Welcome, anesthesia resident! Your breakdown of coagulation changes in End-Stage Liver Disease (ESLD) is fantastic – it’s like a quick guide to understanding a complex plot. Let’s reinforce these concepts: Team Player Shortage: Anticoagulant Factors Take a Hit: Blood Vessel Wall Backup: Tricky Hypercoagulability: Fibrinolytic Flip-Flop: Understanding these coagulation changes equips you to navigate the … Read more
Unlocking Cirrhotic Cardiomyopathy (CCM): In the hidden realm of health, Cirrhotic Cardiomyopathy (CCM) silently impacts up to 50% of cirrhosis cases. This cardiac enigma, revealed in 1953, orchestrates impaired cardiac responses, a hyperdynamic circulatory dance, and electrophysiologic abnormalities, notably QT prolongation. Stress-induced manifestations veil its presence, while risk factors like alcohol use disorder and hemochromatosis … Read more
Summary:A 69-year-old male, with a history of stroke, hypertrophic cardiomyopathy, and chronic atrial fibrillation, underwent left hip surgery with oral anticoagulants stopped three days preoperatively. Intubation was performed using Glycopyrrolate 0.2mg, Midazolam 1mg, Fentanyl 200mcg, Sevoflurane, and Succinylcholine 75mg. A PENG block was administered post-induction. Intraoperatively, 1 liter of intravenous fluids and 1 unit of … Read more
Introduction:In the realm of anesthesiology, the use of Propofol in patients with egg allergies has been a topic of uncertainty among many professionals. In this article, we aim to address the confusion surrounding the safety of Propofol in individuals with egg allergies, providing a comprehensive understanding based on scientific insights and clinical studies. The Egg … Read more
Introduction: Acute kidney injury (AKI) and chronic kidney disease (CKD) are increasingly prevalent in cirrhotic patients, particularly among those hospitalized or awaiting liver transplantation. This article explores the rising incidence, challenges in assessment, and the interdependence between AKI and CKD in cirrhotic individuals. Challenges in Kidney Function Assessment: Table 1: Laboratory Assessment for AKI in … Read more
Abstract: This case report delves into an uncommon complication during the fixation of an epidural catheter in a 27-year-old female patient undergoing right knee arthrolysis. Despite the unexpected peeling of the outer sheath, the drug-delivering segment remained functional, ensuring continuous pain relief during three days of postoperative epidural infusion for physiotherapy. We correlate this case … Read more
