scholarly journals Anesthetic Management of the Newborn Surgical Patient

10.5772/66932 ◽  
2017 ◽  
Author(s):  
Marissa Vadi ◽  
Chelan Nour ◽  
Patrick Leiter ◽  
Harmony Carter
Keyword(s):  
Anesthetic Management ◽  
Surgical Patient

Anesthetic management of a hypothyroid cardiac surgical patient

1991 ◽  
Vol 5 (2) ◽  
pp. 156-159 ◽  
Author(s):  
Charles W. Whitten ◽  
Terry W. Latson ◽  
Kevin W. Klein ◽  
Jeff Elmore ◽  
Roger Spencer ◽  
...  
Keyword(s):  
Anesthetic Management ◽  
Surgical Patient ◽  
Cardiac Surgical Patient

scholarly journals Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Hiroe Yoshioka ◽  
Haruyuki Yamazaki ◽  
Rie Yasumura ◽  
Kosuke Wada ◽  
Yoshiro Kobayashi
Keyword(s):  
Renal Tubular Acidosis ◽  
Subclinical Hypothyroidism ◽  
Anesthetic Management ◽  
Blood Gas Analysis ◽  
Complete Recovery ◽  
Gas Analysis ◽  
Surgical Patient ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Renal Tubular

A 53-year-old man with chronic renal tubular acidosis and subclinical hypothyroidism underwent lower leg amputation surgery under general anesthesia. Perioperative acid-base management in such patients poses many difficulties because both pathophysiologies have the potential to complicate the interpretation of capnometry and arterial blood gas analysis data; inappropriate correction of chronic metabolic acidosis may lead to postoperative respiratory deterioration. We discuss the management of perioperative acidosis in order to achieve successful weaning from mechanical ventilation and promise a complete recovery from anesthesia.

Anesthesia for Anterior/Posterior Spine Surgery

2018 ◽  
Author(s):  
Thomas N. Pajewski
Keyword(s):  
Anesthetic Management ◽  
Surgical Techniques ◽  
Spinal Column ◽  
Structural Instability ◽  
Neurological Dysfunction ◽  
Surgical Approaches ◽  
Surgical Patient ◽  
Surgical Interventions ◽  
Spine Pathology ◽  
Posterior Spine Surgery

Surgical approaches to correct spine pathology are based on anatomical considerations along with a surgeon’s experience and preference. Beyond consideration of the actual anatomic level being addressed, the different areas of the spinal column, cervical, thoracic, lumbar, and sacral coccygeal regions are in proximity of a range of structures that must be appreciated during surgery. These considerations impact the anesthetic management of the surgical patient. Historically, spine pathology was initially approached posteriorly, but, since the mid-twentieth century, the anterior approach has been more frequently used, especially at the cervical level. Advances in surgical techniques, coupled with advances in anesthesia and postoperative care, have allowed an increasing patient population to benefit from surgical interventions that address various forms of spinal pathology, including neurological dysfunction, deformity (either hereditary or acquired), structural instability, pathologic lesions (including tumor and infections), and pain.

scholarly journals Anesthetic management of a surgical patient with an acute aortic dissection complicated by hemoglobin Kansas

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Takashi Kobayashi ◽  
Kenji Suzuki
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Anesthetic Management ◽  
Arterial Oxygen Saturation ◽  
Detailed Examination ◽  
Arterial Oxygen ◽  
Surgical Patient ◽  
Peripheral Tissues ◽  
Aortic Replacement ◽  
Bladder Temperature

Abstract Background Hemoglobin Kansas (Hb Kansas) is a rare disease with cyanosis. We report a case of anesthetic management for a patient with an acute aortic dissection complicated by Hb Kansas. Case presentation We encountered a 62-year-old male, surgical patient with an acute aortic dissection complicated by postoperative Hb Kansas. During anesthesia, his arterial oxygen saturation was low, while the partial pressure of arterial oxygen was within the normal range. The patient underwent ascending aortic replacement under hypothermic circulation arrest with a bladder temperature of 22 °C after introducing cardiopulmonary bypass. The patient was then referred to the hematology department for detailed examination and was diagnosed as having Hb Kansas through genetic analysis at 2 months after surgery. Conclusions Except for apparent cyanosis, Hb Kansas causes no clinical problems because the delivery of oxygen to peripheral tissues may be enhanced for such patients. When we perform anesthetic management for cyanosis patients with unknown causes, it is necessary to consider the oxygen supply-demand balance.

Mitral Regurgitation in Patients Undergoing Noncardiac Surgery

2021 ◽  
pp. 108925322110428
Author(s):  
Ellen W. Richter ◽  
Islam M. Shehata ◽  
Hamdy M. Elsayed-Awad ◽  
Matthew A. Klopman ◽  
Sujatha P. Bhandary
Keyword(s):  
Mitral Regurgitation ◽  
Anesthetic Management ◽  
Heart Association ◽  
Mitral Annulus ◽  
The United States ◽  
Cardiovascular Complications ◽  
Noncardiac Surgery ◽  
Surgical Patient ◽  
Increased Risk ◽  
Secondary Mr

Mitral regurgitation (MR) is one of the most frequently encountered types of valvular heart disease in the United States. Patients with significant MR (moderate-to-severe or severe) undergoing noncardiac surgery have an increased risk of perioperative cardiovascular complications. MR can arise from a diverse array of causes that fall into 2 broad categories: primary (diseases intrinsic to the valvular apparatus) and secondary (diseases that disrupt normal valve function via effects on the left ventricle or mitral annulus). This article highlights key guideline updates from the American College of Cardiologists (ACC) and the American Heart Association (AHA) that inform decision-making for the anesthesiologist caring for a patient with MR undergoing noncardiac surgery. The pathophysiology and natural history of acute and chronic MR, staging of chronic primary and secondary MR, and considerations for timing of valvular corrective surgery are reviewed. These topics are then applied to a discussion of anesthetic management, including preoperative risk evaluation, anesthetic selection, hemodynamic goals, and intraoperative monitoring of the noncardiac surgical patient with MR.

Anesthetic Management of a Surgical Patient With Cardiac Implantable Electrical Device

2012 ◽  
Vol 16 (3) ◽  
pp. 166-175 ◽  
Author(s):  
Sujatha Ramachandran ◽  
Gregory Janelle ◽  
Ryan Aleong ◽  
Jay Berger ◽  
Andrew Krumerman ◽  
...  
Keyword(s):  
Anesthetic Management ◽  
Surgical Patient ◽  
Electrical Device
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