Intraoperative Coagulopathies
36 h) and VIII ( 10–14 h) are labile and are the factors most affected during storage of plasma. Factors V and VIII also appear to be most commonly deficient in patients…
One-Lung Ventilation
Past Medical History: Hypertension, COPD, obesity, smoker Medications: Lovastatin 40 mg oral daily Amlodipine 10 mg daily Valsartan 320 mg daily Atenolol 25 mg daily Allergies: Iodinated contrast dye—anaphylaxis Physical Exam: VS: BP 144/96 HR…
Congenital Heart Disease: Atrioventricular Septal Defects
Fig. 57.1 Cross section of the heart showing mitral and tricuspid valve apparatus and common atrial and ventricular septal defects in a case of CAVC. Reproduced from Böök K, Björk V. O,…
Pacemakers and Implantable Cardioverter Defibrillators
Fig. 10.1 Dual-chamber pacemaker Fig. 10.2 Single-chamber ICD Fig. 10.3 CRT-D A transvenous CIED will generally have a pulse generator located in the prepectoral region. An epicardial system may have an abdominal pulse…
Gastroschisis and Omphalocele
Gastroschisis Omphalocele Incidence 4.5: 10,000 3: 10,000 Embryology Anterior abdominal wall defect, umbilical cord intact and to the right of defect. No membranous sac. Usually small and large intestines…
Brachial Plexus Block
Past medical history: Atrial fibrillation, COPD, CHF Medications: Coumadin 3 mg PO daily, Albuterol MDI 2 puffs prn for shortness of breath, Spiriva 2 puffs daily, furosemide 20 mg PO daily, metoprolol…
Anesthesia for Open Repair of Abdominal Aortic Aneurysm
Additional history includes moderate renal artery stenosis and breast cancer, s/p lumpectomy. PSH: Left hip replacement, CEA, CABG × 3, AVR Meds: Amlodipine, atorvastatin, bumetanide, metoprolol, aspirin Allergies: simvastatin (muscle aches), cefazolin…
The Difficult Airway
PMHx: Obesity Asthma Medications: Oral contraceptives Allergies: None known PSHx: C/S × 2 Sinus surgery Physical Exam: Height 5′6″ (167 cm) Weight: 210 lbs (95.5 kg) (BMI 34) VS: HR 106 BP 108/59 RR 22…
Spine Surgery and Intraoperative Monitoring
Medications: Gabapentin 100 mg three times a day Tramadol 50 mg every 6 h if needed Hydrochlorothiazide 12.5 mg twice a day Metoprolol 25 mg once a day Losartan 50 mg once a day Pantoprazole 40 mg…
