Subject(s)
Gilbert Disease , Heart Valve Prosthesis Implantation , Perioperative Care , Tricuspid Valve , Humans , Tricuspid Valve/surgery , Tricuspid Valve/diagnostic imaging , Perioperative Care/methods , Heart Valve Prosthesis Implantation/methods , Gilbert Disease/complications , Male , Tricuspid Valve Insufficiency/surgery , Tricuspid Valve Insufficiency/complications , Tricuspid Valve Insufficiency/diagnostic imagingABSTRACT
Myasthenia gravis (MG) is an autoimmune disorder characterized by antibody-mediated immunologic reaction striking the acetylcholine receptors. The anesthesia concerns for patients with MG include the disease state, drug interactions, and the anesthetic medications particularly the neuromuscular blocking agents (NMBAs). The anesthesia management in these patients is meticulous and requires appropriate execution of knowledge. Besides, such patient for off-pump coronary artery bypass surgery is quite uncommon; hence, we report this case.
Subject(s)
Anesthesia , Coronary Artery Bypass, Off-Pump , Myasthenia Gravis , Humans , Myasthenia Gravis/complications , Myasthenia Gravis/surgery , ThymectomyABSTRACT
Stroke culminates into 6.2 million deaths annually and is thereby a leading cause of disability and death worldwide. In patients undergoing noncardiac, nonneurological surgery, perioperative stroke can eventuate into a catastropic aftermath with almost eight-fold rise in mortality. In cardiac, neurological, and carotid surgery, stroke rate accounts to be high (2.2%-5.2%) and is a significant instigator of morbidity and mortality as well. These facts kindle interest to review the predictive parameters, preventive measures, and all the possibilities in the management and protection against perioperative stroke.
