By Lee A Fleisher MD FACC
Your expertise of unusual ailments and attainable problems is essential to profitable anesthetic sufferer administration. Anesthesia and unusual illnesses, sixth variation, brings you modern with new details on much less typically visible illnesses and stipulations, together with the most recent proof and administration directions. This specific clinical reference booklet is vital for a whole realizing of latest top suggestions and strength problems in anesthesia.
- Improve your skill to effectively deal with each sufferer, together with people with infrequent ailments or conditions.
- Avoid issues with exact assurance of a major element of anesthetic management.
- Access the whole contents and illustrations on-line at www.expertconsult.com - absolutely searchable!
- Stay present with all-new chapters on grownup congenital center sickness, rheumatic ailments, and the melanoma sufferer, plus many extra revisions throughout.
- Get striking visible counsel with countless numbers of illustrations, now in complete color.
Understand unusual illnesses to prevent anesthetic complications!
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Extra resources for Anesthesia and Uncommon Diseases
When a cystic hygroma is diagnosed prenatally, the risk for a chromosomal abnormality approaches 50%. Cystic hygromas that develop in the third trimester or in the postnatal period, however, are usually not associated with abnormalities. These lesions are capable of massive growth and can be quite disfiguring. 139 In fact, there are cases of antenatal diagnosis of cystic hygroma, with fetal airway encroachment detected by screening ultrasound. 140,141 As the tumor grows, it often encroaches on surrounding structures such as the pharynx, tongue, or trachea.
Schmitt H, Buchfelder M, Radespiel-Troger M, et al: Difficult intubation in acromegalic patients: incidence and predictability, Anesthesiology 93:110–114, 2000. 158. Murrant NJ, Garland DJ: Respiratory problems in acromegaly, J Laryngol Otol 104:52–55, 1990. Smith M, Hirsch NP: Pituitary disease and anaesthesia, Br J Anaesth 85:3–14, 2000. 160. Quinn FB Jr: Ludwig angina (commentary), Arch Otolaryngol Head Neck Surg 125:599, 1999. Marple BF: Ludwig angina: a review of current airway management, Arch Otolaryngol Head Neck Surg 125:596–598, 1999.
Excessive mucosal drying and gastric distention are other disadvantages of jet ventilation. At the end of the procedure, the trachea is intubated with a standard ETT. The trachea is extubated only when the child is fully awake. High humidity and, occasionally, racemic epinephrine are administered postoperatively. The patient is closely monitored for several hours before discharge, and often an overnight stay is advisable, especially if the disease was extensive and the airway was significantly compromised.
Anesthesia and Uncommon Diseases by Lee A Fleisher MD FACC