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You drive to the hospital to find the patient has already had a stat MRI of his spine, and the diagnosis was a perispinal hematoma at L3. Neurosurgeons have taken him to the operating room to drain the hematoma and decompress the spinal column. These hematomas may result in long-term or permanent paralysis.
The surgeon arrived and attempted to perform an emergency surgical airway, at which time the anesthesiologist successfully intubated the patient’s trachea as the hematoma was drained. Why Did Take Me So Long To Wake From GeneralAnesthesia? Will I Have a Breathing Tube During Anesthesia? Not really.
Sympathetic stimulation occurs secondary to surgical stress, generalanesthesia, hypoxia, hypotension, pain, severe bleeding, and strenuous exercise. Hemorrhagic episodes (GI bleeding, epistaxis, hemorrhagic pericarditis, subdural hematoma) are significant sources of morbidity in patients with CKD and contribute to persistent anemia.
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