Page 430 – Pulmonology Advisor

Pelvic laparoscopy

What the Anesthesiologist Should Know before the Operative Procedure Pelvic laparoscopy may be done by gynecologists, obstetricians, urologists or colon and rectal surgeons. Sometimes it may also be performed by transplant surgeons working on the urinary bladder after kidney or pancreas transplants draining into the bladder. It will be important to know if the patient…

Lysis of Adhesions

What the Anesthesiologist Should Know before the Operative Procedure Intra-abdominal adhesions develop as a result of abdominal surgery (laparotomy or laparoscopic) or less commonly from inflammatory conditions. In fact, adhesions are the most common etiology for small bowel obstruction. While many patients who develop adhesions can be managed conservatively, some will require surgery for lysis…

ORIF of vertebral fracture

What the Anesthesiologist Should Know before the Operative Procedure Vertebral fractures can be pathologic (metastatic cancer), degenerative (osteoporosis), or traumatic (motor vehicle accident, fall, sports, gunshot). The most common sources for spinal metastatic disease are lung, breast, gastrointestinal, and prostate cancers. In osteoporotic patients, vertebral fractures occur twice as often as fractures of other bones…

Open Globe Injuries

What the Anesthesiologist Should Know before the Operative Procedure? An open globe occurs when there is a breach in the sclera or cornea, usually as a result of either blunt or penetrating trauma. The major concerns in this case include infection of intraocular contents (endophthalmitis) and possible expulsion of intraocular contents, which may cause distortion…

Thyroglossal Duct Cyst

Preliminary Diagnosis: Thyroglossal duct cyst I. What imaging technique is first-line for this diagnosis CT soft tissue neck with IV contrast. II. Describe the advantages and disadvantages of this technique for diagnosis of thyroglossal duct cyst. Advantages Relatively inexpensive, fast imaging modality. Highly specific and sensitive for detecting and diagnosing a thyroglossal duct cyst. Can…

Wilms' Tumor

OVERVIEW: What every practitioner needs to know Wilms tumor (WT) is the most common childhood renal tumor, accounting for about 6% of all childhood malignant disease. Approximately 500 new cases are diagnosed in North America each year. The majority of cases (> 80%) are diagnosed in children less than 5 years of age, with nearly…

Uvulopalatopharyngoplasty – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Uvulopalatopharyngoplasty (UPPP) is an upper airway operation for sleep disturbances. Sleep disturbances range from loud snoring to severe obstructive sleep apnea. UPPP covers a spectrum of techniques, including transoral surgery to endoscopic laser ablation, and may or may not include concurrent tonsillectomy. 1. What is the…

Tracheostomy – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Tracheostomy is performed to provide an airway alternative to orotracheal or nasotracheal intubation. Frequently it is an elective procedure for patients requiring prolonged intubation who have a stable airway in place. Tracheostomy may also be performed as the primary airway access in patients with a difficult…

The Parturient with Multiple Gestation

What the Anesthesiologist Should Know before the Operative Procedure Multiple gestations have become more common because they can occur in conjunction with infertility treatments. In comparison to singleton gestations, multiple gestations are more likely to be complicated by supine hypotension syndrome, anemia, preeclampsia, polyhydramnios, preterm premature rupture of membranes, preterm labor and/or delivery, dysfunctional labor,…

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