Category Anesthesia

Cor Pulmonale

Risk RV failure is the third most common cardiac Dx after age 50 y. Of all CHF admissions, 10–20% have some aspect of right heart failure. Gender predominance is male > female. Perioperative Risks Increased risk for respiratory failure, severe…

Constipation

Risk Median prevalence of constipation in adults is 16% (studies range 0.7–79%); in adults aged ≥60 y, it is 33.5%. Prevalence may be higher in nonwhite and institutionalized populations. Male:female ratio: 1:1.5. Perioperative Risks Increased risk of gastroparesis and N/V…

Congenital Methemoglobinemia

Risk Navajo Indians, Alaskan Indians, and people of Puerto Rican and Cuban ancestry Normal life span (except for RCM type II) Perioperative Risks Oxidizing agents may increase MetHb to dangerous levels. Mild respiratory/cardiac depression may adversely affect pts with already…

Complement Deficiency

Risk C1 esterase inhibitor–deficiency incidence: 1:50,000-150,000 of the general population. Symptoms onset and diagnosis occur approximately at 20 y, and by 30 y approximately 98% of pts have symptoms. C2 deficiency incidence: <0.1% of the general population. Male versus female…

Cogan Syndrome

Risk Extremely rare: approximately 250 reported cases in the literature Mean presentation 30–40 y; however, cases in children and elderly reported No predilection for gender, race, or ethnicity Possible association with IBD Perioperative Risks Hemorrhage Thrombosis and organ/limb ischemia Adrenal…

Coarctation of the Aorta

Risk Sixth most-common congenital heart defect: 4:10,000 live births Recognized in 5–8% of pts with CHD Perioperative Risks Perioperative mortality: 1% when associated with no other cardiac anomalies in neonates, 10% when associated with a VSD, and 50% when associated…