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Anesthesia for Procedures in the Intensive Care Unit and the Neonatal Intensive Care Unit 

Anesthesia for Procedures in the Intensive Care Unit and the Neonatal Intensive Care Unit
Chapter:
Anesthesia for Procedures in the Intensive Care Unit and the Neonatal Intensive Care Unit
Author(s):

John K. Stene

and Carolyn A. Barbieri

DOI:
10.1093/med/9780195396676.003.0025
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date: 18 August 2018

Anesthesiologists who are assigned to provide anesthesia for operations in the intensive care unit (ICU) must adapt principles of safe and effective anesthesia practice to this novel outside-of-the-operating-room environment. Among the reasons to perform surgical procedures at the bedside in the ICU is the avoidance of transporting an unstable, critically ill patient from the ICU to the operating room. Therefore, patients who need anesthesia care to undergo surgical procedures in the ICU can present a major challenge, The types of procedures performed in the ICU include those under local anesthesia (chest tubes, thoracentesis, diagnostic peritoneal lavage, diagnostic ultrasound; pericardiocentesis), and common procedures under general anesthesia (percutaneous tracheostomy, percutaneous endoscopic gastrostomy (PEG), esophagogastroduodenoscopy (EGD), and transesophageal echocardiogram (TEE)), as well as uncommon procedures under general anesthesia (thoracotomy, laparotomy, and amputation).

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