Clinical scenarios highlighting anesthetic considerations for various surgical procedures
A 28-year-old male with C6 spinal cord injury from a diving accident requires surgical stabilization. He demonstrates autonomic dysreflexia and requires careful hemodynamic monitoring during positioning and surgery.
An 80-year-old male with a permanent pacemaker requires anesthesia for MRI-guided biopsy. Special considerations for MRI safety, device interrogation, and potential electromagnetic interference are needed.
A 30-year-old female with 40% total body surface area burns presents for serial debridement. She has significant fluid shifts, hypermetabolic state, and potential difficult airway due to facial burns.
A 26-week pregnant female involved in a motor vehicle accident requires exploratory laparotomy. Considerations for fetal monitoring, aortocaval compression, and teratogenic effects of medications are paramount.
A 25-year-old male with family history of malignant hyperthermia requires emergency surgery. Avoidance of triggering agents and preparation with dantrolene and a clean anesthesia machine is essential.
A 60-year-old female with septic shock from perforated diverticulitis requires emergency laparotomy. Management focuses on hemodynamic stabilization, appropriate antibiotic therapy, and organ support.
A 6-month-old infant with tetralogy of Fallot presents for hernia repair. Careful management of systemic vascular resistance and prevention of hypercyanotic spells during anesthesia induction is critical.
An 85-year-old male taking 12 different medications presents for cataract surgery. Complex drug interactions, reduced physiological reserve, and postoperative cognitive dysfunction are significant concerns.
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