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Specialty: Anesthesiology
Condition: Thrombosis

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Total 264 results found since Jan 2013.

Cerebrovascular accident under anesthesia during dental surgery.
Authors: Cooke M, Cuddy MA, Farr B, Moore PA Abstract Stroke, or cerebrovascular accident (CVA), is a medical emergency that may lead to permanent neurological damage, complications, and death. The rapid loss of brain function due to disruption of the blood supply to the brain is caused by blockage (thrombosis, arterial embolism) or hemorrhage. The incidence of CVA during anesthesia for noncardiac nonvascular surgery is as high as 1% depending on risk factors. Comprehensive preoperative assessment and good perioperative management may prevent a CVA. However, should an ischemic event occur, appropriate and rapid man...
Source: Anesthesia Progress - December 1, 2015 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Perioperative venous thromboembolic disease and the emerging role of the novel oral anticoagulants: An analysis of the implications for perioperative management.
Abstract Venous thromboembolism includes 2 inter-related conditions: Deep venous thrombosis and pulmonary embolism. Heparin and low-molecular-weight heparin followed by oral anticoagulation with vitamin K agonists is the first line and current accepted standard therapy with good efficacy. However, this therapeutic strategy has many limitations including the significant risk of bleeding and drug, food and disease interactions that require frequent monitoring. Dabigatran, rivaroxaban, apixaban, and edoxaban are the novel oral anticoagulants that are available for use in stroke prevention in atrial fibrillation and f...
Source: Annals of Cardiac Anaesthesia - October 1, 2015 Category: Anesthesiology Authors: Mookadam M, Shamoun FE, Ramakrishna H, Obeid H, Rife RL, Mookadam F Tags: Ann Card Anaesth Source Type: research

Venous Thromboembolism: New Concepts in Perioperative Management.
Abstract Venous thromboembolism (VTE) is a serious pathophysiologic condition that is a major cause of morbidity and mortality, especially during the perioperative period. A collective term, VTE is used to describe a blood clot that develops inside the vasculature and results in a deep vein thrombosis (DVT) and/or a pulmonary embolism (PE). Deep vein thrombosis and PE are the third leading cause of cardiovascular mortality, superseded only by myocardial infarction and stroke. Patients who receive treatment for acute PE are 4 times more likely to die of a recurrent VTE within the next year. In hospitalized patients...
Source: AANA Journal - June 1, 2015 Category: Anesthesiology Authors: Elisha S, Heiner J, Nagelhout J, Gabot M Tags: AANA J Source Type: research

Assessment of acute stroke cerebral CT examinations by anaesthesiologists
ConclusionsThis study suggests that anaesthesiologists who are experienced in pre‐hospital care may be quickly trained to assess cerebral CT examinations in acute stroke patients with regard to radiological contraindications for thrombolytic therapy.
Source: Acta Anaesthesiologica Scandinavica - May 1, 2015 Category: Anesthesiology Authors: M. R. Hov, T. Nome, E. Zakariassen, D. Russell, J. Røislien, H. M. Lossius, C. G. Lund Tags: Original Article Source Type: research

Postoperative Stroke Following Administration of Intraoperative Recombinant Tissue Plasminogen Activator for the Treatment of Intracardiac Thrombus During Liver Transplantation: A Report of Two Cases
MASSIVE INTRACARDIAC AND PULMONARY thromboembolism have an extremely high mortality during liver transplantation.1,2 The authors describe 2 cases in which intraoperative use of tissue plasminogen activator was able to reduce the thrombus size and improve hemodynamics during liver transplantation. Although both patients survived the surgery, they suffered neurologic sequelae postoperatively. The authors discuss the current understanding of the pathophysiology, diagnosis, and management of intracardiac thromboembolism during liver transplantation.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 22, 2014 Category: Anesthesiology Authors: Stephen Aniskevich, Beth L. Ladlie, Sher-Lu Pai, Dana K. Perry, Juan M. Canabal, C. Burcin Taner Tags: Case Report Source Type: research

Sheehan syndrome: acute presentation with severe headache
Postpartum headache has an incidence of 11–80%.1,2 The majority of headaches in the postpartum period are of primary etiology, and include migraine, tension-type, cervicogenic, cluster headaches, and other trigeminal autonomic cephalgias.2–5 While secondary headaches are less common, they can be associated with significant morbidity and mortality, and a high index of suspicion and low threshold for neurodiagnostic imaging should be maintained. Secondary headaches may be due to complications of neuraxial anesthesia such as post-dural puncture headache (PDPH) and pneumocephalus, obstetric disease including hypertensive d...
Source: International Journal of Obstetric Anesthesia - May 14, 2014 Category: Anesthesiology Authors: B. Hale, A.S. Habib Tags: Case report Source Type: research

New oral anticoagulants in perioperative medicine.
Abstract New oral anticoagulants (NOAC) inhibit factor Xa (Stuart-Prower factor) or factor IIa (thrombin) and are alternatives to vitamin K antagonists. Perioperative indications are deep vein thrombosis prophylaxis for prosthetic hip and knee replacement, therapeutic anticoagulation for deep vein thrombosis as well as the prophylaxis of stroke for patients with atrial fibrillation. Patients on NOACs pose multiple perioperative challenges for all medical disciplines involved. For non-emergency surgery, patients should be evaluated by an anesthesiolgist as early as possible to assess an optimal appointment for surg...
Source: Der Anaesthesist - April 4, 2014 Category: Anesthesiology Authors: Giebl A, Gürtler K Tags: Anaesthesist Source Type: research

No surgery without previous compression ultrasound in patients with a superficial venous thrombosis: A case of massive paradoxical embolism.
We report a case of a LLSVT complicated with a massive bilateral PE and an ischemic cerebral stroke, occurring immediately after a varicose vein surgery. Venous ultrasonography of the lower limbs must be systematically performed in case of LLSVT, in order to evaluate the presence of an associated LLDVT. A rigorous diagnostic and therapeutic approach is the only way to optimize the treatment of this disorder, and to avoid the occurrence of dramatic venous thromboembolic complications. PMID: 24365154 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - December 20, 2013 Category: Anesthesiology Authors: Reynaud Q, Catella J, Diconne E, Lafond P, Tardy B Tags: Ann Fr Anesth Reanim Source Type: research

Arterial Closure Devices for Treatment of Inadvertent Large-Caliber Catheter Insertion Into the Subclavian or Carotid Artery: A Case Series of Five Patients
CENTRAL VENOUS CATHETERIZATION is a common procedure in today`s medicine. Iatrogenic complications occur in up to 34% of catheter placements including 5% of arterial puncture. A variety of complications by arterial puncture have recently been described, including airway obstruction, pseudoaneurysms, arteriovenous fistulas, and even stroke caused by arterial thrombosis or embolization. Although 2-D ultrasound assisted insertion of large central venous catheters may reduce adverse events, it might not be available in an emergency setting, and the use of ultrasound guidance requires training. Depending on anatomic localizatio...
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 9, 2013 Category: Anesthesiology Authors: Arno Stellmes, Nicolas Diehm, Malte Book, Jürg Schmidli, Dai-Do Do, Jan Gralla Tags: Case Reports Source Type: research