Emily Guimaraes - The Anesthesia Technologists Manual

SECOND EDITION

SECOND EDITION

Emily S. Guimaraes, MD

Assistant Professor

Department of Anesthesiology and Perioperative Medicine

Oregon Health and Science University

Portland, Oregon

Matthew Davis, MAT Cer ATT

Value Analyst

Purchasing

Oregon Health and Science University

Portland, Oregon

Jeffrey R. Kirsch , MD, FASA

Mayho & Calvin Tanabe Endowed Professor and Chair

Department of Anesthesiology and Perioperative Medicine

Oregon Health and Science University

Portland, Oregon

Glenn Woodworth, MD

Associate Professor

Department of Anesthesiology and Perioperative Medicine

Oregon Health and Science University

Portland, Oregon

Acquisitions Editor: Keith Donnellan

Product Development Editor: Elizabeth Schaeffer

Editorial Coordinator: David Murphy Jr./ Jeremiah Kiely

Marketing Manager: Rachel Mante-Leung

Production Project Manager: Kim Cox

Design Coordinator: John Wendt

Manufacturing Coordinator: Beth Welsh

Prepress Vendor: SPi Global

Second Edition

Copyright 2019 Wolters Kluwer

Copyright 2012 Lippincott Williams & Wilkins, a Wolters Kluwer business. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services).

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Printed in China (or the United States of America)

Library of Congress Cataloging-in-Publication Data

Names: Guimaraes, Emily, editor. | Davis, Matthew, editor. | Woodworth, Glenn, editor. | Kirsch, Jeffrey R., 1957- editor.

Title: The anesthesia technologist's manual : all you need to know for study and reference / [edited by] Emily Guimaraes, Matthew Davis, Glenn Woodworth, Jeffrey R. Kirsch.

Description: Second edition. | Philadelphia : Wolters Kluwer, [2019] | Preceded by The anesthesia technician & technologist's manual / [edited by] Glenn Woodworth, Shannon Sayers-Rana, Jeffrey R. Kirsch. c2012. | Includes bibliographical references and index.

Identifiers: LCCN 2018026862 | ISBN 9781496344311 (pbk.)

Subjects: | MESH: Anesthesia | Anesthesiologymethods | Allied Health Personneleducation | Study Guide

Classification: LCC RD82.3 | NLM WO 218.2 | DDC 617.9/6076dc23 LC record available at https://lccn.loc.gov/2018026862

This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

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DEDICATION

We dedicate this book to the anesthesia technicians and technologists who inspire our work.

For Arkey Taylor, Allen Dillon, and Joe Jackson, who first taught me about anesthesia equipment and made me welcome in the workroom. Im grateful for your mentorship, your friendship, and your field. And for my children, Joel and Carl; may you find their pleasure and pride in your work, whatever it turns out to be.

EG

For Mom and Dad who always told me I could do it. For Tony and Shannon, who took me under their wing when I was wet behind the ears and allowed me to grow into the technologist I am today.

MD

For my unbelievable family: Robin, Jodi, Hen, Alan, Rachel, Ricki, Nick, and amazing Noa. I love you all.

JK

Ahmed Alshaarawi , MS, CRNA

Assistant Professor
Department of Anesthesiology and Perioperative Medicine
Oregon Health and Science University
Portland, Oregon

Ryan B. Anderson , MD, PhD

Assistant Professor
Department of Anesthesiology and Perioperative Medicine
Oregon Health and Science University
Portland, Oregon

Douglas Arditti , DNP, FNP-C, CRNA

Instructor
Department of Anesthesiology and Perioperative Medicine
Oregon Health and Science University
Portland, Oregon

Michael S. Axley , MD

Staff Anesthesiologist
Oregon Anesthesiology Group
Portland, Oregon

Michael F. Aziz , MD

Professor
Department of Anesthesiology and Perioperative Medicine
Oregon Health and Science University
Portland, Oregon

Mark J. Baskerville , MD, JD, MBA, MA

Associate Professor
Department of Anesthesiology and Perioperative Medicine
Attending Intensivist
Cardiovascular Intensive Care Unit
Knight Cardiovascular Institute
Oregon Health and Science University
Portland, Oregon

Curtis Bergquist , MD

Cardiothoracic Surgery Resident
Department of Surgery
University of Michigan Medical Center
Ann Arbor, Michigan

Lauren C. Berkow , MD

Associate Professor
Department of Anesthesiology
University of Florida College of Medicine
Staff Anesthesiologist
University of Florida Shands Hospital
Gainesville, Florida

Ann E. Bingham , MD

Assistant Professor
Department of Anesthesiology and Perioperative Medicine
Oregon Health and Science University
Portland, Oregon

Mary A. Blanchette , MD

Assistant Professor
Department of Anesthesiology and Perioperative Medicine
Oregon Health and Science University