Category Anesthesia

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 Death

Risk Number of pts awaiting organ transplantation is much greater than the number of available solid organs Medical management affects the viability of organs for transplant Perioperative Risks Cardiovascular collapse Pulmonary edema Endocrine dysfunction Metabolic imbalance Coagulopathy Hypothermia Worry About…

Botulism

Risk Infant botulism. Wound botulism. Foodborne botulism. Adult intestinal toxemia. Injection botulism. Biological warfare/inhalational botulism (Category A biological threat). Incidence In USA, approximately 145 cases are reported each year: infant botulism 65%, wound 20%, and foodborne 15%; adult intestinal colonization…

Blindness

Risk Eye injuries represent 4% of claims analyzed in the ASA Closed Claims Project. Majority of entries in the ASA POVL Registry are associated with cardiac and spine cases, with a reported incidence as high as 4.5% and 0.2%, respectively.…

Bleomycin Sulfate Toxicity

Risk Pts with a history of germ cell tumors, lymphomas, squamous cell carcinomas, Kaposi sarcomas, and cervical cancers treated with BLM Incidence of BLT is 10–40%; mortality is 1–2% Risk of BLT increases with total dose >400 unit, glomerular filtration…

Blebs and Bullae

Risk Prevalence of blebs as high as 6% of young, healthy adults, although spontaneous rupture occurs only in 7.4 to 18 per 100,000. Incidence of ruptured bulla is 26 per 100,000. Increased incidence of primary disease in young males. Increased…

Bipolar Disorder

Risk Lifetime prevalence within USA 4% Vast majority of pts younger than 25 y Suicide rates are 20 times higher than that of general population Perioperative Risks Risk of disregard for self care within manic phases, especially in the setting…