic testing?

Patients with a history of HITT syndrome should not receive LMWH, because it is also derived from animal sources and there is a high incidence of crossreactivity. Unfractionated heparin clearly has a higher incidence of HITT syndrome than LMWH. On the other hand, FONDA is not derived from animal products. It is a synthetic compound and carries no risk of precipitating HITT. Unfractionated Heparin The Efficacy versus Risks of Using Unfractionated Heparin to Prevent Deep Vein Thrombosis/Pulmonary Embolism Formation in Patients Receiving Spinal Anesthesia Administration of 5,000 units of UH subcutaneously every 8 to 12 hours has been used extensively and effectively for the prevention of DVT.

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