Perioperative and anesthetic considerations. Medical search. Frequent questions

Although symptoms are often mild, more severe symptoms may increase the risk of perioperative respiratory complications, including aspiration and the need for prolonged postoperative intubation and ventilation. (medscape.com)

however, there are certain shared considerations, most notably the concern regarding perioperative respiratory complications associated with the administration of neuromuscular blocking agents. (medscape.com)
Proper perioperative management helps to prevent or minimize complications, to reduce postoperative pain, and to accelerate recovery. (medscape.com)
Preoperative narcolepsy symptoms and sleep study data, anesthetic technique, and perioperative complications were extracted. (anesthesiaexperts.com)
Your awareness of uncommon diseases and possible complications is vital to successful anesthetic patient management. (anesthesiahub.com)
Avoid complications with unique coverage of an important aspect of anesthetic management. (anesthesiahub.com)
Understand uncommon diseases to avoid anesthetic complications! (anesthesiahub.com)
Careful selection of patients and proper surgical technique help avoid contour irregularity, and diligent perioperative care of the patient helps avoid postoperative complications. (medscape.com)
In this review, important considerations of nonintubated anesthesia for thoracic surgery are discussed in view of careful patient selection, anesthetic preparation, potential perioperative difficulties and the management of its complications. (amegroups.org)
6 Enhanced Recovery After Surgery pathways were developed with the goal of maintaining normal physiology in the perioperative period, thus optimizing patient outcomes without increasing postoperative complications or readmissions. (carolhuffman.com)
Genetic mutations associated with susceptibility to perioperative complications in a longitudinal biorepository with integrated genomic and electronic health records. (cdc.gov)
In the transoperative phase, the well employed technical surgery and the meticulous perioperative care can minimize the frequency of complications and limit its gravity 1 . (bvsalud.org)

Cannabis Use Disorder and Perioperative Outcomes in Major Elective Surgeries: A Retrospective Cohort Analysis. (bsmfoundation.ca)
In this systematic review, we aim to evaluate the current evidence on the perioperative outcomes and anesthetic considerations in narcolepsy patients. (anesthesiaexperts.com)
Perioperative outcomes and anesthetic considerations of robotic bariatric surgery in a propensity-matched cohort of super obese and super-super obese patients. (cornell.edu)
Re: Post-chemotherapy robot-assisted retroperitoneal lymph node dissection for metastatic germ cell tumors: safety and perioperative outcomes. (qxmd.com)

Due to the many aspects of perioperative care covered in this review, a formal literature search was not done. (surgicalneurologyint.com)

We present a 12-year-old girl with GAN who required anesthetic care for posterior spinal fusion to treat scoliosis. (journalmc.org)
We present a 12-year-old female with GAN who required anesthetic care for posterior spinal fusion. (journalmc.org)

A trigger-free anesthetic (ie, one free of volatile agents and succinylcholine ) may be preferable for DMD patients, in that these patients may be at increased risk for the development of malignant hyperthermia . (medscape.com)
In this article I highlight adult SLE manifestations and treatments pertinent to the anesthesiologist and discuss perioperative management of these complex patients. (lww.com)
The protocol for the cardiac surgery during the COVID-19 pandemic for perioperative considerations and triage recommendations was strictly followed to reduce the risk of exposure to patients and healthcare workers. (jaccr.com)
Patients with known coronary artery disease undergoing surgery should be monitored for evidence of myocardial ischemia and provided therapy to prevent and treat ischemia in the perioperative period. (medscape.com)
Anesthetic Considerations in Patients with Parkinson Disease and Deep Brain Stimulators. (itranspopmed.org)
Perioperative Anesthetic Management of Adult Patients with Congenital Heart Disease -- 7. (nshealth.ca)
Studies suggest that patients with PTSD exhibit patterns of comorbidity, substance use, and use of psychoactive medications that must be accounted for when planning an anesthetic. (xenoncolorado.com)
In addition, patients with PTSD can be very anxious during the perioperative process, and that anxiety can be ameliorated if anesthetists adhere to certain basic tenets when interacting with patients before and after surgery (1). (xenoncolorado.com)
Once the preoperative assessment is finished, it is the job of the anesthetist to formulate an anesthetic plan of care that is specific to patients with PTSD. (xenoncolorado.com)
Previous reports of anesthetic care for patients with GAN are reviewed, and the perioperative considerations of these patients are discussed. (journalmc.org)
The perioperative considerations of such patients are reviewed, and the perioperative considerations of these patients are discussed. (journalmc.org)
The response to anesthetic medications and possible interactions in narcolepsy patients is unclear in the perioperative period. (anesthesiaexperts.com)
Future studies are needed to better define perioperative risks associated with anesthesia and surgery in this population of patients. (anesthesiaexperts.com)
In the seven years since the 3rd Edition of Anesthesia for Congenital Heart Disease was published, an explosion of new procedures, approaches, and patients eligible for anesthetic care has occurred. (anesthesiahub.com)
We state the considerations of COVID-19 pandemic on regional anesthesia (RA) practice, provide algorithm-based scheme for prioritizing RA for management of patients scheduled for surgery. (bmj.com)
In the January 2024 issue of Anesthesia & Analgesia, Dr Girish P Joshi, professor of anesthesiology and pain management at the University of Texas Southwestern Medical Center in Dallas, shares clinical pearls for anaesthesiologists providing perioperative care to patients using glucagon-like peptide 1 receptor agonists (GLP-1RAs) and decrease the risk of regurgitation and pulmonary aspiration of gastric contents during sedation or general anaesthesia. (bariatricnews.net)
The recommendations are made in the paper, 'Anesthetic Considerations in Adult Patients on Glucagon-Like Peptide-1 Receptor Agonists: Gastrointestinal Focus', published in Anesthesia & Analgesia (log-in required). (bariatricnews.net)
The American Society of Anesthesiologists (ASA) believes that all patients deserve their perioperative care to be led by a physician anesthesiologist. (asahq.org)
The American College of Cardiology (ACC) and the American Heart Association (AHA) recommendations for the assessment of cardiac risk in patients undergoing noncardiac surgery18 incorporate many of Goldman's risk factors but expand the assessment to include the risk associated with the particular surgical procedure (Table 3), as well as additional patient characteristics that influence perioperative cardiac risk (Table 4). (carolhuffman.com)
Referral indications for malignant hyperthermia susceptibility diagnostics in patients without adverse anesthetic events in the era of next-generation sequencing. (cdc.gov)
In this meta-analysis of 10 RCTs involving 1575 adult patients undergoing cardiac surgery, we found that perioperative dexmedetomidine use was associated with a decrease in postoperative AKI risk. (medscape.com)
Soixante-douze virgule deux pour cent des patients déclaraient satisfaits de leur prise en charge. (bvsalud.org)
Conclusion: Le développement extensif de la chirurgie ambulatoire est basé sur la sélection des patients à qui l'on propose ce type de prise en charge. (bvsalud.org)
Elle a concerné les patients àgés de plus de 15 ans pris en charge dans le service et décédés en hospitalisation, en réanimation ou au bloc opératoire. (bvsalud.org)
Il s'agissait d'une étude descriptive de 74 patients hospitalisés dans le Service en 2017. (bvsalud.org)

The kidneys may be subclinical for disease but they do not tolerate additional insults such as anesthetic induced hypotension. (vin.com)
To assess cardiac autonomic modulation during perioperative hypotension caused by subarachnoid anesthesia. (bvsalud.org)
20 min after the blockade was installed, and at the time of motor function recovery according to the Bromage criteria and prognostic indices will be evaluated in the development of perioperative hypotension in two groups. (bvsalud.org)

ERAS protocols divide the key components of perioperative care according to phase of care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)

The anesthetic management of either obstructed TAPVC or unobstructed with PAH can be quite challenging. (jaccr.com)
The objective of this case report and review is to recognize the spectrum of various clinical presentations in TAPVC, and to describe the diagnosis and perioperative management of TAPVC. (jaccr.com)
Heightened awareness and diligent documentation of patient medications from admission to discharge can reduce serious problems in the perioperative management of society's increasingly elderly and frail population. (medscape.com)
A multidisciplinary team approach to airway management in a patient with subglottic stenosis: advantages and limitations of videolaryngoscopy and considerations for effective surgical airway management. (itranspopmed.org)
Perioperative Pain and Addiction Interdisciplinary Network (PAIN): consensus recommendations for perioperative management of cannabis and cannabinoid-based medicine users by a modified Delphi process. (bsmfoundation.ca)
ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids Regional Anesthesia & Pain Medicine 2023;48:97-117. (bsmfoundation.ca)
Under the experienced editorial leadership of Dr. Manuel C. Pardo, Jr., the 8th Edition has been meticulously updated to reflect the latest advances in practice and important aspects of contemporary anesthesia care, including pathophysiology, pharmacology, regional anesthesia, anesthetic management, and special problems and patient groups. (elsevierhealth.com)
PURPOSE OF REVIEW: We review current evidence about organizational structures, patient selection criteria, safety measures, economic considerations, quality management, and staffing challenges in ambulatory anesthesia. (bvsalud.org)
The review highlights the need for addressing challenges related to organizational structures, patient selection, patient safety, economic considerations, quality management, and staffing in ambulatory anesthesia. (bvsalud.org)
Hence, detailed knowledge of the disease is necessary to the anesthesiologist for successful perioperative management and outcome. (riajournal.com)
The perioperative anesthetic implications of multisystem manifestations of COVID-19, anesthetic management options, the scope of RA and considerations for its safe conduct in operating rooms is described. (bmj.com)
Pain management should begin in the perioperative period with risk assessment, patient education, and premedication. (surgicalneurologyint.com)
A review of craniotomy pain management detailing all the considerations for each phase of care is currently unavailable. (surgicalneurologyint.com)
Anesthetic management for awake thoracic surgery (ATS) is more difficult than under general anesthesia (GA), being technically extremely challenging for the anesthesiologist. (amegroups.org)
Perioperative nursing describes the wide variety of nursing functions associated with the patient's surgical management. (rnpedia.com)

Guest host John Dankosky talks with Dr. Louise Sun, professor of anesthesiology, perioperative and pain medicine at Stanford University Health and Dr. Gunisha Kaur, anesthesiologist, director of the Human Rights Impact Lab, and medical director of Weill Cornell Center for Human Rights at Weill Cornell Medicine about the basics of how anesthesia works. (sciencefriday.com)
Dr. Louise Sun is a professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University Health in Stanford, California. (sciencefriday.com)
Systems anesthesiology is a modern approach to perioperative care, integrating the complexity of multifactorial knowledge and data to achieve a more adequate representation of reality, while including both patient-related medical aspects as well as economic and organizational challenges. (bvsalud.org)

The patient should receive a balanced general anesthetic with a deep extubation (part volatile anesthetic gases and part intravenous anesthetic) in an effort to minimize the risk of emergence delirium that is commonplace with an awake extubation from total volatile anesthetics (2). (xenoncolorado.com)
The patient who consents to have surgery, particularly surgery that requires a general anesthetic, renders himself dependent on the knowledge, skill, and integrity of the health care team. (rnpedia.com)

Syndromes: Rapid Recognition and Perioperative Implications, 2e Bissonnette B, Luginbuehl I, Engelhardt T. Bissonnette B, & Luginbuehl I, & Engelhardt T(Eds. (mhmedical.com)
Wofford K, Hertzberg M, Vacchiano C. The perioperative implications of posttraumatic stress disorder. (xenoncolorado.com)

Perioperative and Anesthetic Considerations in Total Anomalous Pulmonary Venous Connection. (jaccr.com)
Monitoring techniques during the perioperative period include surveillance of electrocardiographic ST-changes, echocardiographic assessment of the regional and global wall motion, and invasive measurement of pulmonary arterial and capillary wedge pressures. (medscape.com)

Dexmedetomidine is widely used for perioperative anesthesia/analgesia, and may have a more profound renal protection by stabilizing the sympathetic system, exerting anti-inflammatory effects and attenuating ischemia/reperfusion (I/R) injury. (medscape.com)

As we now know, intravenous (IV) lidocaine is used widely, predominately in the perioperative setting in gastrointestinal surgeries and as an outpatient chronic pain intervention. (asra.com)
Intravenous (IV) anesthetics were first discovered for their clinical utility in 1656 by Sir Christopher Wren, an architect, physicist, and astronomer at the University of Oxford while using a goosequill to inject opium into a dog to produce sleep [1]. (cambridge.org)

Given the invariable and progressive involvement of the neuromuscular system, anesthetic care is frequently needed to correct the orthopedic sequelae of the disorder. (journalmc.org)

The half-life of routinely used medications and adjustment of the dose according to the perioperative schedule must be considered. (medscape.com)
Many medications must be continued through the perioperative period, with the last dose taken with a sip of clear liquid up to 2 hours prior to the procedure, and resumed during recovery. (medscape.com)
Other anesthetics and/or medications may be used during the procedure, depending on the patient's specific needs and treatment. (spine-health.com)
Pharmacogenomic considerations for medications in the perioperative setting. (cdc.gov)

Clinical Pharmacogenetics Implementation Consortium (CPIC) guideline for the use of potent volatile anesthetic agents and succinylcholine in the context of RYR1 or CACNA1S genotypes. (cdc.gov)

Aortic aneurysms and dissections may involve the ascending, arch, or descending segments of the thoracic aorta.Surgical repair of the thoracic aorta involves a variety of perioperative approaches and considerations related to the type, location, and extent of thoracic aortic pathology. (elsevierpure.com)
Gelfand, BJ & Fox, AA 2011, Anesthetic considerations for surgical repair of the thoracic aorta . (elsevierpure.com)

Authors of this paper provide an overview of the intraoperative MRI operating room, safety considerations, and a series of checklists and protocols for maintaining safety in this zero tolerance environment. (thejns.org)

The chapters review the pathophysiology, anesthetic techniques, and surgical and perioperative considerations. (stanford.edu)

Very large doses of anesthetics or analgesics may result in respiratory depression. (wikipedia.org)

Perioperative care of cannabis users: A comprehensive review of pharmacological and anesthetic considerations. (bsmfoundation.ca)

These factors make effective and safe anesthesia care challenging: blood loss can be rapid and profuse, and frequently utilized neurophysiologic monitoring requires adjustments in anesthetic technique, all of which usually occur during a variety of positions, usually the prone position. (renalandurologynews.com)
Contains new chapters on Clinician Well-Being, Perioperative Point-of-Care Ultrasound, Environmental Impact of Anesthetics, and Perioperative Medicine. (elsevierhealth.com)
It includes, but is not limited to providing medical care to a patient before, during, and after a surgical, diagnostic, or therapeutic procedure which requires the administration of anesthetics and/or hemodynamic monitoring, regardless of patient or procedural complexity, as well as managing of systems and leading of clinicians that support these activities. (asahq.org)
Any anesthetic which is administered without physician anesthesiologist oversight as described in this document, falls outside of the Anesthesia Care Team model. (asahq.org)
The World Health Organization and World Federation of Societies of Anaesthesiologists (WHO-WFSA) agree the physician anesthesiologist should lead all anesthetic care whenever and wherever possible. (asahq.org)
45 ] Development of ERAS pathways requires standardized protocols for key elements of perioperative care. (surgicalneurologyint.com)
In accepting this trust, the health care team members have an obligation to make the patient's welfare their first consideration during the surgical experience. (rnpedia.com)

In these situations, the anesthetist's attention must be on the procedure at hand, while the anesthesiologist administers the necessary level of sedation or anesthetic 2 . (gehealthcare.com)

We look at concentrations of anesthetic gases in the body fluid levels and the body temperature, and sometimes brain activity even. (sciencefriday.com)

perioperative period is marked by Adverse events have the susceptibility to errors, given the vast potential to cause serious harms and to complexity of procedures and the provide negative repercussions in the necessary articulation between the patient, such as emotional physical preoperative, transoperative and harms, increased length of hospital stay postoperative stages(2). (bvsalud.org)

Several studies and meta-analyses have now been published on the merits of perioperative IV lidocaine across a range of surgical groups on acute pain and improved recovery after surgery. (asra.com)
The scope of activities during the preoperative phase includes the establishment of the patient's baseline assessment in the clinical setting or at home, carrying out preoperative interview and preparing the patient for the anesthetic to be given and the surgery. (rnpedia.com)
pl. 2009 867 ATOTW 162 Anaesthesia for thyroid surgery, date 30/11/2009 Page 2 of 9 The basic principles of ERAS include attention to the following: Preoperative counseling and nutritional strategies, including avoidance of prolonged perioperative fasting, Perioperative considerations, including a focus on regional anesthetic and nonopioid analgesic approaches, fluid balance, and maintenance of normothermia, Promotion of postoperative recovery strategies, including early mobilization and appropriate thromboprophylaxis Table 1. (carolhuffman.com)
The timing of dexmedetomidine administration in relation to cardiac surgery is emerging as an important consideration. (medscape.com)

IV lidocaine infusions are a promising analgesic intervention in the perioperative setting. (asra.com)
These are important findings as the effectiveness of an analgesic intervention should be held in consideration with both pain scores and opioid consumption. (asra.com)

To achieve optimal pain control, local anesthetics and long-acting opioids (including morphine) should be utilized. (xenoncolorado.com)

It is important to note that there is no single global approach to these disorders in the perioperative setting: Each one has its own characteristics and considerations that must be specifically taken into account. (medscape.com)

Patient selection for ambulatory anesthesia involves a two-step process, considering both surgical and anesthetic factors. (bvsalud.org)

In most cases parenteral fluids should be administered during the anesthetic period. (vin.com)
The perioperative period extends from the preoperative day through the operation and into the postoperative recovery. (medscape.com)
Some drugs (eg, beta-blockers) have potential adverse effects when discontinued abruptly and should be given parenterally in the perioperative period. (medscape.com)
Beta-blockers provide the single best therapy for prevention of ischemia during the perioperative period. (medscape.com)
Anaphylaxis during the perioperative period. (spine-health.com)

Intervention/Re-intervention Considerations -- 6. (nshealth.ca)

Post-anesthetic recovery room discharge criteria assess only motor function recovery. (bvsalud.org)

In most cases this doesn't mean that the anesthetic protocol (i.e., drugs) needs to be radically changed but appropriate monitoring and support is very important. (vin.com)
Consider interaction between antiepileptic treatment and anesthetic drugs. (mhmedical.com)
All drugs and techniques that induce the anesthetic state act in some way in the Autonomic Nervous System (ANS). (bvsalud.org)

The administration of local anesthetics in the subarachnoid space produces motor, sensitive and sympathetic block, with latencies and variable and independent block levels. (bvsalud.org)
Administration of local anesthetics into the intrathecal space blocks sensory, motor and sympathetic nerve conduction. (bvsalud.org)

Perioperative anxiety is common. (bvsalud.org)
We assessed the prevalence and different causes of anaesthesia-related fears leading to perioperative anxiety and its association with patient satisfaction. (bvsalud.org)

In modern spinal MUA procedures, propofol (Diprivan) and midazolam (Versed) are common anesthetics used. (spine-health.com)

The launch of the Translational Perioperative and Pain Medicine. (itranspopmed.org)

Janet Martin, PharmD, MSc (HTA), PhDeq , Associate Professor in the Department of Anesthesia & Perioperative Medicine and Department of Epidemiology & Biostatistics at the Schulich School of Medicine & Dentistry, University of Western Ontario, was the first panelist and presented a talk titled, "How Can We Be Evidence-Based in the Face of Evidence Reversals, Over-Hype, and Research Misconduct. (iars.org)

Diseases11

Chemicals and Drugs45

Analytical, Diagnostic and Therapeutic Techniques and Equipment56

Phenomena and Processes4

Disciplines and Occupations2

Information Science2

Health Care24

Prolonged postoperative1

Complications11

Outcomes4

Aspects of perioperative1

Required anesthetic care2

Patients25

Hypotension3

Components of perioperative1

Management15

Anesthesiology3

General anesthetic2

Implications2

Pulmonary2

Analgesia1

Intravenous2

Neuromuscular1

Medications4

Volatile1

Surgical Repair2

Intraoperative1

Pathophysiology1

Respiratory1

Pharmacological1

Care7

Sedation1

Gases1

Susceptibility1

Surgery4

Analgesic2

Opioids1

Characteristics1

Patient selection1

Period5

Intervention1

Discharge1

Drugs3

Local anesthetics2

Anxiety2

Spinal1

Pain1

Professor1