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Let’s look at a case study which highlights a specific risk of generalanesthesia at a freestanding surgery center or a surgeon’s office operating room, when the anesthesiologist departs soon after the case is finished. The anesthesiologist meets the patient prior to the surgery, reviews the chart, and examines the patient.
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. Evaluate each airway prior to surgery. Why Did Take Me So Long To Wake From GeneralAnesthesia?
. • A recently published consensus statement on the obstetric anesthetic management of patients receiving anticoagulation therapy – if an anticoagulated patient requires an emergent cesarean delivery and the anticoagulation cannot be reversed, the risk of epidural hematoma from neuraxial anesthesia may outweigh the risks of generalanesthesia.
Acute kidney injury (AKI) occurs in about 1% of patients undergoing generalsurgery procedures. Predictors of AKI for patients undergoing cardiac surgery are related to poor cardiac performance and advanced atherosclerotic disease. Decreased urine output may be a normal part of the stress response to surgery.
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