Anaphylaxis

Sep 1, 2018 by in ANESTHESIA Comments Off on Anaphylaxis

Risk • Lifetime prevalence of anaphylaxis is 0.05% to 2%, most common triggers being food, stings, and iatrogenic causes. • Occurs in approximately 1 in 10,000 to 1 in 20,000…

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Amyotrophic Lateral Sclerosis

Sep 1, 2018 by in ANESTHESIA Comments Off on Amyotrophic Lateral Sclerosis

Risk • Estimated incidence of 1-3:100,000. • Mean age of onset is in the 60s, but ALS can occur as early as the 20s. • Disease duration is approximately 3…

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Anemia, Aplastic

Sep 1, 2018 by in ANESTHESIA Comments Off on Anemia, Aplastic

Risk • Incidence in USA: 2000 new cases/y. • Per million up to age 9. • Southeast Asia and South Africa have 10-20 times higher incidence. • Within USA, related…

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Anemia, Megaloblastic

Sep 1, 2018 by in ANESTHESIA Comments Off on Anemia, Megaloblastic

Risk • Prevalence: Estimates ranging from 1.7-3.6%. • Most common cause is vitamin deficiency: 65% vitamin B12; 12% combined folate/vitamin B12; 6% folate. • Pernicious anemia is less common: 1…

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Anemia, Hemolytic

Sep 1, 2018 by in ANESTHESIA Comments Off on Anemia, Hemolytic

Risk • Autoimmune disorders (SLE, RA, scleroderma, cold agglutinin disease). • Lymphoproliferative disorders (CLL, NHL). • Prosthetic heart valves (ball-and-cage, and bileaflet valves). Usually subclinical, but can be severe in…

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Allergy

Sep 1, 2018 by in ANESTHESIA Comments Off on Allergy

Risk • Incidence in USA: 5% of adults are allergic to one or more drugs. • During surgery, the risk of anaphylaxis is ∼1:2500 to 1:20,000 depending on the agent,…

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Alpha 1-Antitrypsin Deficiency

Sep 1, 2018 by in ANESTHESIA Comments Off on Alpha 1-Antitrypsin Deficiency

Risk • One of the most common inherited disorders (1 in 2500 in case of European ancestry; uncommon in Asians) • Less than 10% of individuals with AAT deficiency are…

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Alcohol Abuse

Sep 1, 2018 by in ANESTHESIA Comments Off on Alcohol Abuse

Risk • Incidence in USA: 10% of Americans, incl physicians, will abuse alcohol at some point in their lives. • 1:5 surgical pts has some form of alcohol use disorder….

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Amniotic Fluid Embolism

Sep 1, 2018 by in ANESTHESIA Comments Off on Amniotic Fluid Embolism

Risk • Risk factors include: advanced maternal age (>35 y); cesarean delivery; placenta previa; meconium; intrauterine fetal demise; placental abruption; meconium staining of the amniotic fluid; chorioamnionitis; and macrosomia. •…

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Amyloidosis

Sep 1, 2018 by in ANESTHESIA Comments Off on Amyloidosis

Risk • Incidence in USA: 1:100,000 • Race with highest prevalence: Unknown Perioperative Risks • Increased risk of periop renal failure, cardiomyopathy (arrhythmias and ventricular dysfunction), bleeding from coagulopathy •…

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