Essence of Anesthesia Practice

Ulcerative Colitis, Chronic

Risk Incidence in USA and Northern countries of 35-100:100,000; incidence of 11:100,000/y with 2- to 4-fold increased frequency in Jewish populations. Mortality highest in early years of disease, or with prolonged disease due to risk of colon cancer; two peaks…

Tuberculosis

Risk Incidence in USA in 2014 was 2.96 cases per 100,000 persons; worldwide, incidence is over 9 million cases per year. There were 1.5 million TB-related deaths worldwide in 2014. Incidence in USA has been decreasing every year since 1992.…

Truncus Arteriosus

Risk Uncommon congenital heart defect; <3% of all congenital heart defects No gender predilection Perioperative Risks CHF. Volatile agents may depress myocardial contractility and lower SVR. Inadvertent hyperventilation resulting in reduced PVR, excess PBF, and worsening CHF. Infective endocarditis. Risks…

Trigeminal Neuralgia (Tic Doloureux)

Risk Has an incidence of 12–27:100,000 More common in women and pts >50 y. 1–5% of pts with MS have TN, and 2–4% of pts with TN have tumors or vascular malformations in the posterior fossa. There is an association…

Tricuspid Atresia

Risk Uncommon; occurs in 0.056:1000 live births. Perioperative Risks Hypoxia caused by limited pulm blood flow. Reliable systemic and pulm blood flow in these pts depends on existence of an unobstructed atrial level right to left shunt, an unobstructed left…

Treacher Collins Syndrome

Risk Incidence of 1:25,000–50,000 live births. Perioperative Risks Difficult airway management Worry About Difficult mask ventilation and intubation Acute airway obstruction Hx of obstructive sleep apnea and cor pulmonale Overview Also known as mandibulofacial dysostosis and Franceschetti-Zwahlen-Klein syndrome. Clinical features…

Transverse Myelitis

Risk Incidence: 1–8 cases per million per y. Age distribution: Bimodal peaks between ages of 10–19 y and 30–39 y. Perioperative Risks Data scarce Autonomic disturbances (hypertension, hypotension, arrhythmias) Delayed gastric empting Anesthetic induced worsening unclear; causative role described Worry…

Transposition of the Great Arteries

Risk Incidence: 2.7-3.2:10,000 live births Relatively common; represents >5% of all congenital cardiac malformations One of the most common causes of newborn cyanosis Male predominance of 2.25-fold increased risk Relatively low risk (12%) of coexisting syndromes/noncardiac malformations Perioperative Risks Newborn:…

Transfusion-Related Acute Lung Injury

Risk Can occur in any pt receiving blood or blood products, including platelets, plasma, cryoprecipitate, and rarely, IVIG. Overall incidence probably <1%; increasing awareness of the syndrome has resulted in improved recognition. Use of leukodepleted blood has decreased the incidence…

Tracheoesophageal Fistula (Congenital)

Risk Incidence of EA + TEF: 1:3500. EA/TEF in twins is 2.6 times higher than in singletons. Perioperative Risks Respiratory distress Stomach distention, rupture (1%) possible Dehydration and hypoglycemia Worry About Respiratory status Congenital heart disease (23%): PDA, VSD, TOF,…