Neurologic disorders requiring surgical intervention more and more caused by traumatic brain injury, haemorrhagic strokes, or brain tumors. The anesthetic management of these patients can be complicated by the signifcant maternal physiologic changes that occurs during pregnancy. These changes may require alteration in anesthetics management that would considered inappropriate for a nonpregnant …
Hemorrhagic stroke is devastating disease and only 30% patients survive in 6 months after event. The comm on cause of intracranial hemorrhage are subarachnoid hemorrhage (SAH) from aneurysm, bleeding from arteriovenous malformation (AVM) or intracerebral hemorrhage. Intracecerebral hemorrhage common correlation with hypertension, anticoagulant therapy, or other coequlopethi, and alcohol addict,…
Tetralogy of Fallot (TOF) was jirst described in 1888 by a French physician named Etienne-Louis Arthur Fallot. Tetralogy of Fallot (TOF) is one type of cyanotic congenital heart defect most widely found. Tetralogy of Fallot (TOF) has four abnormalities: (1) pulmonary infundibulum stenosis, (2) VSD (Ventricular Septal Defect), (3) overriding aorta, and (4) right ventricular hypertrophy. Patients…
Trauma during pregnancy, including head injury, is the leading cause of accidental maternal death and morbidity, and complicates 6%-7% of all pregnancies which requires multidisciplinary patient's management. The anesthesiologist must understand the physiological changes of pregnancy, their implications, and the specific risks of anesthesia during pregnancy, so that the best anesthetic approach…
Posterior fossa is a narrow space, which is occupying by cerebellum, brain stem and cranial nerves. The abnormalities that can be happen in cerebellum including neoplasm, hemorrhage or ischemia. Anesthesia management in posterior fossa surgery must be done with caution and thorough, in preoperative, intraoperative and postoperative period. In addition, the patient position is must be cleared an…
Visual loss after nonocular surgery is a rare but devastating postoperative complication. Sudden unilateral or bilateral visual loss occurring after general anesthesia has been reported and attributed to various causes including haemorrhagic shock, hypotension, hypoth erm ia, coagulopathic disorders, direct trauma, embolism, and prolonged compression of the eyes. Case: a man, 60 years-old wit…
Background and Objective: APCD syndrome is one of the most serious diseases ajJecting nfants. It leads to a high mortality rate and permanent neurological sequelae among the survivors when related with SDH There are reports about high prevalence of using herb-liquor extracts and diet restriction among mothers of infants with the APCD syndrome. Vitamin K2MK4 levels in breast milk obtained from m…
Management of an emergency patients has a particular challenge for an anesthesiologist. The risk of pulmonary aspiration from gastric content is very high in emergency cases. The incidence of gastric aspiration in emergency cases is approximately 0.7-4% which could lead to death. Gastrointestinal dysfunction frequently occurs in patients with traumatic brain injury (TBI). More than 50% patien…