Risk Occurs in both children and adults, peak age at 5 y and 40 y, respectively Female-to-male ratio of 1.8:1 Highest incidence in Japanese and Asian populations; familial occurrence 10% Perioperative Risks Stroke Worry About Hypocarbia and hypercarbia Adequate cerebral…
Risk Incidence in USA: Approximately 5% morbidly obese Perioperative Risks Increased morbidity and mortality versus normal BMI from resp and cardiac issues Worry About Challenging procedures: IV start, intubation, ventilation, epidural cath placement. Restrictive pattern of resp disease, hypoxemia, larger…
Risk Occurs after anterior infarction and can quickly proceed to third-degree heart block Perioperative Risks Risk of developing third-degree block Worry About Rapid development into third-degree block, which requires temporary transvenous pacing Overview Unlike Mobitz I block, Mobitz II block…
Risk Occurs after inferior MI or occasionally in trained athletes or in normal, sleeping people. Incidence varies based on etiology. Perioperative Risks Without associated heart disease and without symptoms, should not present undue risk during anesthesia (e.g., in trained athletes).…
Risk Believed to be most common form of valvular heart disease, with an incidence of 2–3% in the general population. MVP is a progressive disease that begins in middle age and affects both men and women. Most common cause of…
Risk Bimodal age distribution: 20–39 y and 50–60 y. Mitral stenosis is 2–3 times more common in women and is the most common valve disease affecting pregnant women. Most common among immigrants to USA from regions where rheumatic fever is…
Risk Mitral regurgitation affects more than 2 million people in USA. Incidence of moderate/severe mitral regurgitation: Nearly 20% for age >55 y. Mitral valve prolapse is the primary form of myxomatous degeneration of the valve. Mitral valve prolapse is the…
Risk More common than previously thought. Prevalence ranges from 1:7000–15,000. Occurrence is usually sporadic or maternally inherited. Perioperative Risks Metabolic acidosis Respiratory and cardiac insufficiency/failure Delayed emergence Worry About Respiratory failure following sedation. Consider aspiration risk. Metabolic acidosis. Hypotension during…
Risk Incidence 4–7:100,000; might be under-reported Perioperative Risks CNS: Facial and bulbar weakness, mental retardation, seizures, learning disabilities, deafness, visual impairment, and stroke-like episodes CVS: Cardiomyopathy and cardiac conduction defects Respiratory: Weakness of muscles of respiration and respiratory failure Other:…
Risk Incidence within USA: Rare Gender prevalence: None Socioeconomic or ethnic prevalence: None Perioperative Risks Inadequate O 2 carriage and delivery to tissues. Hemolysis may be induced by methylene blue, especially in pts with G6PD deficiency. Worry About Percent of…