RESUMO
Bronchial thermoplasty (BT) is a novel, Food and Drug Administration-approved nondrug treatment for patients whose asthma remains uncontrolled despite traditional pharmacotherapy. BT involves application of controlled radiofrequency energy to reduce airway smooth muscle in large- and medium-sized airways. Although BT is often performed under general anesthesia, anesthetic management strategies for BT are poorly described. We describe the anesthetic management of 7 patients who underwent 19 BT treatments in a tertiary academic medical center.
Assuntos
Manuseio das Vias Aéreas/métodos , Anestesia Intravenosa/métodos , Anestésicos Intravenosos/administração & dosagem , Asma/terapia , Termoplastia Brônquica/métodos , Adulto , Idoso , Manuseio das Vias Aéreas/instrumentação , Manuseio das Vias Aéreas/normas , Anestesia Intravenosa/normas , Asma/diagnóstico , Termoplastia Brônquica/instrumentação , Termoplastia Brônquica/normas , Broncoscópios/normas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Músculo Liso/efeitos dos fármacos , Músculo Liso/fisiologia , Estudos RetrospectivosRESUMO
The incidence of liver failure continues to increase, and it is associated with increased perioperative morbidity and mortality. Liver failure is associated with multiorgan dysfunction, including central nervous, cardiac, respiratory, gastrointestinal, renal, and hematological systems. Preoperative identification, optimization, and tailored anesthetic management are essential for optimum outcomes in patients with liver disease undergoing surgery. The coagulopathy of liver failure is a balanced coagulopathy better assessed by thromboelastography than conventional testing, and it is not directly associated with bleeding risk.
Assuntos
Anestesia/métodos , Hepatopatias/complicações , Hepatopatias/cirurgia , Falência Hepática/prevenção & controle , Cuidados Pré-Operatórios/métodos , HumanosRESUMO
The incidence of liver failure continues to increase, and it is associated with increased perioperative morbidity and mortality. Liver failure is associated with multiorgan dysfunction, including central nervous, cardiac, respiratory, gastrointestinal, renal, and hematological systems. Preoperative identification, optimization, and tailored anesthetic management are essential for optimum outcomes in patients with liver disease undergoing surgery. The coagulopathy of liver failure is a balanced coagulopathy better assessed by thromboelastography than conventional testing, and it is not directly associated with bleeding risk.