The Patient with Congenital Cardiac Disease
Fig. 5.1 Distribution of age at death in patients with congenital heart disease in 1987–1988 and 2004–2005. Histogram bars depict the proportion of all deaths (x-axis) according to age at…
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The Jehovah’s Witness Patient
1. Respect for autonomy: based on the principle of respect for persons, it translates into the principle of informed consent in the healthcare setting 2. Beneficence: requiring, other things being equal, to…
The Allergic Patient
The patient claimed to be allergic to Scheduled procedures Emergency procedures General anesthetics • Examine previous anesthesia protocols • Consider local-regional anesthesia • Allergo-anesthetic assessment: test all drugs used during the suspected reaction…
The Transplanted Patients: Can We Improve Outcomes of Non-transplant Surgery?
© Springer International Publishing AG 2018Jean-Luc Fellahi and Marc Leone (eds.)Anesthesia in High-Risk Patientshttps://doi.org/10.1007/978-3-319-60804-4_18 18. The Transplanted Patients: Can We Improve Outcomes of Non-transplant Surgery? Christopher P. R. Walker1, Paul Harris1, Janos Fazakas2, Janos Gal3 and Nandor Marczin1, 2, 4 (1) Department…
The Patient with Septic Shock
© Springer International Publishing AG 2018Jean-Luc Fellahi and Marc Leone (eds.)Anesthesia in High-Risk Patientshttps://doi.org/10.1007/978-3-319-60804-4_16 16. The Patient with Septic Shock Bruno Pastene1, Gary Duclos1 and Marc Leone1 (1) Aix Marseille Université, Service d’Anesthésie et de Réanimation, Hôpital Nord,…
Patients with Chronic Neuromuscular Diseases
Absolute contraindication (clinical aggravation) Relative contraindication (careful use) Antibiotics Aminoglycosides Lincosamides Colistin Cyclins Cyclines IV Local aminoglycosides Telithromycin Quinolone Macrolides Cardiovascular drugs Quinidine Lidocaine Procainamides Calcium blocker Beta blocker…
Patients with Cerebral Diseases
© Springer International Publishing AG 2018Jean-Luc Fellahi and Marc Leone (eds.)Anesthesia in High-Risk Patientshttps://doi.org/10.1007/978-3-319-60804-4_14 14. Patients with Cerebral Diseases C. Binet1 and A. C. Lukaszewicz1 (1) Anesthesia and Critical Care Department, Neurological Hospital Pierre Wertheimer, 59 bvd Pinel,…
Anaesthesia and Rare Metabolic Disorders
Acid-base imbalance Iron metabolism disorders Phosphorus metabolism disorders Brain diseases, metabolic Lipid metabolism disorders Porphyrias Calcium metabolism disorders Malabsorption syndromes Proteostasis deficiencies DNA repair deficiency disorders Metabolic syndrome X Skin…
Anesthesia for End-Stage Respiratory Disease
Severe Very severe impairment = end-stage respiratory disease Inscription to a list of lung transplantation FEV1 test 30 < FEV1 <49% FEV1 <30% FEV1 <20% 6-MWT <200 m Stable…
The Patient with End-Stage Liver Disease
Parameter 1 point 2 points 3 points Hepatic encephalopathy (grade) None 1–2 3–4 Ascites Absent Mild Moderate Prothrombin time (s prolonged) <4 4–5 >6 or International normalized ratio <1.7 1.7–2.3…
