Carotid Endarterectomy
Past Medical History: Hypertension, Diabetes Mellitus Allergies: none Medications: Lisinopril metoprolol, metformin Physical Exam: BP 150/92, P 89, R 20, T 36.7 Carotid bruit bilateral L>R Heart RR, S1 S2…
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Intracranial Aneurysm
Glasgow coma score Eye opening Spontaneous 4 To speech 3 To pain 2 No response 1 Verbal response Oriented to time, place, and person 5 Confused, disoriented 4 Inappropriate words…
Anesthesia Management for Posterior Fossa Craniotomy
Past Medical History: Breast cancer 10 years ago without known recurrence hypertension Allergies: None Medications: Linsinopril Vital Signs: BP 130/70, P 67 with occasional irregular beat, R 25, T 36.9 Studies:…
Anesthesia for Coronary Artery Bypass Graft (CABG)
Medications: Simvastatin 20 mg oral daily ACE-I Heparin drip—started as inpatient Nitroglycerin drip—started as inpatient Aspirin 81 mg oral daily—started as inpatient Allergies: Nil Known Past Medical History: Cardiac: Hypertension Hypercholesterolemia Physical…
Non-cardiac Surgery After Heart Transplantation
© Springer International Publishing AG 2017Linda S. Aglio and Richard D. Urman (eds.)Anesthesiologyhttps://doi.org/10.1007/978-3-319-50141-3_12 12. Non-cardiac Surgery After Heart Transplantation Elliott Woodward1 (1) Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, 22 Fleet St.,…
Subacute Bacterial Endocarditis Prophylaxis
© Springer International Publishing AG 2017Linda S. Aglio and Richard D. Urman (eds.)Anesthesiologyhttps://doi.org/10.1007/978-3-319-50141-3_8 8. Subacute Bacterial Endocarditis Prophylaxis Marilyn Diane Michelow1 (1) Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, 75 Francis St., Boston,…
Hypertrophic Cardiomyopathy (HCM)
Fig. 9.1 Mechanism of LVOT obstruction and mitral regurgitation (MR) in patients with HCM. In early systole (left): The left ventricular outflow tract (LVOT) is narrowed by the hypertrophic interventricular septum…
Pericardial Tamponade
© Springer International Publishing AG 2017Linda S. Aglio and Richard D. Urman (eds.)Anesthesiologyhttps://doi.org/10.1007/978-3-319-50141-3_11 11. Pericardial Tamponade Kate Mitchell Liberman1 (1) Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115, USA…
Eisenmenger Syndrome
System Common complications Cardiac Right ventricular failure/infarction, congestive heart failure, dysrhythmias (atrial fibrillation, supraventricular tachycardia most common), infective endocarditis, cardiac syncope, sudden death Respiratory Hemoptysis, pulmonary hemorrhage, chronic pulmonary emboli,…
Mitral Stenosis
Medications: Atorvastatin 80 mg daily, metoprolol 100 mg daily, aspirin 81 mg daily Allergies: NKDA Past medical history: Chronic renal insufficiency Physical exam: Vital signs: HR: 84 BP: 124/62 RR: 14 oxygen saturation: 98% on room…
