Decision Support in Medicine

Mitral Valve Replacement

What the Anesthesiologist Should Know before the Operative Procedure Background Mitral valvular disease can be categorized as either stenotic or incompetent, albeit a third or more of patients present with both lesions. Mitral stenosis (MS) represents a pressure overload condition; whereas, mitral insufficiency or mitral regurgitation (MR) represents a volume overload state. As such, the…

The Parturient with Multiple Gestation

What the Anesthesiologist Should Know before the Operative Procedure Multiple gestations have become more common because they can occur in conjunction with infertility treatments. In comparison to singleton gestations, multiple gestations are more likely to be complicated by supine hypotension syndrome, anemia, preeclampsia, polyhydramnios, preterm premature rupture of membranes, preterm labor and/or delivery, dysfunctional labor,…

ORIF of vertebral fracture

What the Anesthesiologist Should Know before the Operative Procedure Vertebral fractures can be pathologic (metastatic cancer), degenerative (osteoporosis), or traumatic (motor vehicle accident, fall, sports, gunshot). The most common sources for spinal metastatic disease are lung, breast, gastrointestinal, and prostate cancers. Continue Reading In osteoporotic patients, vertebral fractures occur twice as often as fractures of…

Open Globe Injuries

What the Anesthesiologist Should Know before the Operative Procedure? An open globe occurs when there is a breach in the sclera or cornea, usually as a result of either blunt or penetrating trauma. The major concerns in this case include infection of intraocular contents (endophthalmitis) and possible expulsion of intraocular contents, which may cause distortion…

Interstitial laser thermal therapy for benign prostatic hyperplasia

What the Anesthesiologist Should Know before the Operative Procedure Benign prostatic hyperplasia (BPH) is a progressive condition associated with symptoms of the lower urinary tract, specifically urinary retention or obstructed urinary flow. The prevalence of BPH increases with patient age, affecting more than half of men in their sixth decade of life. Traditionally, the management…

Wilms' Tumor

OVERVIEW: What every practitioner needs to know Wilms tumor (WT) is the most common childhood renal tumor, accounting for about 6% of all childhood malignant disease. Approximately 500 new cases are diagnosed in North America each year. The majority of cases (> 80%) are diagnosed in children less than 5 years of age, with nearly…

Uvulopalatopharyngoplasty – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Uvulopalatopharyngoplasty (UPPP) is an upper airway operation for sleep disturbances. Sleep disturbances range from loud snoring to severe obstructive sleep apnea. UPPP covers a spectrum of techniques, including transoral surgery to endoscopic laser ablation, and may or may not include concurrent tonsillectomy. 1. What is the…

Tracheostomy – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Tracheostomy is performed to provide an airway alternative to orotracheal or nasotracheal intubation. Frequently it is an elective procedure for patients requiring prolonged intubation who have a stable airway in place. Tracheostomy may also be performed as the primary airway access in patients with a difficult…

Radical Hysterectomy and Abdominal Hysterectomy – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Hysterectomy is the surgical removal of the uterus. Removal of the uterus may be combined with the removal of the ovaries and/or fallopian tubes. The procedure may be done for a benign condition such as bleeding, endometriosis or leiomyosarcoma. Alternatively, this procedure may be part of…

Laparoscopic cholecystectomy

What the Anesthesiologist Should Know before the Operative Procedure Gallbladder disease affects more than 20 million individuals in the United States annually and is one of the most common medical conditions leading to a surgical intervention. Risk factors for gallbladder disease include gender, ethnicity, and comorbidities. Cholelithiasis is also related to diet and genetic factors…

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