Page 428 – Infectious Disease Advisor

Interstitial laser thermal therapy for benign prostatic hyperplasia

What the Anesthesiologist Should Know before the Operative Procedure Benign prostatic hyperplasia (BPH) is a progressive condition associated with symptoms of the lower urinary tract, specifically urinary retention or obstructed urinary flow. The prevalence of BPH increases with patient age, affecting more than half of men in their sixth decade of life. Traditionally, the management…

Wilms' Tumor

OVERVIEW: What every practitioner needs to know Wilms tumor (WT) is the most common childhood renal tumor, accounting for about 6% of all childhood malignant disease. Approximately 500 new cases are diagnosed in North America each year. The majority of cases (> 80%) are diagnosed in children less than 5 years of age, with nearly…

Uvulopalatopharyngoplasty – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Uvulopalatopharyngoplasty (UPPP) is an upper airway operation for sleep disturbances. Sleep disturbances range from loud snoring to severe obstructive sleep apnea. UPPP covers a spectrum of techniques, including transoral surgery to endoscopic laser ablation, and may or may not include concurrent tonsillectomy. 1. What is the…

Tracheostomy – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Tracheostomy is performed to provide an airway alternative to orotracheal or nasotracheal intubation. Frequently it is an elective procedure for patients requiring prolonged intubation who have a stable airway in place. Tracheostomy may also be performed as the primary airway access in patients with a difficult…

Radical Hysterectomy and Abdominal Hysterectomy – Procedures

What the Anesthesiologist Should Know before the Operative Procedure Hysterectomy is the surgical removal of the uterus. Removal of the uterus may be combined with the removal of the ovaries and/or fallopian tubes. The procedure may be done for a benign condition such as bleeding, endometriosis or leiomyosarcoma. Alternatively, this procedure may be part of…

Laparoscopic cholecystectomy

What the Anesthesiologist Should Know before the Operative Procedure Gallbladder disease affects more than 20 million individuals in the United States annually and is one of the most common medical conditions leading to a surgical intervention. Risk factors for gallbladder disease include gender, ethnicity, and comorbidities. Cholelithiasis is also related to diet and genetic factors…

Resection of Chest Wall Tumors

What the Anesthesiologist Should Know before the Operative Procedure The resection of the chest wall are a range of surgeries that goes from a small incision of less than 5 centimeters to complex reconstructions that include muscle flaps and synthetic mesh. Chest wall tumors are rare, less that 1% of the total of tumors in…

ORIF of ankle fracture

What the Anesthesiologist Should Know before the Operative Procedure The anesthesiologist should know the patient’s medical conditions (including additional injuries for patients who have a high-energy mechanism of injury) as well as the surgical plan. 1. What is the urgency of the surgery? What is the risk of delay in order to obtain additional preoperative…

Congenital Vascular Syndromes

What every physician needs to know about congenital pulmonary vascular syndromes Pulmonary vascular syndromes are most easily divided into pulmonary artery disease and pulmonary vein disease. Arterial diseases include supravalvular pulmonary stenosis, peripheral pulmonary artery stenosis, pulmonary artery sling and pulmonary artery agenesis/hypogenesis. These pulmonary artery diseases may also be related to congenital heart disease…

Leukocytosis

Leukocytosis I. Problem/Condition. Leukocytosis refers to an elevation in the total white blood cell count (WBC). Although each laboratory should establish its own normal range, the upper limit of normal for the WBC tends to be approximately 10-11 x1000 cells/uL, two standard deviations above the mean. The elevation can be due to one specific cell…

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