- Dedication
- Foreword to the First Edition
- Foreword to the Second Edition
- Contributors
- 1 Challenges of Anesthesia Outside of the Operating Room
- 2 Preoperative Patient Evaluation for Anesthesia Care Outside of the Operating Room
- 3 Patient Monitoring
- 4 Anesthetic Techniques
- 5 Recovery and Discharge for Procedures Conducted Outside of the Operating Room
- 6 Management of Staffing and Case Scheduling for Anesthesia Outside of the Operating Room
- 7 Financial Analysis and Competitive Strategies for NORA
- 8 Anesthesia Information Management Systems (AIMS) for the OOOR Setting
- 9 Procedural Sedation by Nonanesthesia Providers
- 10 Outcomes, Regulation, and Quality Improvement
- 11 CT- and PET/CT-Guided Interventional Radiology Procedures
- 12 Magnetic Resonance Imaging and Ultrasound-Guided Percutaneous Interventional Radiology Procedures
- 13 Interventional Neuroradiology
- 14 Interventional Radiology Procedures
- 15 Anesthesia for Diagnostic and Therapeutic Radiologic Procedures
- 16 Anesthesia in the Radiation Oncology Suite
- 17 Radiation Safety
- 18 Gastrointestinal Endoscopy Procedures
- 19 Anesthesia for Gastrointestinal Endoscopic Procedures
- 20 Anesthesia for Interventional Pulmonology
- 21 Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)
- 22 New Challenges for Anesthesiologists Outside of the Operating Room: The Cardiac Catheterization and Electrophysiology Laboratories
- 23 Anesthesia for Assisted Reproductive Technologies
- 24 Anesthesia for Urologic Procedures
- 25 Anesthesia for Procedures in the Emergency Department
- 26 Office-Based Anesthesia
- 27 Pediatric Anesthesia Outside of the Operating Room
- 28 Procedures in the Adult and Neonatal Intensive Care Units
- 29 Electroconvulsive Therapy
- 30 Pain Management Procedures
- 31 Anesthesia in the Military Setting
- 32 Anesthetic Considerations in Homeland Disasters
- 33 Telemedicine, Teleanesthesia, and Telesurgery
- 34 Anesthesia Considerations in Dental Practice
- 35 Ultrarapid Opiate Detoxification
- 36 Nonelective Care On Board an Aircraft
- 37 The Future of NORA
- Appendix 1 Preuse Checking of Anesthesia Equipment
- Appendix 2 Malignant Hyperthermia
- Appendix 3 Selected American Society of Anesthesiologists Guidelines
- Appendix 4 Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)
- Appendix 5 Pediatric Emergency Planning and Resuscitation
- Index
(p. 317) Anesthetic Considerations in Homeland Disasters
- Chapter:
- (p. 317) Anesthetic Considerations in Homeland Disasters
- Author(s):
Robert Perelmut
and Ernesto A. Pretto Jr.
- DOI:
- 10.1093/med/9780190495756.003.0032
This chapter will primarily focus on anesthetic considerations in homeland disasters likely to require the presence of the anesthesiologist in the out-of-hospital or prehospital environment. In order to understand the context within which anesthesiologists might be asked to function in the out-of-operating room setting during disaster response, we will provide a brief review of the disaster management functions of prehospital emergency medical services (EMS)/trauma systems. We will also describe the reorganization of hospital and intensive care services necessary to handle a surge of incoming critically injured or ill casualties. Our focus will be the role of the anesthesiologist, working in partnership with community or local EMS/trauma system and its network of hospitals, since the local EMS/ambulance system constitutes the basic functional unit of disaster medical response in the United States. We will end with a brief description of the major challenges we face in the delivery of intensive care services in mass and catastrophic casualty disasters.
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- Dedication
- Foreword to the First Edition
- Foreword to the Second Edition
- Contributors
- 1 Challenges of Anesthesia Outside of the Operating Room
- 2 Preoperative Patient Evaluation for Anesthesia Care Outside of the Operating Room
- 3 Patient Monitoring
- 4 Anesthetic Techniques
- 5 Recovery and Discharge for Procedures Conducted Outside of the Operating Room
- 6 Management of Staffing and Case Scheduling for Anesthesia Outside of the Operating Room
- 7 Financial Analysis and Competitive Strategies for NORA
- 8 Anesthesia Information Management Systems (AIMS) for the OOOR Setting
- 9 Procedural Sedation by Nonanesthesia Providers
- 10 Outcomes, Regulation, and Quality Improvement
- 11 CT- and PET/CT-Guided Interventional Radiology Procedures
- 12 Magnetic Resonance Imaging and Ultrasound-Guided Percutaneous Interventional Radiology Procedures
- 13 Interventional Neuroradiology
- 14 Interventional Radiology Procedures
- 15 Anesthesia for Diagnostic and Therapeutic Radiologic Procedures
- 16 Anesthesia in the Radiation Oncology Suite
- 17 Radiation Safety
- 18 Gastrointestinal Endoscopy Procedures
- 19 Anesthesia for Gastrointestinal Endoscopic Procedures
- 20 Anesthesia for Interventional Pulmonology
- 21 Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)
- 22 New Challenges for Anesthesiologists Outside of the Operating Room: The Cardiac Catheterization and Electrophysiology Laboratories
- 23 Anesthesia for Assisted Reproductive Technologies
- 24 Anesthesia for Urologic Procedures
- 25 Anesthesia for Procedures in the Emergency Department
- 26 Office-Based Anesthesia
- 27 Pediatric Anesthesia Outside of the Operating Room
- 28 Procedures in the Adult and Neonatal Intensive Care Units
- 29 Electroconvulsive Therapy
- 30 Pain Management Procedures
- 31 Anesthesia in the Military Setting
- 32 Anesthetic Considerations in Homeland Disasters
- 33 Telemedicine, Teleanesthesia, and Telesurgery
- 34 Anesthesia Considerations in Dental Practice
- 35 Ultrarapid Opiate Detoxification
- 36 Nonelective Care On Board an Aircraft
- 37 The Future of NORA
- Appendix 1 Preuse Checking of Anesthesia Equipment
- Appendix 2 Malignant Hyperthermia
- Appendix 3 Selected American Society of Anesthesiologists Guidelines
- Appendix 4 Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)
- Appendix 5 Pediatric Emergency Planning and Resuscitation
- Index