ABSTRACT
Abstract Sickle cell anemia is a haematological disorder characterized by multiple vaso-occlusive complications, resulting in a reduced life expectancy. These patients are exposed to several triggering factors for sickle cell crises when they are submitted to cardiovascular surgeries with extracorporeal circulation. Therefore, meticulous care and perioperative management are required. This paper reports a successful case of combined cardiovascular surgery - aortic valve replacement and ascending aortic aneurysmectomy - with no serious post-operative complications. In this report, we emphasize the peculiarities of perioperative care in patients with sickle cell anemia.
Subject(s)
Humans , Male , Adult , Aorta/surgery , Aortic Aneurysm/surgery , Transcatheter Aortic Valve Replacement/methods , Heart Failure/surgery , Anemia, Sickle Cell/complications , Cardiopulmonary Bypass/methods , Treatment Outcome , Perioperative Care/methodsABSTRACT
Revisam-se os efeitos adversos sobre o sistema nervoso autônomo, o sistema nervoso central, o sistema endócrino, assim como outros efeitos mais raros, decorrentes do uso de fármacos antipsicóticos, salientando o possível mecanismo de produçäo de alguns deles e abordando seu manejo terapêutico. Descrevem-se também, interaçöes farmacológicas entre antipsicóticos e outros fármacos de uso prevalente