Presentation
This article presents an in-depth discussion of a case involving a nearly 10-year-old boy with a history of an unspecified form of MD, who presented for endodontic treatment of tooth No. 30 under deep sedation. [ncbi.nlm.nih.gov]
Entire Body System
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Hypothermia
More likely is the occurrence of intraoperative hypothermia due to a combination of four types of heat loss: conductive, convective, evaporative and radiant. [tsaco.bmj.com]
Chills and shivering (hypothermia) – This occurs in up to half of patients as they regain consciousness after surgery, and it might be related to body temperature. [asahq.org]
Severe hypothermia may result in coagulopathy, delayed awakening, or arrhythmia. [emedicine.medscape.com]
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Fatigue
He also saw it as a drug capable of curing most of the ailments of modern life: fatigue, indigestion, low spirits. It was the cure for what ails you. [wired.com]
Patients with Chronic Fatigue Syndrome are known to have reactivated herpes group viruses which can produce mild and usually subclinical hepatitis. Hepatotoxic anesthetic gases may then provoke fulminate hepatitis. [anapsid.org]
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Splenectomy
Herewith, we want to report the anesthetic challenges of a patient with giant bulla communicating into one of the subsegmental right upper lobe bronchus for splenectomy. [ncbi.nlm.nih.gov]
Gastrointestinal
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Nausea
Rate/drug effects Humans Hypotension/chemically induced Hypotension/drug therapy Injections, Epidural/adverse effects Lidocaine/administration & dosage Lidocaine/adverse effects* Lumbosacral Plexus/drug effects* Middle Aged Monitoring, Intraoperative Nausea [ncbi.nlm.nih.gov]
halothane can cause hepatotoxicity), the most common side effect is nausea. Overview Inhalational anesthetics provide both analgesia and narcosis and can be used for induction and maintenance of general anesthesia. [amboss.com]
Warriner’s research is focused on the use of blood substitutes in surgical patients, the value of preoperative beta blockers, the reversal of muscle relaxants and the prevention of postoperative nausea and vomiting. [youtube.com]
Regional anesthesia is the preferred anesthetic technique for patients undergoing orthopedic surgery because it is associated with less postoperative pain and nausea, a lower incidence of blood clots, less blood loss, and a lower infection rate compared [hss.edu]
Postoperative nausea and vomiting (PONV) is a common and distressing symptom following LC. The use of multimodal analgesia regimens and the reduction of opioid doses are likely to reduce the incidence of PONV. [intechopen.com]
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Abdominal Pain
Pain control and advice An anesthesiologist who specializes in pain medicine may assist patients who have pain due to a range of causes, including headaches, burns, diabetes and herpes, or where they are experiencing chest pain, abdominal, pain pelvic [medicalnewstoday.com]
Celiac Plexus Block : A celiac plexus block is generally performed to relieve pain in patients with cancer of the pancreas or other chronic abdominal pains. [asra.com]
Neurologic
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Confusion
Postoperative delirium – Confusion when regaining consciousness after surgery is common, but for some people — particularly older patients — the confusion can come and go for about a week. [asahq.org]
It can induce a condition known as postoperative delirium, a state of serious confusion and memory loss. [io9.gizmodo.com]
Other common side effects from the medicine are: Nausea and vomiting Dry mouth Sore throat Hoarse voice Sleepiness Shivering Muscle aches Itching Confusion -- especially in older people Rarely, people can be very confused for a few days after their surgery [webmd.com]
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Amnesia
While under general anesthesia, a patient is unable to feel pain and will likely wake with some short-term amnesia (memory loss). Experts are unsure exactly how general anesthetics work. [drugs.com]
Purpose General anesthesia is intended to bring about five distinct states during surgery: analgesia, or pain relief amnesia, or loss of memory of the procedure loss of consciousness motionlessness weakening of autonomic responses General Anesthesia Precautions [henryschein.com]
The authors sought to determine whether unconsciousness and amnesia occur when humans develop rigidity and apnea after intravenous fentanyl (without other concomitant anesthetics). [doi.org]
Under general anesthesia, the patient is unable to feel pain and may also have amnesia. [medicalnewstoday.com]
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Temporary Amnesia
Since then, doctors have gotten much better at putting us out with drug combinations that ease pain, relax muscles and, in some cases, put us in a deep state of hypnosis that gives us temporary amnesia. [livescience.com]
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Stupor
Opium was praised by the Persian philosopher and physician Avicenna in the eleventh century as the most powerful of stupor-producing substances. [encyclopedia.com]
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Spastic Paraplegia
Hereditary spastic paraplegia (HSP), also known as familial spastic paraparesis or Strümpell-Lorrain disease, is a rare group of inherited disorders characterized by progressive spastic weakness in the lower limbs due to axonal degeneration of the corticospinal [ncbi.nlm.nih.gov]
Workup
X-Ray
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Mediastinal Mass
Large posterior mediastinal masses may lead threatening complications such as critical tracheobronchial compression. Airway management in these individuals is a challenge and being a lower airway obstruction; rescue strategies are limited. [ncbi.nlm.nih.gov]
Rhythm
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Sinus Arrest
Injection of local anesthetic into the empty orbit induced an extended sinus arrest. This exaggerated response was avoided in a subsequent surgery by pretreatment with high-dose anticholinergics. [ncbi.nlm.nih.gov]
Treatment
All patients were under the care of the palliative care consultation service in an acute care hospital and refractory to multimodal analgesic treatment, including opioid, non-opioid, and adjuvant analgesics. [ncbi.nlm.nih.gov]
Prognosis
The resulting prognosis can be excellent after the rapid removal of inciting agents and the application of appropriate treatments. [ncbi.nlm.nih.gov]
This content is for informational purposes only and does not substitute for formal and individualized diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed medical professional. [healdove.com]
Etiology
[…] poisoning* Antidotes/administration & dosage* Cesarean Section Fat Emulsions, Intravenous/administration & dosage* Female Humans Infusions, Spinal Lidocaine/administration & dosage Lidocaine/poisoning* Poisoning/diagnosis Poisoning/drug therapy* Poisoning/etiology [ncbi.nlm.nih.gov]
Epidemiology
The results of single-center and multicenter registries and epidemiologic studies complement this information. Between March 2014 and November 2016, 47 separate cases of LAST were described in 35 peer-reviewed articles. [ncbi.nlm.nih.gov]
In humans, recent preliminary findings from epidemiological studies suggest an association between surgery and anesthesia early in life and subsequent learning abnormalities. [doi.org]
This may have been a chance finding, as analyses did not adjust for multiple endpoints.43 The PANDA study addressed many of the limitations of the previous epidemiologic studies. [fda.gov]
Pathophysiology
Obstetric and anesthetic management are particularly challenging, and treatment requires knowledge of pathophysiologic mechanisms in order to provide safe care to this group of patients. [ncbi.nlm.nih.gov]
[…] hypertension Desflurane: sympatho-adrenergic reaction blood pressure and heart rate Sevoflurane: interacts with soda lime nephrotoxic breakdown products (known as compounds A–E) Enflurane: proconvulsive Halothane: hepatotoxic halothane hepatitis [5] Pathophysiology [amboss.com]
Pathophysiological effects during laparoscopic cholecystectomy 2.1. [intechopen.com]
The pathophysiology of propofol infusion syndrome: a simple name for a complex syndrome. Intensive Care Med 2003;29(9):1417-25. Diprivan. US food and drug administration 1989. Ricou B, Bandschap O. Propofol and perioperative inflammation. [signavitae.com]
Prevention
Spontaneous spinal epidural hematoma during pregnancy is a quite rare event requiring emergent decompressive surgery in the majority of cases to prevent permanent neurological damage. [ncbi.nlm.nih.gov]