			Home About us Contact

Anesthetic Implications (anesthetic + implication)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

Anesthetic implications of ornithine transcarbamylase deficiency

PEDIATRIC ANESTHESIA, Issue 7 2010
ANDREA P. DUTOIT MD
Summary Background:, Ornithine transcarbamylase deficiency (OTCD) is an X-linked urea cycle disorder associated with potentially fatal episodes of hyperammonemia. Children with OTCD often require anesthesia. There is insufficient information regarding perioperative complications and optimal management of anesthesia in these patients. Aim:, To retrospectively review the medical records of children with OTCD to ascertain the nature and frequency of peri-procedural complications. Methods/Materials:, The electronic medical records of Mayo Clinic patients with OTCD who underwent anesthesia between the dates of January 2003 and September 2009 were reviewed. Results:, Nine patients with OTCD underwent 25 anesthetics using a variety of anesthetic techniques, including four major surgeries. Eleven procedures were performed prior to OTCD diagnosis and those patients were not receiving therapy for a urea cycle disorder. In the other cases, patients were on a variety of therapies for OTCD. Fourteen patients were outpatient procedures. Clinical signs of postoperative metabolic decompensation did not occur. Conclusions:, In this series, patients with OTCD tolerated anesthesia well. Choice of perioperative management of OTCD and the choice of anesthetic technique should be individualized and based on clinical circumstances, but should have the underlying aim of minimizing protein catabolism. It appears patients with stable OTCD may undergo minor procedures as outpatients safely. [source]

Anesthetic implications of Carpenter syndrome (Acrocephalopolysyndactyly type II)

PEDIATRIC ANESTHESIA, Issue 12 2008
FAMS, MANMS, Yatindra Kumar Batra MD
No abstract is available for this article. [source]

Anesthetic considerations for major burn injury in pediatric patients

PEDIATRIC ANESTHESIA, Issue 3 2009
GENNADIY FUZAYLOV MD
Summary Major burn injury remains a significant cause of morbidity and mortality in pediatric patients. With advances in burn care and with the development of experienced multi-disciplinary teams at regionalized burn centers, many children are surviving severe burn injury. As members of the multi-disciplinary care team, anesthesia providers are called upon to care for these critically ill children. These children provide several anesthetic challenges, such as difficult airways, difficult vascular access, fluid and electrolyte imbalances, altered temperature regulation, sepsis, cardiovascular instability, and increased requirements of muscle relaxants and opioids. The anesthesia provider must understand the physiologic derangements that occur with severe burn injury as well as the subsequent anesthetic implications. [source]

Infectious diseases of childhood and their anesthetic implications

PEDIATRIC ANESTHESIA, Issue 10 2004
J.H. van der Walt MB ChB FFARCSI FANZCA
First page of article [source]

Anesthetic issues in pediatric liver transplantation

PEDIATRIC TRANSPLANTATION, Issue 5 2005
Francine S. Yudkowitz
Abstract:, Pediatric liver transplantations are becoming increasingly more common. Recent advances in the surgical and anesthetic management of these cases have greatly improved the survival rate. In order to successfully manage the anesthesia in these patients, one needs to have a thorough understanding of the pathophysiology of end-stage liver disease and the subsequent anesthetic implications. It is also necessary to appreciate the stages of the surgical procedure, as each stage presents different dilemmas to the anesthesiologist. This article will review the pathophysiology of liver failure in pediatric patients and outline the particular issues related to each stage of liver transplantation, allowing for the anticipation and management of the derangements that occur during surgery. [source]