Essence of Anesthesia Practice

Acute Intermittent Porphyria

Risk Prevalence: <200,000 cases of porphyria in USA, AIP: 5 to 10 in 100,000 worldwide. Highest in Northern Europeans. More commonly manifests in females, typically third to fourth decades of life. Perioperative Risks Drugs and/or chemicals that induce heme containing…

Acromegaly

Risk People within USA: Prevalence is 40 cases/million; incidence is 3 to 8 new cases Occurs with equal frequency in men and women and most frequently diagnosed in third to fifth decades of life (5 to 20 y lag between…

Acquired Immunodeficiency Syndrome

Risk USA incidence of HIV: 50,000 per year USA prevalence of HIV: 1.2 million Sub-Saharan Africa prevalence: 25.8 million in 2014 USA prevalence of AIDS (HIV stages 3 and 4): 26,688 All but 8 were age 13 or older Perioperative…

Acidosis, Renal Tubular

Risk Incidence in USA: Unknown Present in a variety of disease states, from mild to severe systemic illness Perioperative Risks Hemodynamic instability (related to arteriolar vasodilation, acidosis, and decreased cardiac output) Hyperkalemia Insulin resistance and hyperglycemia Acute respiratory failure Worry…

Acidosis, Lactic/Metabolic

Risk Incidence in USA: Unknown Present in a variety of disease states, from mild to severe systemic illness Perioperative Risks Hemodynamic instability (due to arteriolar vasodilation and decreased cardiac output) Hyperkalemia Insulin resistance and hyperglycemia Stimulation of inflammation and suppression…

Achondroplasia, Dwarfism

Risk 1 per 15,000 to 40,000 births worldwide Females ≥ males No race predilection Most common type of dwarfism Perioperative Risks Cervical spine instability Spinal cord compression Cardiopulmonary disease Worry About Difficult airway and ventilation Central and/or obstructive sleep apnea…

Abruptio Placentae

Risk Occurs in 0.4-1% of pregnancies, and the incidence is increasing, particularly among African Americans. Associated with the following conditions: preeclampsia, hypertension, chorioamnionitis, cocaine use, alcohol use, trauma, increased age and parity, smoking, premature rupture of membranes, prior abruption, and…

Abbreviations

Symbols ± plus or minus ? questionable ∼ approximately ° C degrees centigrade ° F degrees Fahrenheit 1° primary; first degree 2° secondary; second degree 3° third degree ΔΔ delta gap A A-a alveolar-arterial AA arachidonic acid AAA abdominal aortic…