ABSTRACT
More than 50 million individuals are infected by the human immunodeficiency virus (HIV), and it is estimated that as many as 25% of them will require surgery. The anesthesiologist must be familiar with the implications of this disease for multiorgan failure and opportunistic infections. Above all, the effects of antiretroviral agents on anesthetics must be understood. We describe the case of an HIV-infected man at risk for difficult intubation who experienced convulsions in the operating room.
Subject(s)
Acquired Immunodeficiency Syndrome/complications , Epilepsy, Tonic-Clonic/etiology , Intraoperative Complications/etiology , Intubation, Gastrointestinal/adverse effects , Pulmonary Edema/etiology , Tonsillar Neoplasms/surgery , AIDS-Related Opportunistic Infections/diagnosis , Acquired Immunodeficiency Syndrome/drug therapy , Acquired Immunodeficiency Syndrome/physiopathology , Acute Disease , Anti-HIV Agents/pharmacokinetics , Autonomic Nervous System Diseases/etiology , Autonomic Nervous System Diseases/physiopathology , Diagnosis, Differential , Drug Interactions , Epilepsy, Tonic-Clonic/chemically induced , Humans , Intraoperative Complications/chemically induced , Lidocaine/adverse effects , Lidocaine/pharmacokinetics , Male , Middle Aged , Neck Dissection , Neoplasms, Second Primary/complications , Neoplasms, Second Primary/surgery , Pulmonary Edema/diagnosis , Sarcoma, Kaposi , Tonsillar Neoplasms/complications , Tonsillectomy , TracheotomySubject(s)
Anticoagulants/pharmacology , Artifacts , Blood Specimen Collection/methods , Edetic Acid/pharmacology , Platelet Aggregation/drug effects , Platelet Count , Thrombocytopenia/diagnosis , Adolescent , Antigens, Human Platelet/drug effects , Antigens, Human Platelet/immunology , Blood Loss, Surgical , Cryoglobulins/immunology , Erythrocyte Count , Humans , Male , Meningomyelocele/surgery , Postoperative Period , Scoliosis/surgery , Spinal FusionABSTRACT
Existen más de 50 millones de personas en todo elmundo infectadas por el virus de la inmunodeficienciahumana. Se ha estimado que hasta el 25% de los pacientesinfectados requerirán cirugía. Para el anestesiólogoes fundamental conocer las connotaciones de la enfermedadpor su afectación multiorgánica, las infeccionesoportunistas asociadas y sobre todo, por las implicacionesen el metabolismo que los fármacos antirretroviralespueden tener en nuestros fármacos anestésicos. Presentamosel caso de un paciente infectado con el virus de lainmunodeficiencia humana, con predictores de vía aéreadifícil que presentó convulsiones en el quirófano(AU)
More than 50 million individuals are infected by thehuman immunodeficiency virus (HIV), and it isestimated that as many as 25% of them will requiresurgery. The anesthesiologist must be familiar with theimplications of this disease for multiorgan failure andopportunistic infections. Above all, the effects ofantiretroviral agents on anesthetics must be understood.We describe the case of an HIV-infected man at risk fordifficult intubation who experienced convulsions in theoperating room(AU)
Subject(s)
Humans , Male , Middle Aged , Acquired Immunodeficiency Syndrome/complications , Autonomic Nervous System Diseases/etiology , Epilepsy, Tonic-Clonic/etiology , Intraoperative Complications/etiology , Intubation, Gastrointestinal/adverse effects , Pulmonary Edema/diagnosis , Pulmonary Edema/etiology , Tonsillar Neoplasms/complications , Tonsillectomy/methods , Tracheotomy , AIDS-Related Opportunistic Infections/diagnosis , Acquired Immunodeficiency Syndrome/drug therapy , Acquired Immunodeficiency Syndrome/physiopathology , Autonomic Nervous System Diseases/physiopathology , Epilepsy, Tonic-Clonic/chemically induced , Intraoperative Complications/chemically induced , Lidocaine/adverse effects , Neoplasms, Second Primary/surgery , /complications , Tonsillar Neoplasms/surgeryABSTRACT
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