ABSTRACT
The wide-spread use and wide variety of regional anesthetic procedures makes it essential to insist on careful documentation in the anesthetics record, with special emphasis on technique, effects and complications. With a view to possible medico-legal problems, data should be recorded in considerable detail with each technique applied specified. Documentation is discussed according to the different procedures and their clinical relevance, with various examples.
Subject(s)
Anesthesia, Conduction/standards , Documentation/standards , Abbreviations as Topic , HumansABSTRACT
In a man aged 62 years with a 14-year-history of polycythaemia vera progressing into a myelofibrotic stage symptoms and signs of an intracranial tumour with increased intracranial pressure developed. CT scan as well as angiography of the right internal carotid artery revealed richly vascularized masses within the meninges. The patient died in endocarditis and progressive heart failure and at autopsy the intracranial masses were shown to be due to meningeal myeloid metaplasia. The literature is reviewed and it appears that myeloid metaplasia within the central nervous system might be more common than has been hitherto anticipated. A CT scan is to be recommended in myelofibrosis whenever symptoms and signs suggesting intracranial disease are present.
