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Fast track anesthesia approaches

Cardiac and General Anesthesiology

Goal-directed fluid therapy: This technique involves using hemodynamic monitoring to guide fluid administration during surgery. Fast track anesthesia schemes are multi-modal approaches Early postoperative feeding: This approach involves allowing patients to eat solid food as early as six hours after surgery.

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ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 5

Anaesthesia News

Postoperative period in parturients with cardiac disease: In the postoperative period, patients with severe cardiac dysfunction delivered by Caesarean section should be kept in the High Dependent Unit (HDU) / intensive care unit (ICU) for aggressive monitoring of fluid therapy, oxygen saturation and haemodynamics.

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Perioperative renal protection

Anaesthesia News

Goal-directed hemodynamic therapy, predefined algorithms of fluid loading, and inotropic support are utilized to account for variables such as myocardial performance, vascular tone, regional blood flow distribution, venous reservoir capacity, and capillary permeability. Globally, the most frequently employed isotonic crystalloid is 0.9%

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ANAPHYLAXIS DURING GENERAL ANAESTHESIA

Anaesthesia News

Fluid therapy Adults: NaCl 9 mg/ml, Ringers acetate or colloids 20 ml/kg, more may be needed Children: 20 ml/kg, more may be needed Secondary treatment Corticosteroids Adults: Hydrocortisone 250 mg i.v. Titrate dose to response Children: If large doses are needed, use i.v. infusion Mild to moderate reaction: 0.0010.005 mg/kg i.v.