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Muscle flap coverage of sternal wound infections – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Surgical site infections are second only to urinary tract infections as a cause of nosocomial infections.  Such infections are divided into superficial sternal site infections (SSSIs) and deep sternal site infections (DSSIs). DSSIs are a major source of morbidity, mortality, and cost for patients having undergone cardiac…

Decompression Fasciotomy of the Lower Leg

What the Anesthesiologist Should Know before the Operative Procedure Decompressive fasciotomy of the lower leg is most frequently performed to relieve acute compartment syndromes. Acute compartment syndromes in the lower extremity most frequently result from traumatic insult, but can also be associated with reperfusion after ischemic injury, burns, or prolonged surgical positioning (lithotomy). These are…

The Thrombophilic Parturient (e.g., LMWH)

What the Anesthesiologist Should Know before the Operative Procedure Pregnancy induces a hypercoagulable state. While the incidence of thromboembolic complications in the peripartum period is low, they remain a major cause of maternal morbidity and mortality. In most cases, the risks associated with administering anticoagulation therapy are greater than those of the hypercoagulable state associated…

Cleft Palate Surgery – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Cleft palate is the fourth most common birth defect. It can occur as an isolated defect or as part of a syndrome along with other congenital anomalies (Pierre Robin syndrome, Goldenhar syndrome). Isolated cleft palate occurs in 1/2500 births. Its incidence is highest in Native Americans…

Bowel Resection (Small and Large Bowels)

What the Anesthesiologist Should Know before the Operative Procedure The anesthesiologist should know the following: The indication for the bowel resection. The degree of the urgency of the surgery. The extent of the surgical incision and the extent of the resection.Continue Reading Whether the patient had a mechanical bowel preparation. The plan for DVT prophylaxis.…

Postpartum tubal ligation

book001Clinical Decision Support: Anesthesiology – 2nd EditionEulianoTammyDecision Support in MedicineCopyright #x00A9; 2017, 2013 Decision Support in Medicine, LLC. All rights reserved.2017, 2013Decision Support in Medicine, LLC.Postpartum tubal ligationWhat the Anesthesiologist Should Know before the Operative Procedure The postpartum period presents an optimal time for tubal ligation. The enlarged uterus facilitates access to the tubes, eliminating…

Strabismus repair

What the Anesthesiologist Should Know before the Operative Procedure Strabismus, or abnormal ocular alignment, is one of the most common ocular problems in children affecting almost 5% of the population. Management consists of conservative therapies such as eyeglasses, prisms, eye patches, or exercises, with the majority of cases requiring surgical repair. Surgical repair involves transsection,…

Inguinal herniorrhaphy (pediatric)

book001Clinical Decision Support: Anesthesiology – 2nd EditionKrodelDavidGinsburgGregoryEverettLucindaDecision Support in MedicineCopyright #x00A9; 2017, 2013 Decision Support in Medicine, LLC. All rights reserved.2017, 2013Decision Support in Medicine, LLC.Inguinal herniorrhaphy (pediatric)What the Anesthesiologist Should Know before the Operative Procedure In addition to the usual standard preoperative examination, the following information should be obtained: Incarcerated bowel that is not…

Cardiac Catheterization and Interventional Procedures

What the Anesthesiologist Should Know before the Operative Procedure Anesthesia for pediatric cardiac catheterization provides multiple challenges. The location is remote from the operating room. Children have acquired or have congenital heart disease (CHD), covering the spectrum from relatively healthy to critically ill.Continue Reading Children with single ventricle physiology or pulmonary hypertension (PHTN) are high-risk…

Laparoscopic cholecystectomy

What the Anesthesiologist Should Know before the Operative Procedure Gallbladder disease affects more than 20 million individuals in the United States annually and is one of the most common medical conditions leading to a surgical intervention. Risk factors for gallbladder disease include gender, ethnicity, and comorbidities. Cholelithiasis is also related to diet and genetic factors…

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