Risks AFLT occurs <1/10 as often as AFIB. Usually occurs in elderly pts with structural heart disease (those with LV dysfunction, RV dysfunction, pulm vascular disease, RHD, or CHD). Other risk factors include COPD, hypertension, obesity, and male sex. Occurs…
Risk Isolated atrial fibrillation affects >1% of those >60 y of age. Overall incidence is 0.4% of adult population. In the postcardiac surgical population, the incidence can be as high as 27-40%. No racial predominance. Prevalence increases with older age.…
Risk Over 100 million USA adults age 20 y or older have a total cholesterol >200 mg Cardiovascular disease accounts for approximately 1 of every 3 deaths in USA (31.3%). Perioperative Risks Cardiovascular disease increases risk of periop major adverse…
Risk Prevalence in USA: 25 million people; nearly 5% for persons age 5-34 y Increased prevalence and severity in African Americans, adult females, and atopic individuals Perioperative Risks Risk related to degree of preop control of symptoms and optimization of…
Risk Risk of aspiration: Approximately 3 per 10,000 anesthetics, 11 per 10,000 emergency and/or after-hours cases, and 29 per 10,000 emergency cases in ASA IV and V pts Loss of protective reflexes and sphincter function Obstructed or abnormal GI motility…
Risk Arnold-Chiari malformation (Chiari Malformation type II or CMII) is found exclusively in pts with myelomeningocele. Myelomeningocele occurs in 0.6 of 1000 live births. Perioperative Risks Vocal cord paralysis Respiratory distress Apnea Neurogenic dysphagia and pulmonary aspiration Hydrocephalus and increased…
Risk One of most common abdominal emergencies Possible at any age but most common during an individual’s teens and 20s 11 in 10,000 individuals will experience appendicitis M:F ratio 1.4:1 Most common reason for nonobstetric surgery during pregnancy; Occurs in…
Risk Full-term infants with an underlying pathology (i.e., neurologic disorders, metabolic derangements) Premature infants, with or without an underlying pathology Infants less than 60 wk post conceptual age Underweight infants <1000 g Anemia Perioperative Risks More prone to apnea during…
Risk 15:1,000,000 live births Equal M:F ratio Perioperative Risk Aspiration Bronchospasm Resp depression Airway obstruction Worry About Difficult mask, airway, or IV access Elevated intracranial pressure, temperature dysregulation, and seizures Corneal abrasions (due to exophthalmos) PACU and perioperative monitoring for…
Risk Most common valvular heart disease; prevalence only 0.2% among adults aged 50-59 y, but increases to almost 10% after age 80 y. Calcific aortic stenosis: Major risk factors are increasing age, LDL, diabetes mellitus, smoking, hypertension, and bicuspid valve…