Book contents
- Essentials of Disaster Anesthesia
- Essentials of Disaster Anesthesia
- Copyright page
- Contents
- Contributors
- Preface
- Disclaimer
- Chapter 1 Disaster Anesthesia
- Chapter 2 Preparing to Deploy to a Remote Disaster
- Chapter 3 Principles of Emergency and Trauma Surgery
- Chapter 4 Total Intravenous Anesthesia in Disaster Medicine
- Chapter 5 Inhaled Anesthetics and Draw-Over Devices in Disaster Response
- Chapter 6 Airway Management
- Chapter 7 Vascular Access, Hydration, and Fluids
- Chapter 8 Critical Care Delivery for Disasters in Austere Environments
- Chapter 9 Children in Disasters
- Chapter 10 Special Populations: Children
- Chapter 11 Laboratory Tests and Blood Banking
- Chapter 12 High-Altitude Physiology and Anesthesia
- Chapter 13 Disaster: Mental Health Effects, Responses, and What Clinicians Can Do
- Chapter 14 Considerations When Working with Children and Families
- Chapter 15 Chemical and Radiologic Exposures in Trauma and Disasters
- Chapter 16 Pain in Disasters
- Chapter 17 Radiology in the Austere or Disaster Environment
- Chapter 18 Communications
- Chapter 19 Security in Disaster Anesthesia
- Chapter 20 International Humanitarian Law
- Chapter 21 Operation Tomodachi: Anesthetic Implications
- Chapter 22 Austere Obstetric Anesthesia
- Chapter 23 Pharmacy in Disaster Anesthesia
- Chapter 24 Regional Anesthesia in Disaster Circumstances
- Chapter 25 Power and Light: Impact of Electrical Systems Failure on the Delivery of Anesthetic Care
- Book part
- Index
- References
Chapter 12 - High-Altitude Physiology and Anesthesia
Published online by Cambridge University Press: 23 June 2020
- Essentials of Disaster Anesthesia
- Essentials of Disaster Anesthesia
- Copyright page
- Contents
- Contributors
- Preface
- Disclaimer
- Chapter 1 Disaster Anesthesia
- Chapter 2 Preparing to Deploy to a Remote Disaster
- Chapter 3 Principles of Emergency and Trauma Surgery
- Chapter 4 Total Intravenous Anesthesia in Disaster Medicine
- Chapter 5 Inhaled Anesthetics and Draw-Over Devices in Disaster Response
- Chapter 6 Airway Management
- Chapter 7 Vascular Access, Hydration, and Fluids
- Chapter 8 Critical Care Delivery for Disasters in Austere Environments
- Chapter 9 Children in Disasters
- Chapter 10 Special Populations: Children
- Chapter 11 Laboratory Tests and Blood Banking
- Chapter 12 High-Altitude Physiology and Anesthesia
- Chapter 13 Disaster: Mental Health Effects, Responses, and What Clinicians Can Do
- Chapter 14 Considerations When Working with Children and Families
- Chapter 15 Chemical and Radiologic Exposures in Trauma and Disasters
- Chapter 16 Pain in Disasters
- Chapter 17 Radiology in the Austere or Disaster Environment
- Chapter 18 Communications
- Chapter 19 Security in Disaster Anesthesia
- Chapter 20 International Humanitarian Law
- Chapter 21 Operation Tomodachi: Anesthetic Implications
- Chapter 22 Austere Obstetric Anesthesia
- Chapter 23 Pharmacy in Disaster Anesthesia
- Chapter 24 Regional Anesthesia in Disaster Circumstances
- Chapter 25 Power and Light: Impact of Electrical Systems Failure on the Delivery of Anesthetic Care
- Book part
- Index
- References
Summary
Human physiology is well adapted to sea-level atmospheric pressure. Decreased atmospheric pressures at altitude have profound effects on human physiology and anesthetic delivery. Seemingly arcane, the need for high-altitude anesthesia and critical care in disaster response is unusually common. The seismology and meteorology of high-altitude mountainous environments leads to frequent natural disasters. Approximately 140 000 000 people worldwide live persistently at altitudes above 2500 meters (8000 feet). Additionally, millions of people transiently visit high altitudes for vacation hiking, skiing, sport climbing, or other recreational pleasures. These endemic and visiting populations are subject to the risks of natural disasters, in addition to their usual needs for surgical care at elevation. Anesthesiology providers are also asked to support military operations, aviation, mountain-climbing expeditions, and disaster-response humanitarian missions at extreme altitudes. These latter operations may be conducted in minimally developed areas with limited resources and involve high-risk behaviors, trauma, minimal time for acclimatization, and hostile environmental exposure.
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- Essentials of Disaster Anesthesia , pp. 106 - 115Publisher: Cambridge University PressPrint publication year: 2020