Background:We aim to report the incidence of post-intubation hypotension in critically ill, in-hospital mortality and length stay those who developed hypotension, explore possible risk factors associated with hypotension. Material/Methods:Adult (³18 years) ICU patients received emergent endotracheal intubation were included.We excluded if they hemodynamically unstable 60 minutes pre-intubation.Post-intubation was defined as administration any vasopressor within following intubation....

Combined heart-liver transplantation (CHLT) is an uncommonly performed procedure for patients with coexisting cardiac and liver disease.A retrospective review was of undergoing CHLT at our institution from 1999 to 2013. Information related preoperative organ function, intraoperative management, surgical approach, transfusions, postoperative findings, 30-day mortality reviewed.Twenty-seven were performed, 4 the 27 including simultaneous kidney transplantation. Familial amyloidosis indication...

Summary Objectives To describe the experience of a single, tertiary care institution in patients with F ontan physiology undergoing anesthesia for noncardiac surgery. Background The procedure was developed 1971 to palliate univentricular cardiac leading long‐term survival these patients, who may now present as adults Methods We retrospectively reviewed medical records 16 years and older underwent general surgery at M ayo C linic R ochester, innesota. Preoperative data, perioperative course,...

BackgroundHyperlactatemia is relatively common in the cardiac surgical patient and usually considered a marker of illness severity. The frequency impact severe hyperlactatemia after elective surgery has not been described, prognosis may be different compared with that for other or medical critically ill populations.MethodsWe conducted retrospective study to evaluate hospital course outcomes patients who developed postoperative (SPHL; lactate >10 mmol/L) surgery, from January 1, 2008 December...

Klippel-Trenaunay syndrome (KTS) is a rare congenital malformation characterized by the triad of varicose veins or venous malformations, capillary malformations that may involve neurovascular structures, and bony soft tissue hypertrophy in affected limbs. Areas such as trunk, bowel, bladder, spinal cord be involved well. KTS should not confused with Klippel-Feil syndrome, which involves abnormalities cervical vertebrae. Anesthetic management for patients has only been described limited case...

A 54-YR-OLD woman with intractable leg pain secondary to lumbar stenosis elected undergo L4–L5 decompressive laminectomy. General anesthesia was induced fentanyl, lidocaine, and propofol (200 mg) maintained isoflurane nitrous oxide. Tracheal intubation facilitated succinylcholine, neuromuscular blockade vecuronium. Within the first hour of surgery, without any additional medications administered besides vancomycin, urine color changed from yellow green. The discoloration then resolved by end...

<h3>Objective</h3> Limited data exist regarding the outcomes of non-cardiac procedures (NCPs) in adult patients after Fontan operations (Fontan patients). <h3>Methods</h3> To compare procedural NCPs with for two matched control groups: repaired congenital heart disease and biventricular circulation (CHD-BiV) no (NHD). We defined cyanosis as oxygen saturation &lt;90% hypoxia &lt;80% or a decrease &gt;10% from baseline. <h3>Results</h3> There were 538 154 (mean age, 30 years) performed...

The number of patients with left ventricular assist devices (LVADs) continues to increase, and gastrointestinal (GI) endoscopy is commonly required in this patient population. We retrospectively reviewed the experience a single tertiary care center managing LVADs undergoing GI between 2006 2013. After hospital dismissal from LVAD placement, 53 underwent 172 endoscopic procedures. Gastrointestinal bleeding was indication for 73.8% patients. Median age at 66 years, median time implantation...

Background: Left ventricular systolic dysfunction (LVSD) and LV diastolic (LVDD) are commonly seen in severe sepsis septic shock; however, their role patients with concurrent invasive mechanical ventilation (IMV) is less well defined. Methods: This was a prospective observational study on all admitted to the intensive care units (ICUs) at Mayo Clinic, Rochester from August 2007 January 2009. All adult shock IMV without prior heart failure underwent transthoracic echocardiography within 24...

Although ambulatory surgery offers patients convenience and reduced costs, same-day cancellation of negatively affects patient experiences operational efficiency. We conducted a retrospective analysis to determine the frequency reasons for cancellations in an outpatient center at large academic tertiary referral center. Of 41 389 surgical procedures performed, occurred rate 0.5% were usually unforeseeable nature. Focusing on foreseeable opportunities enhanced satisfaction, improved quality...

Surgery and childbirth can trigger attacks of hereditary brachial plexus neuropathy (HBPN), inflammation was suggested as a component the pathogenesis.HBPN patients who underwent surgery or parturition from January 1, 1996 to December 31, 2009 were studied.Twenty-five HBPN 48 surgeries parturitions. Seventeen (68%) had attacks, including 13 periprocedural 7 postpartum by varied anesthesia types. Three 8 earlier combined (after thyroidectomy, laminectomy, Caesarean section) given prophylactic...

Selective serotonin reuptake inhibitor (SSRI) and serotonin-norepinephrine (SNRI) use is known to alter platelet activation aggregation leading impairment in hemostasis. Previous studies are ambiguous with regard bleeding, transfusion, perioperative complications patients undergoing cardiac surgery. The purpose of this study was evaluate the risk morbidity, mortality surgical taking SSRI/SNRIs compared propensity-matched controls.Adult surgery cardiopulmonary bypass at our institution...

In Brief Background Neuromuscular blockade (NMB) reversal with neostigmine and glycopyrrolate has been reported to cause cardiac arrest in patients a history of transplantation. The purpose this study was examine the safety NMB acetylcholinesterase inhibitors muscarinic anticholinergics these patients. Methods We queried medical records large tertiary referral center for prior heart transplantation who underwent anesthesia including receipt reversal. Patient were reviewed investigate maximal...