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Condition: Hypertension
Procedure: Anesthesia

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Total 235 results found since Jan 2013.

Cardiovascular Anesthetic Complications and Treatment in Oral Surgery
Perioperative hypertension is a common problem. If hypertension is left untreated in patients at risk, infarctions and stroke are possible. There are limited choices of antihypertensive agents for the office. Aggressive antihypertensive therapy is not indicated because most of the episodes seen in the office are hypertensive urgencies and not emergencies. Hypotension is usually managed by decreasing the depth of anesthesia, intravenous fluids, and then vasopressors, typically ephedrine or phenylephrine. Consider treatment of hypotension whenever the mean arterial pressure decreases less than 60 mm Hg.
Source: Oral and Maxillofacial Surgery Clinics - May 17, 2013 Category: ENT & OMF Authors: Edward C. Adlesic Source Type: research

Taking over the counter pain relievers safely
For aching joints or a throbbing head, millions of Americans turn to aspirin, ibuprofen (Advil, Motrin), or other nonsteroidal anti-inflammatory drugs (NSAIDs) every day. They are generally safe, but if not used carefully NSAIDs can have a dark side, according to the September 2013 Harvard Women's Health Watch. NSAIDs are widely used because they perform double duty. “They not only relieve pain, but they reduce inflammation too,” says Dr. Lucy Chen, an assistant professor at Harvard Medical School and attending physician in the anesthesia, critical care, and pain medicine department at Massachusetts General Hos...
Source: New Harvard Health Information - August 23, 2013 Category: Consumer Health News Source Type: news

Cardiovascular Anesthetic Complications and Treatment in Oral Surgery
Perioperative hypertension is a common problem. If hypertension is left untreated in patients at risk, infarctions and stroke are possible. There are limited choices of antihypertensive agents for the office. Aggressive antihypertensive therapy is not indicated because most of the episodes seen in the office are hypertensive urgencies and not emergencies. Hypotension is usually managed by decreasing the depth of anesthesia, intravenous fluids, and then vasopressors, typically ephedrine or phenylephrine. Consider treatment of hypotension whenever the mean arterial pressure decreases less than 60 mm Hg.
Source: Oral and Maxillofacial Surgery Clinics - May 17, 2013 Category: ENT & OMF Authors: Edward C. Adlesic Source Type: research

Survival after lung transplantation in systemic sclerosis. A systematic review
Conclusion: The short-term and intermediate-term survival post-lung transplantation are similar to IPAH and ILD patients requiring lung transplantation.
Source: Respiratory Medicine CME - October 9, 2013 Category: Respiratory Medicine Authors: Irfan Y. Khan, Lianne G. Singer, Marc de Perrot, John T. Granton, Shaf Keshavjee, Cathy Chau, Amie Kron, Sindhu R. Johnson Tags: Transplantation Source Type: research

Long-term aspirin use and neovascular age-related macular degeneration: association or causation?
Commentary on: Liew G, Mitchell P, Wong TY, et al.. The association of aspirin use with age-related macular degeneration. JAMA Intern Med 2013;173:258–64. Context Aspirin is used by many for temporary pain relief, rheumatological conditions and where indicated, cardioprotection. However, recent findings from observational studies have raised the possibility that regular aspirin use may also increase the risk of some forms of age-related macular degeneration (AMD). Methods Liew and colleagues examined the relationship between long-term, low-dose aspirin use and risk of AMD in an Australian population-based cohort of 2...
Source: Evidence-Based Medicine - January 22, 2014 Category: Internal Medicine Authors: Christen, W. G. Tags: EBM Aetiology, Smoking and tobacco, Epidemiologic studies, Immunology (including allergy), Drugs: cardiovascular system, Pain (neurology), Stroke, Hypertension, Ophthalmology, Pain (palliative care), Pain (anaesthesia), Diabetes, Health education, Smoking Source Type: research

Interest of cervical epidural anesthesia in perioperative management of thyroidectomy with the high-risk anesthetic patient.
We report the case of a patient of 49years old with hypertension, diabetes mellitus, epilepsy, left hemiparesis sequelae of stroke and congestive left ventricular failure. The patient underwent total thyroidectomy under cervical epidural anesthesia. No difficulty breathing or decompensation of chronic underlying diseases were noted in the postoperative. PMID: 24525284 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - February 10, 2014 Category: Anesthesiology Authors: Mahoungou Guimbi KC, Itiere Odzili FA, Soussa GR Tags: Ann Fr Anesth Reanim Source Type: research

Ultrasound can identify pregnant woman with preeclampsia at risk for respiratory failure, study says
An ultrasound of the lungs could help doctors quickly determine if a pregnant woman with preeclampsia is at risk for respiratory failure, suggests preliminary research published in the April issue of Anesthesiology.About 60,000 women worldwide die as a result of preeclampsia, which causes severely high blood pressure. Potential complications include stroke, bleeding and excess fluid in the lungs - called pulmonary edema - which can lead to respiratory failure.
Source: Health News from Medical News Today - March 20, 2014 Category: Consumer Health News Tags: Pregnancy / Obstetrics Source Type: news

The minimally invasive MitraClip™ procedure for mitral regurgitation under general anaesthesia: immediate effects on the pulmonary circulation and right ventricular function
Summary A relatively new minimally invasive cardiological procedure, called the MitraClip™, does not require sternotomy and may have a number of advantages compared with open mitral valve surgery, but its acute impact on the pulmonary circulation and right ventricular function during general anaesthesia is unclear. We prospectively assessed the effects of the MitraClip procedure in 81 patients with or without pulmonary hypertension (defined as mean pulmonary artery pressure > 25 mmHg), who were anaesthetised using fentanyl (5 μg.kg−1), etomidate (0.2–0.3 mg.kg−1), rocuronium (0.5–0.6 mg.kg−1) and isofl...
Source: Anaesthesia - May 7, 2014 Category: Anesthesiology Authors: E. Kottenberg, M. Dumont, U. H. Frey, T. Heine, B. Plicht, P. Kahlert, R. Erbel, J. Peters Tags: Original Article Source Type: research

Respirophasic carotid artery peak velocity variation as a predictor of fluid responsiveness in mechanically ventilated patients with coronary artery disease
Conclusions Doppler assessment of respirophasic Vpeak-CA seems to be a highly feasible and reliable method to predict fluid responsiveness in mechanically ventilated patients undergoing coronary revascularization. Clinical trial registration NCT 01836081.
Source: British Journal of Anaesthesia - June 18, 2014 Category: Anesthesiology Authors: Song, Y., Kwak, Y. L., Song, J. W., Kim, Y. J., Shim, J. K. Tags: Cardiovascular Source Type: research

Coarctation of the aorta: nonsurgical treatment using stent implantation.
CONCLUSION: This is the first reported series in Singapore on the nonsurgical treatment of CoAs in adult patients using stents during interventional cardiac catheterisation. This less invasive procedure may lead to a new paradigm shift with regard to the treatment of CoA. PMID: 25017404 [PubMed - in process]
Source: Singapore Medical Journal - June 1, 2014 Category: Journals (General) Authors: Ang HL, Lim CW, Hia C, Yip J, Quek SC Tags: Singapore Med J Source Type: research

Short-Term Results of Transapical Transcatheter Mitral Valve Implantation for Mitral Regurgitation
ConclusionsTransapical transcatheter mitral valve implantation is technically feasible and can be performed safely. Early hemodynamic performance of the prosthesis was excellent. Transcatheter mitral valve implantation may become an important treatment option for patients with severe MR who are at high operative risk.
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - October 20, 2014 Category: Cardiology Source Type: research

Double-Barrel Proximal Thoracic Aorta or Horrific Complication of Endocarditis?
A 76-YEAR-OLD man with hypertension, hyperlipidemia, and a recent embolic stroke was admitted to the authors’ institution for evaluation of progressive dyspnea. The patient’s past medical history was notable for an aortic valve replacement with a mechanical prosthesis. He did well for approximately 30 years after surgery before he presented to a community hospital with a non-ST segment elevation myocardial infarction that was treated with metoprolol and a bare metal stent (first obtuse marginal branch of the left circumflex coronary artery).
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 8, 2014 Category: Anesthesiology Authors: Andrew R. Schroeder, Joseph E. Strosin, Izabela Jugovac, Zahir A. Rashid, Paul S. Pagel Tags: Diagnostic DilemmasSection Editor? > Source Type: research

Mannitol versus hypertonic saline solution in neuroanaesthesia
Conclusion Data availability is limited because of small sample sizes, inconsistent methods and few prospective randomized comparative studies, although both agents are effective and have a reasonable risk profile for the treatment of cerebral oedema and IH. Currently, several trials show that HTS could be more effective in reducing ICP, with longer lasting effects. HTS maintains systemic and cerebral haemodynamics.
Source: Colombian Journal of Anesthesiology - November 22, 2014 Category: Anesthesiology Source Type: research

Perianesthesia Implications of Obstructive Sleep Apnea
Obstructive sleep apnea (OSA) is a complex medical condition that affects not only the airway but also the cardiopulmonary, endocrine, and central nervous systems. Obstructive sleep apnea can usually be identified with a focused history and physical examination and is commonly associated with obese, middle-aged men with hypertension and glucose intolerance. A high index of suspicion for OSA should arise when reports of loud snoring, nighttime arousal, and acid reflux accompanied by a history of stroke, atrial fibrillation, or congestive heart failure are elicited during a perianesthesia evaluation. Perianesthesia risk in O...
Source: Critical Care Nursing Quarterly - December 11, 2014 Category: Nursing Tags: Original Articles Source Type: research

Recruitment maneuvers in the presence of pulmonary hypertension: Cardiorespiratory effects during experimental acute lung injury
Conclusion- RM did not affect cardiac work and output regardless of conditions. Moreover in concomitant ALI, PHT somehow counteracted the deleterious effects of RM on elastance and SvO2.
Source: European Respiratory Journal - December 23, 2014 Category: Respiratory Medicine Authors: Doras, C., Le Guen, M., Petak, F., Habre, W. Tags: 4.1 Clinical Respiratory Physiology, Exercise and Functional Imaging Source Type: research