Download Oxford Textbook Of Geriatric Medicine by J. Grimley Evans and T. Franklin Williams (Editors) PDF

By J. Grimley Evans and T. Franklin Williams (Editors)

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Remifentanil has become a very popular option due to its ultra-short half life and ease of titration; however, longer-acting opioids must be given after the infusion is stopped. Sufentanil is more potent than fentanyl and has a duration of action between that of remifentanil and fentanyl. Dexmedetomidine is an alpha-2-adrenoceptor agonist that is frequently used in neurosurgical anesthesia [1]. Whereas dexmedetomidine will not suffice as a sole anesthetic, it provides sedation, anxiolysis, 17 I.

Klein et al. Anaesthesia in haemodynamically compromised emergency patients: does ketamine represent the best choice of induction agent? Anaesthesia 2009; 64: 532–9. Part I Case 4 Craniotomy. Supratentorial craniotomy Postoperative seizure Allen Keebler Postoperative seizures are a relatively common occurrence after surgery. They are very common in the intensive care unit, even in patients without a primary neurologic diagnosis. The incidence has been reported to be as high as 12% in this setting.

Depending on the dose and route of administration of the antiepileptic given, therapeutic levels may not have been achieved by the time of operation. This may simply be cortical irritation from the surgery because of nontherapeutic levels of the antiepileptic. A thor- 16 ough medication review and discussion with the surgical team will help you decide on the prophylaxis to be given. In this case, the cause was found to be a subdural hematoma at the surgical site and the patient returned to the operating room for decompression.

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