Unstable Cervical Spine: Atlantoaxial Subluxation

Feb 18, 2019 by in ANESTHESIA Comments Off on Unstable Cervical Spine: Atlantoaxial Subluxation

Abstract The unstable cervical spine requires prompt recognition, evaluation of neurologic deficits, evaluation and treatment of systemic effects, and meticulous airway management to ensure optimal outcome from a cervical spine…

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Upper Respiratory Tract Infection

Feb 18, 2019 by in ANESTHESIA Comments Off on Upper Respiratory Tract Infection

Abstract Children presenting with a recent or active upper respiratory tract infection present a clinical dilemma for the anesthesia team. Some of these patients are getting procedures to help with…

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The Jehovah’s Witness Patient

Feb 18, 2019 by in ANESTHESIA Comments Off on The Jehovah’s Witness Patient

Abstract Respect for patient autonomy is a predominant principle in Western medical ethics. Legal precedents strongly support the rights of patients, including pregnant patients, to refuse medical therapies, even life-saving…

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Sarcoidosis

Feb 18, 2019 by in ANESTHESIA Comments Off on Sarcoidosis

Abstract Sarcoidosis is a systemic inflammatory disease for which the etiology is unclear, that manifests noncaseating granulomas, and is usually restricted to the lungs and self-limiting. If treatment is necessary,…

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Steroids

Feb 18, 2019 by in ANESTHESIA Comments Off on Steroids

Abstract The concern for complications associated with chronic preoperative steroid use has generally centered on the risk of adrenal suppression and subsequent hemodynamic instability in the perioperative period. This is…

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Preoperative Cardiac Intervention

Feb 18, 2019 by in ANESTHESIA Comments Off on Preoperative Cardiac Intervention

Abstract Patients with a coronary stent, particularly a drug-eluting stent, are treated for 6 to 12 months with dual antiplatelet therapy. Premature discontinuation of the GIIa/IIIb inhibitor can lead to…

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Preanesthetic Evaluation: False-Positive Tests

Feb 18, 2019 by in ANESTHESIA Comments Off on Preanesthetic Evaluation: False-Positive Tests

Abstract While preoperative testing can provide clinicians with important information into a patient’s suitability for a procedure, there are instances where the tests can inaccurately deliver information depending on the…

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