| Manejo anestésico de una embarazada sometida a cirugía laparoscópica para un feocromocitoma. Informe de caso |
Anesthetic management of a pregnant woman undergoing laparoscopic surgery for pheochromocytoma -A case report-
A Ram Doo, Deokkyu Kim, Kyoung-Nam Cha, Young Jin Han and Dong-Chan Kim
Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.
Korean J Anesthesiol. 2013 Apr;64(4):373-375
Pheochromocytoma is a rare catecholamine producing tumor. Anesthetic management for the resection of pheochromocytoma is hard and challenging issue to anesthesiologist, because of its potentially lethal cardiovascular complications. It becomes more complicated when the patient is pregnant. Clinicians must keep the safety of both mother and fetus in mind. The timing of surgery for pheochromocytoma in pregnancy is very important for the maternal and fetal safety and depends on the gestational age when diagnosis is made, clinical response to medical treatment, the surgical accessibility of the tumor, and the presence of fetal distress. We report anesthetic experience of a laparoscopic resection for pheochromocytoma in 25th week gestational woman.
Keywords: Laparoscopic surgery, Pheochromocytoma, Pregnancy.
http://synapse.koreamed.org/Synapse/Data/PDFData/0011KJAE/kjae-64-373.pdf
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| Infusión de ketamina para manejo de depresión mayor: un nuevo papel del anestesiólogo |
KETAMINE INFUSION AS A TREATMENT FOR MAJOR DEPRESSIVE DISORDER:
A NEW ROLE FOR ANESTHESIOLOGISTS?
Joshua D. Dilley, W. Brooks Gentry, Kimberly J. Golden
M.E.J. ANESTH 21 (6), 2012
Abstract
A 2003 study indicates that the lifetime prevalence of major depressive disorder (MDD) is 16.2% and that in a 12 month period 13.1 to 14.2 million US adults will suffer from MDD. MDD
can be a devastating illness, affecting every aspect of a person's life. An emerging therapy involving ketamine administration for the treatment of MDD has shown promise in treating those who have not been responsive to conventional pharmacological therapy, as well as those unresponsive to ECT therapy2-6. We report the first administration of this therapy by anesthesiologists. Written informed consent was obtained from the patient granting permission for publication of this article.
http://www.meja.aub.edu.lb/downloads/21_6/871-874.pdf
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| Consideraciones anestésicas en enfermedad de Leigh: informe de caso y revisión de la literature. |
Anesthetic considerations in Leigh disease: Case report and literature review.
Terkawi AS, Wani TM, Al-Shuaibi KM, Tobias JD.
Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia.
Saudi J Anaesth. 2012 Apr;6(2):181-5. doi: 10.4103/1658-354X.97037.
Abstract
Leigh disease is an extremely rare disorder, characterized by a progressive neurodegenerative course, with subacute necrotizing encephalomyelopathy. It usually presents in infancy with developmental delay, seizures, dysarthria, and ataxia. These patients may also develop episodes of lactic acidosis that usually lead to respiratory failure and death. Due to the rarity of the condition, the most appropriate anesthetic plan remains unclear. We present a patient with Leigh disease, who required general anesthesia. The pathogenesis of the disease is discussed and previous reports of perioperative care from the literature are reviewed
http://www.saudija.org/text.asp?2012/6/2/181/97037.
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| Anestesia ambulatoria para cirugía oral en enfermedad juvenil de Leigh |
Outpatient anesthesia for oral surgery in a juvenile with Leigh disease.
Ellis Z, Bloomer C.
University of Texas Dental School, Health Science Center, San Antonio, Texas, USA.
Anesth Prog. 2005 Summer;52(2):70-3.
Abstract
We report a case of anesthesia for elective outpatient third molar extraction in a juvenile with Leigh disease, a progressive neurodegenerative disorder related to respiratory chain deficiency. This syndrome usually presents in infancy and is characterized by nervous system dysfunction and respiratory abnormalities. Anesthesia has been reported to aggravate respiratory symptoms and frequently precipitate respiratory failure. Preoperative swallowing difficulty or respiratory symptoms should be carefully diagnosed, because they can be a warning sign of postoperative complications or mortality. Adverse effects of anesthesia may quickly lead into metabolic acidosis. Anesthetics should be carefully chosen that do not interfere with mitochondrial respiration, which can lead to lactic acidosis.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2527047/pdf/i0003-3006-52-2-70.pdf
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