2. Perioperative care Diane Gilmour CHAPTER CONTENTS Introduction17 Preoperative care18 Care during anaesthesia19 Intraoperative care21 Immediate postoperative care27 Conclusion32 Key objectives of the chapter The aim of this chapter is…
6. Nutrition and the surgical patient Helen Ord and Melanie Baker CHAPTER CONTENTS Introduction77 Malnutrition77 Identifying patients at risk of malnutrition78 The nutritional needs of the surgical patient78 Methods of…
The five phases of the action potential in Figure 10.1 are as follows. Phase 4 – the resting phase. The cell is negatively charged compared with the outside. This difference,…
Figure 7.2 Chain of events following the rupture of a vulnerable atherosclerotic plaque. When the blood flow to the myocardium deteriorates, myocardial oxygen demands exceed those of supply and the…
In the years since the publication of comprehensive critical care (DH, 2000), CCOTs have developed across most acute hospitals in England. However, this has not happened in a uniform manner….
Carotid Pulse The carotid pulse is not normally visible when looking at the neck. It can be palpated medial to and below the angle of the jaw. It is important…
Uniqueness Of NSTEMI The diagnosis of NSTEMI is based on a history of acute cardiac ischaemia in the absence of ST segment elevation. In NSTEMI it is common for the…
There are readily available tools in cardiothoracic units that can be used to automatically calculate this value, but the patient’s height and weight need to be recorded to enable this….
The rules that determine which wave is which are as follows, remembering that not all of these waves may be seen in all leads or indeed, be present. The small,…
Figure 8.2 Right coronary artery disease with wire in position within the artery. Figure 8.3 Right coronary artery PCI with stent in situ within the vessel. However, the logistical difficulties…
