No abstract available.
Magnesium ; Perioperative Period

No abstract available.
Magnesium ; Perioperative Period

Many surgical patients are taking regular cardiac medications and as a result, the perioperative management of cardiac medications poses challenges for anesthesiologists. Decisions must be made based on a risk-benefit analysis for each patient. In general, medications associated with known morbidity, if withdrawn abruptly, should be continued in the perioperative period. In contrast, medications that are thought to increase the risk of perioperative complications should be held. However, the lack of evidence is reflected by the large variation in perioperative management recommendations among anesthesiologists. This article focuses on cardiac medications known to have perioperative effects and also offers a guide to the perioperative management of cardiac management.
Humans ; Perioperative Period

Humans ; Pancreaticoduodenectomy ; Pathology, Clinical ; Perioperative Period ; Postoperative Period ; Preoperative Period

Pseudoaneurysm of the femoral artery is a rare complication following the fixation of the fracture of proximal femur or protruded bony fragment and reports injuring on superficial femoral artery is very rare compared to deep femoral artery complicated by the insertion of distal interlocking screw. The chance of injuring superficial femoral artery may increase by deep insertion of drill bit or the repetitive arterial pulsation on prominent distal interlocking screw tip during the perioperative period. Authors experienced one case of injury on the superficial femoral artery postoperative 42 hours followed by the use of proximal femoral nail advocated by the AO group recently and would like to call attention upon the possibilities of vessel injury complicated with the use of the distal interlocking screw.
Aneurysm, False* ; Femoral Artery* ; Femur ; Perioperative Period

The significant increase in the incidence of benign anal diseases is related to the fast-paced life style, the change of dietary structure, the increase of work pressure and social psychological factors. Surgery is one of the most important treatments for benign anal diseases, while perioperative defecation management is closely related to the efficacy of surgery. In current clinical practice, there is no consensus on the management of perioperative defecation for benign anal diseases. Hence a discussion was held by the Professional Committee of Colorectal Diseases of Chinese Society of Integrated Chinese and Western Medicine, concerning the causes of perioperative defecation difficulties in perioperative anal benign diseases, the importance and specific strategy of defecation management. A consensus was consequently formed, aiming to provide a guideline for the clinical practice.
Anal Canal/surgery* ; Anus Diseases/surgery* ; China ; Consensus ; Defecation ; Humans ; Perioperative Care ; Perioperative Period

Stress-induced cardiomyopathy (SICM) presenting as an acute myocardial dysfunction is characterized by transient left ventricular wall motion abnormality, which has been known to be associated with excessive catecholamine production caused due to various types of stress. Sympathetic hyperactivity is common during the perioperative period, and reports of SICM occurring during this period have actually increased. We present a case of SICM following negative pressure pulmonary edema due to upper airway obstruction during emergence from anesthesia. Excessive catecholamine release in response to respiratory difficulty could have been the underlying inciting factor.
Airway Obstruction ; Anesthesia ; Cardiomyopathies ; Perioperative Period ; Pulmonary Edema

Endoscopy ; methods ; Humans ; Nose ; Perioperative Period ; Skull Base ; surgery

Endoscopy ; methods ; Humans ; Nose ; Perioperative Period ; Skull Base ; surgery

Now that open-heart surgery in children has become commonplace, one of the most spectacular operations in the pediatric population is the separation of conjoined twins. Anesthesia for the separation of conjoined twins requires a multidisciplinary team approach. We describe the anesthetic management of a single-stage separation of 2-month-old thoraco- xiphopagus tetrapus conjoined twins as a first case in Korea. The successful 3.25-hour operation was conducted by 6 anesthetists, 6 surgeons and 7 nurses. No any problems were encountered in the perioperative period.
Anesthesia* ; Child ; Humans ; Infant ; Korea ; Perioperative Period ; Twins, Conjoined*