Category Anesthesia

Pacemakers

Risk In USA, over 3 million people have an implantable cardiac PM, and more than 400,000 PMs are implanted annually. In addition to a right atrial and right ventricular lead, some PM pts with cardiomyopathy also have left ventricular pacing…

Otitis Media

Risk Age: Highest incidence occurs between 6–24 mo of age; incidence subsequently declines, except for an increase at the time of school entry (between 5–6 y of age). Day care attendance. Tobacco smoke and air pollution. Other factors: Poor social/economic…

Osteoporosis

Risk Most common metabolic bone disease in USA All elderly pts of European descent considered at risk Non-Hispanic white women and Asian women at highest risk Estimate is that over 200 million people worldwide are at risk. Approximately 30% of…

Osteogenesis Imperfecta

Risk Incidence: OI occurs in 1:10,000-20,000 live births. Perioperative Risks Owing to the fragility of bones, caution is needed in positioning or transporting these pts. Excessive neck extension may lead to fracture. Scoliosis may cause difficulty with regional anesthesia. High…

Osteoarthritis

Risk Most common type of arthritis with significant disease burden. Globally, affects 9.6% of men and 18% of women ≥60 y old and is ranked as top 11th cause of disability (global years lived with disability). Common presentations are pain,…

Occipital Encephalocele

Risk Most frequent type of encephalocele in North America and Western Europe Incidence in North America: 1:3000–10,000 live births Worse prognosis compared with frontal encephaloceles Perioperative Risks Seizures Hydrocephalus Cranial nerve deficits Poor feeding Spasticity Blindness Worry About Positioning concerns…

Obsessive-Compulsive Disorder

Risk Lifetime prevalence is 1–3%, with bimodal onset in childhood and late adolescence/early adulthood Males and females affected equally Perioperative Risks Drug interactions, notably risk of serotonin syndrome in pts on serotonergic agents such as SSRIs and clomipramine Anxiety/panic attacks…

Noonan Syndrome

Risk Incidence between 1:1000-2500 live births Incidence consistent worldwide Equal distribution between genders Perioperative Risks Airway Cardiovascular Hematologic Infectious Worry About Difficult airway Cardiovascular complications Bleeding Endocarditis Overview Key features include facial anomalies, neck webbing, short stature, chest deformity, spinal…