Valvular Heart Disease
Valvular Heart Disease Natalia S. Ivascu Gregg S. Hartman Nikolaos J. Skubas A 78-year-old man was admitted with increasing shortness of breath. He had chest pain in the past but…
Pacemakers, Implantable Cardioverter-Defibrillators, and Cardiac Resynchronization Therapy Devices
Pacemakers, Implantable Cardioverter-Defibrillators, and Cardiac Resynchronization Therapy Devices Alan Cheng Fun-Sun F. Yao A 63-year-old woman was scheduled for urgent open cholecystectomy. She underwent a dual-chamber permanent pacemaker (PPM) implantation…
Ischemic Heart Disease and Coronary Artery Bypass Grafting
Ischemic Heart Disease and Coronary Artery Bypass Grafting Lisa Q. Rong Nikolaos J. Skubas Fun-Sun F. Yao A 57-year-old man with triple-vessel coronary artery disease (CAD) was scheduled for coronary…
Mechanical Circulatory Support
Mechanical Circulatory Support Adam Lichtman Nikolaos J. Skubas A 58-year-old man is scheduled to undergo an upper gastrointestinal (GI) endoscopy under monitored anesthesia care (MAC). The patient underwent aortic and…
Aspiration and Postoperative Respiratory Failure
Aspiration and Postoperative Respiratory Failure David A. Berlin Kapil Rajwani Edward J. Schenck A 62-year-old woman presents to the emergency department with a small bowel obstruction. She is vomiting and…
Lung Transplantation
Lung Transplantation Jennifer Dietrich Charles W. Hogue Jr. A 52-year-old woman with progressively worsening dyspnea on exertion, limited daily activity despite supplemental oxygen, and radiographic and spirometric evidence of severe…
Bronchoscopy, Mediastinoscopy, and Thoracoscopy
Bronchoscopy, Mediastinoscopy, and Thoracoscopy Alessia Pedoto Paul M. Heerdt Fun-Sun F. Yao A 60-year-old man has suffered from cough, intermittent hemoptysis, and weight loss for 2 months. He has smoked…
Asthma and Chronic Obstructive Pulmonary Disease
Asthma and Chronic Obstructive Pulmonary Disease Fun-Sun F. Yao Angela R. Selzer A 55-year-old man with cholelithiasis is scheduled for laparoscopic cholecystectomy. He has a long history of asthma, has…
Chapter 26 – Corticosteroids and Other Hormone Preparations
Abstract The main endogenous glucocorticoid in humans is hydrocortisone. Synthetic glucocorticoids include prednisolone, methylprednisolone, betamethasone, dexamethasone and triamcinolone. They have metabolic, anti-inflammatory (see Table 26.1) and immunosuppressive effects. Chapter 26…
Chapter 24 – Drugs Affecting Coagulation
Abstract This has three elements: platelets, the coagulation cascade and fibrinolysis. The first two are involved in preventing haemorrhage by thrombus formation, while fibrinolysis is an essential limiting mechanism. Chapter…
