The Patient with Haemorrhagic Risk
The following items may suggest a possible haemostatic disorder No Yes Situation never encountered 1. Have you previously consulted a doctor or received a treatment for prolonged or unusual bleeding,…
The Severely Obese Patient
Class BMI (kg/m2) Underweight <20.0 Normal range 20.0–24.9 Obese class 1 25.0–29.9 Obese class 2 30.0–34.9 Obese class 3 35.0–39.9 Obese class 4 40.0–49.9 Obese class 5 50.0–59.9 Obese class…
What Every Anaesthetist Needs to Know About Respiratory and Cardiovascular Dynamics in Patients with Obesity or Intra-abdominal Hypertension
Fig. 7.1 Summary of the most important pathophysiologic effects of increased intra-abdominal pressure on end-organ function within and outside the abdominal cavity. Figure legend: Cdyn Dynamic respiratory compliance, CO Cardiac…
The Addicted Patient
Agent (drug) Availability Cost Purity/potency Mode of administration Chewing (absorption via oral mucous membranes) Gastrointestinal Intranasal Subcutaneous and intramuscular Intravenous Inhalation Speed of onset and termination of effects (pharmacokinetics: combination…
Obstructive Sleep Apnea (OSA) and Anesthesia
Fig. 8.1 Severity of OSA based on AHI It is well known that OSA is often associated with severe complications, major cardiovascular disorders (there is a strong correlation between the…
Aged Patients with a Frailty Syndrome
Fig. 19.1 The frailty cycle (adapted from Ahmed et al. [33]) 19.3 Diagnosing Frailty Despite the numerous scoring systems employed in the perioperative and intensive care settings to assess a…
The Patient with Congenital Cardiac Disease
Fig. 5.1 Distribution of age at death in patients with congenital heart disease in 1987–1988 and 2004–2005. Histogram bars depict the proportion of all deaths (x-axis) according to age at…
The Jehovah’s Witness Patient
1. Respect for autonomy: based on the principle of respect for persons, it translates into the principle of informed consent in the healthcare setting 2. Beneficence: requiring, other things being equal, to…
The Allergic Patient
The patient claimed to be allergic to Scheduled procedures Emergency procedures General anesthetics • Examine previous anesthesia protocols • Consider local-regional anesthesia • Allergo-anesthetic assessment: test all drugs used during the suspected reaction…
The Transplanted Patients: Can We Improve Outcomes of Non-transplant Surgery?
© Springer International Publishing AG 2018Jean-Luc Fellahi and Marc Leone (eds.)Anesthesia in High-Risk Patientshttps://doi.org/10.1007/978-3-319-60804-4_18 18. The Transplanted Patients: Can We Improve Outcomes of Non-transplant Surgery? Christopher P. R. Walker1, Paul Harris1, Janos Fazakas2, Janos Gal3 and Nandor Marczin1, 2, 4 (1) Department…
