Thursday, April 27, 2017
Multiple Endocrine Neoplasia (MEN)
Pineal Gland and Melatonin
Mr John Lynn
Endocrine Surgery Centre
Do any chronic diseases affect Anaesthesia?
The management does vary with chronic diseases. The most common of these are listed below:
Viral Infections - best to delay until recovered.
Asthma - irritable airways with increased secretions, coughing and spasm.
Chronic Obstructive Pulmonary Disease - increased secretions, coughing and spasm.
Hypertension - should be controlled by a GP before surgery.
Ischaemic Heart Disease - should be investigated and corrected before surgery.
Valvular Heart Disease - should be investigated and corrected before surgery with antibiotic cover.
Anaemia - may need treatment.
Sickle Cell Disease - will need special pre- and postoperative monitoring to prevent hypoxia.
Clotting Abnormalities - may need replacement therapy or cancellation of surgery.
Rheumatoid Arthritis - difficulties in positioning the neck and may need a neck X-ray.
Renal Failure - special attention to drugs used and their excretion.
Diabetes Mellitus - needs to be controlled and monitored carefully throughout.
Special attention to drugs used (due to major clotting problems that may occur).
Preparing for anaesthetic
Giving an anaesthetic
How is a patient prepared for anaesthesia
Do any chronic diseases affect Anaesthesia
How do you induce (start) Anaesthesia
How do you maintain Anaesthesia
Anaesthetic requirements of endocrine conditions
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