Essentials of Trauma Anesthesia

346 Pages·2018·24.73 MB·English

by  Albert J. Varon

Essentials of Trauma
Anesthesia
SecondEdition
17:41:22, subject to the Cambridge Core
17:41:22, subject to the Cambridge Core
Essentials of Trauma
Anesthesia
SecondEdition
Editedby
Albert J. Varon MD MHPE FCCM
MillerProfessorandViceChairforEducation,DepartmentofAnesthesiology,UniversityofMiamiMillerSchoolofMedicine,Miami,FL,
USA;ChiefofAnesthesiology,RyderTraumaCenteratJacksonMemorialHospital,Miami,FL,USA
Charles E. Smith MD
ProfessorofAnesthesia,CaseWesternReserveUniversitySchoolofMedicine,Cleveland,OH,USA;AttendingAnesthesiologistandDirector
ofAnesthesiaResearch,DepartmentofAnesthesiology,MetroHealthMedicalCenter,Cleveland,OH,USA
17:41:22, subject to the Cambridge Core
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Informationonthistitle:www.cambridge.org/9781316636718
DOI:10.1017/9781316874936
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Firstpublished2012
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LibraryofCongressCataloging-in-PublicationData
Names:Varon,AlbertJ.,editor.|Smith,CharlesE.,1956–editor.
Title:Essentialsoftraumaanesthesia/editedbyAlbertJ.Varon,
CharlesE.Smith.
Description:Secondedition.|Cambridge,UnitedKingdom;NewYork,
NY:CambridgeUniversityPress,2017.|Includesbibliographical
referencesandindex.
Identifiers:LCCN2017014556|ISBN9781316636718(pbk.:alk.paper)
Subjects:|MESH:Anesthesia|WoundsandInjuries|CriticalCare|
PerioperativeCare
Classification:LCCRD81|NLMWO200|DDC617.9/6–dc23
LCrecordavailableathttps://lccn.loc.gov/2017014556
ISBN978-1-316-63671-8Paperback
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up-to-dateinformationwhichisinaccordwithacceptedstandardsand
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17:41:22, subject to the Cambridge Core
Tomygrandchildren,LisaandJack,forcomingintoourlivesandgivingussomuchjoy.
AJV
Tothevictimsofbluntandpenetratingtrauma,andtoallthosewhoworklongandhard
to transport, stabilize, diagnose,treat,and rehabilitate them. To my children Adrienne,
Emily,and Rebecca, grandchildren Jane and Lucy, and parents,Thelma and David for
their love.
CES
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17:46:04, subject to the Cambridge Core
Contents
List of Contributors ix
Preface xiii
List of Abbreviations xv
Section 1 – Core Principles in 11. Coagulation Monitoring ofthe
BleedingTrauma Patient 154
Trauma Anesthesia
Marc P. Steurer and Michael
1. TraumaEpidemiology, Mechanisms T.Ganter
of Injury, and Prehospital Care 1 12. Postoperative Care of the Trauma
John J. Como andCharles E. Smith Patient 164
2. Initial Evaluation and Jack Louro andAlbert J.Varon
Management 16
ThomasE. Grissom and Robert Section 2 – Anesthetic
Sikorski
Considerations for Trauma
3. AirwayManagement 29
Christian Diez and Albert J. Varon 13. Anesthetic Considerations for Adult
4. Shock,Resuscitation,andFluid Traumatic Brain Injury 173
K.H. KevinLuk and Armagan Dagal
Therapy 44
Michelle E. Kim andYvetteFouche 14. AnestheticConsiderationsforSpinal
5. Vascular Cannulation 56 Cord Injury 187
K.H. KevinLuk and Armagan Dagal
Shawn E. Banks and AlbertJ. Varon
15. Anesthetic Considerations for
6. Blood Component Therapyand
Ocular and Maxillofacial
TraumaCoagulopathy 69
Trauma 200
Craig S. Jabaley and Roman Dudaryk
Suneeta Gollapudy and Olga Kaslow
7. GeneralAnesthesia for Trauma 82
16. Anesthetic Considerations for Chest
Michael D.BassettandCharles
Trauma 212
E. Smith
John M. Albert and CharlesE. Smith
8. Regional Anesthesiafor
17. Anesthetic Considerations for
Trauma 102
Abdominal Trauma 232
MoniqueEspinosa and Sripad Rao
Olga Kaslow
9. MonitoringtheTraumaPatient 124
18. Anesthetic Considerations for
RichardMcNeerand Albert J. Varon
Musculoskeletal Trauma 246
10. Echocardiography in Trauma 138 Jessica A. Lovich-Sapola and Charles
AshrafFayadandMarie-JoPlamondon E. Smith
vii
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viii TableofContents
Section 3 – Anesthetic 21. Anesthetic Management of the
GeriatricTrauma Patient 290
Management in Special Trauma
Olga Kaslow andRachel Budithi
Populations
22. Anesthetic Management of the
19. AnestheticManagementoftheBurn Pregnant Trauma Patient 304
Patient 261 DariaM.MoaveniandAlbertJ.Varon
Hernando Olivar andSam R. Sharar
20. Anesthetic Management of the
PediatricTrauma Patient 275 Index 317
RameshRamaiah and Sam R. Sharar
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Contributors
John M. Albert Harborview Medical Center,
Fellow, Cardiothoracic Anesthesia, University of Washington,
WeillMedical Collegeof Cornell Seattle,WA
University;New York–Presbyterian
ChristianDiez
Hospital, New York, NY
Associate Professorand Vice Chairfor
Shawn E. Banks ClinicalAffairs, Departmentof
Associate Professorand Residency Anesthesiology, University of Miami
ProgramDirector, Department of Miller School of Medicine; Attending
Anesthesiology,UniversityofMiamiMiller Anesthesiologist, Ryder Trauma
School of Medicine;Attending Centerat Jackson MemorialHospital,
Anesthesiologist, Ryder TraumaCenter at Miami,FL
Jackson Memorial Hospital, Miami, FL
RomanDudaryk
MichaelD. Bassett AssistantProfessor, Departmentof
AssistantProfessor, Case Western Reserve Anesthesiology,UniversityofMiamiMiller
University School of Medicine;Attending School of Medicine;Attending
Anesthesiologist, MetroHealth Medical Anesthesiologist and Intensivist,Ryder
Center,Cleveland, OH TraumaCenter at Jackson Memorial
Hospital, Miami, FL
Rachel Budithi
AssistantProfessor, Departmentof Monique Espinosa
Anesthesiology, Medical College of AssistantProfessorof Anesthesiology,
Wisconsin; Froedtert Memorial Lutheran University of Miami Miller Schoolof
HospitalMilwaukee,WI Medicine; Attending Anesthesiologist,
RyderTraumaCenteratJacksonMemorial
John J. Como
Hospital, Miami, FL
ProfessorofSurgery,CaseWesternReserve
University School of Medicine;Associate AshrafFayad
TraumaMedical Director, Divisionof Associate Professor,Department of
Trauma, Critical Care, Burns, andAcute Anesthesiology andPainMedicine and
CareSurgery,MetroHealthMedicalCenter, Director,Perioperative Echocardiography
Cleveland, OH for Non-cardiac SurgeryProgram,
University of Ottawa, Ottawa, Ontario,
Armagan Dagal
Canada
Associate Professor,Department of
Anesthesiology &Pain Medicine, Adjunct L. Yvette Fouche
Associate Professor,Department of AssistantProfessorof Anesthesiology,
Neurological Surgery, Medical Co- University of MarylandSchoolof
Director,EnhancedPerioperativeRecovery Medicine; Division Head, Trauma
Program,Division Head of Spine and Anesthesiology, R Adams Cowley Shock
Orthopedic Anesthesia Services, TraumaCenter,Baltimore, MD
ix
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x Contributors
MichaelT. Ganter Jack Louro
Professorof Anesthesiology and Critical AssistantProfessorof Anesthesiology,
Care MedicineandChair,Instituteof University of Miami Miller Schoolof
Anesthesiology –Emergency Medical Medicine; Attending Anesthesiologist,
Service,Perioperative Medicine,Pain RyderTraumaCenteratJacksonMemorial
Therapy, KantonsspitalWinterthur, Hospital, Miami, FL
Winterthur, Switzerland
Jessica A.Lovich-Sapola
Suneeta Gollapudy Associate Professor,Case Western Reserve
Associate Professor, Department University School of Medicine;Attending
of Anesthesiology, Medical College Anesthesiologist, Department of
of Wisconsin; Director, Division Anesthesiology, MetroHealthMedical
of Neuroanesthesia and Center,Cleveland, OH
Director, Division of Post
Anesthesia Care Unit, Froedtert K. H.Kevin Luk
Memorial Lutheran Hospital, AssistantProfessor, Divisions of
Milwaukee, WI Neuroanesthesiology &Perioperative
Neurosciences,andCriticalCareMedicine,
ThomasE. Grissom Department of Anesthesiology &Pain
Associate Professorof Anesthesiology, Medicine, Harborview Medical Center,
University of MarylandSchoolof University of Washington, Seattle,WA
Medicine; Attending Anesthesiologist,
R Adams Cowley Shock Trauma Center, Richard McNeer
Baltimore,MD Associate Professorof Anesthesiology and
Biomedical Engineering, University of
Craig S. Jabaley MiamiMiller School of Medicine;
AssistantProfessorof Anesthesiology, Attending Anesthesiologist, Ryder Trauma
Emory University Schoolof Medicine; Centerat Jackson MemorialHospital,
Department of Anesthesiology, Divisionof Miami,FL
Critical CareMedicine,Emory University
Hospital, Atlanta,GA DariaM. Moaveni
AssistantProfessorof Anesthesiology,
Olga Kaslow
University of Miami Miller Schoolof
Associate Professor,Department of
Medicine; Director, Obstetric
Anesthesiology, Medical College of
Anesthesiology Fellowship Program,
Wisconsin; Director, Trauma
Jackson Memorial Hospital, Miami, FL
Anesthesiology Service,Froedtert
MemorialLutheran Hospital, HernandoOlivar
Milwaukee, WI ClinicalAssociateProfessor,Departmentof
Anesthesiology &Pain Medicine,
MichelleE. Kim
Harborview Medical Center/University of
AssistantProfessorof Anesthesiology, Washington, Seattle,WA
University of MarylandSchoolof
Medicine; Attending Anesthesiologist, Marie-Jo Plamondon
R Adams Cowley Shock Trauma Center, AssistantProfessor, Departmentof
Baltimore,MD Anesthesiology andPainMedicine;
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