Essence of Anesthesia Practice

Burn Injury, Flame

Risk Flame injuries accounted for 43% of all burn cases from 2003 to 2012. 70,000 flame injuries requiring treatment over same 10-y period. Approximately 70% of injuries are accidental and nonwork related. Approximately 70% of injuries occur at home. Perioperative…

Burn Injury, Electrical

Risk Low-voltage burns (<1000 V) commonly occur in children at home. High-voltage burns (≥1000 V) are more common in adults and characteristically occur in outdoor environments near power sources and lines. Lightning electrical burns carry highest rate of mortality and…

Burn Injury, Chemical

Risk From 1999 to 2008, 3% of all reported burn injuries. Risk increases with age: 1% of burn injuries from birth to age 16; 3.7% from 20–30; and 5% from 30–50, according to the National Burn Repository Report on Data…

Bulimia Nervosa

Risk Prevalence ranges from 3–30% among women aged 15–30 y. Bulimic symptoms can be part of the anorexia nervosa syndrome. The bulimic type is more damaging than anorexia nervosa as the combination of vomiting, laxative abuse, and malnutrition can lead…

Buerger Disease (Thromboangiitis Obliterans)

Risk Current or recent chronic tobacco/nicotine exposure Ashkenazi Jewish ethnicity; prevalence much greater in Eastern Europe, Southeast Asia, and India Age <45, male gender (M:F ratio: 10–100:1) Incidence in USA: Progressively decreasing in association with decreasing smoking prevalence; <8–10/100,000 Perioperative…

Bronchopulmonary Dysplasia

Risk Incidence in USA: 10,000-15,000 infants annually Risk increases with decreasing gestational age and birth weight Affects at least one-quarter of infants with birth weights <1500 g No race or gender predilection Perioperative Risks Bronchospasm Pulm Htn Cor pulmonale Worry…

Bronchitis, Chronic

Risk Incidence in USA: 14 million Race with highest prevalence: Caucasian M:F ratio 1:2 Smoking, second-hand smoke, occupational exposure to pulm toxic substances (radon, coal, silicates, and asbestos) Perioperative Risks Bronchospasm Worry About Airway stimulation at light levels of anesthesia…

Bronchiolitis Obliterans Syndrome

Acknowledgment We thank Dr. Roy Levitt for his previous contributions to this chapter. Risk Incidence in USA: 1:40,000 Racial predilection: None Occurs primarily after lung and hematopoietic stem cell transplantation Industrial workers exposed to inhalants who have presented with BOS:…

Bronchiectasis

Acknowledgment The authors would like to acknowledge the contributions of Dr. H. Michael Marsh in this chapter’s previous edition. Risk Incidence in USA <1:10,000 hospital admissions. Cystic fibrosis is the single largest cause of bronchiectasis in industrial nations. A subgroup…

Brain Injury, Traumatic

Risk Incidence in USA: 1.7 million TBIs per year as of 2010, resulting in more than 280,000 hospitalizations and over 50,000 deaths. TBI is responsible for about 30% of all deaths due to injury. TBI, primarily from falls, has increased…