3. Undetected DISEASE AND RISK
3.1 ISCHAEMIC HEART DISEASE:
Patients with ischemic heart disease within three months of an
episode of Myocardial Infarction (MI) have a risk of 30%
possibility of a second MI.
Those between 4 and 6 months, the rate drops to 16%,those with an episode of more than 7 months the risk
drops to 6%.
Main complications are because of heart failure and arrhythmias.
3.2 HYPERTENSION
In cases of diastolic pressure of less than 110 mm Hg, there is
no increased risk in the absence of ischaemia of the myocardium.
Those with a diastolic pressure of more than 120 mm Hg, the risk
increases.
3.3 ENDOCRINE
Patients with a history of diabetes have an increased risk.
Those on steroid therapy, and with hypothyroidism, also carry a
high risk.
Hyperthyroid patients have a 2% chance of storm in the
Post operative period.
3.4 LIVER FUNCTIONS
Those with acute viral hepatitis have a 9% risk of mortality.
Those with acute fulminant hepatic failure have an 85% mortality.
3.5 PULMONARY
Infections, and chronic obstructive airway disease, increase the
risk of post-operative complications.
Thus, risk is increased in patients with asthma and with a
history of heavy smoking.
This information is required to set into motion an action plan
which is directed:
*Correct the effects of the disease process for which he
is undergoing surgery.
*Correct the effect of any undetected disease, so as
to reduce risk.
*Identify the need for intra-operative monitoring
devices.
*Identify correct choice of anesthetic technique to be
employed.
*Plan post-operative care.
*Prepare the patient emotionally for the anaesthetic
experience.
Any questions be sent to drmmkapur@gmail.com
All earlier posts are stored in archives for your access and review.
Visitors that follow the site may post contributions to the site.
We invite you to visit http://www.drmmkapur.blogspot.com/
http://www.otmanage.blogspot.com/
Click on image to see detail.
3.1 ISCHAEMIC HEART DISEASE:
Patients with ischemic heart disease within three months of an
episode of Myocardial Infarction (MI) have a risk of 30%
possibility of a second MI.
Those between 4 and 6 months, the rate drops to 16%,those with an episode of more than 7 months the risk
drops to 6%.
Main complications are because of heart failure and arrhythmias.
3.2 HYPERTENSION
In cases of diastolic pressure of less than 110 mm Hg, there is
no increased risk in the absence of ischaemia of the myocardium.
Those with a diastolic pressure of more than 120 mm Hg, the risk
increases.
3.3 ENDOCRINE
Patients with a history of diabetes have an increased risk.
Those on steroid therapy, and with hypothyroidism, also carry a
high risk.
Hyperthyroid patients have a 2% chance of storm in the
Post operative period.
3.4 LIVER FUNCTIONS
Those with acute viral hepatitis have a 9% risk of mortality.
Those with acute fulminant hepatic failure have an 85% mortality.
3.5 PULMONARY
Infections, and chronic obstructive airway disease, increase the
risk of post-operative complications.
Thus, risk is increased in patients with asthma and with a
history of heavy smoking.
This information is required to set into motion an action plan
which is directed:
*Correct the effects of the disease process for which he
is undergoing surgery.
*Correct the effect of any undetected disease, so as
to reduce risk.
*Identify the need for intra-operative monitoring
devices.
*Identify correct choice of anesthetic technique to be
employed.
*Plan post-operative care.
*Prepare the patient emotionally for the anaesthetic
experience.
Any questions be sent to drmmkapur@gmail.com
All earlier posts are stored in archives for your access and review.
Visitors that follow the site may post contributions to the site.
We invite you to visit http://www.drmmkapur.blogspot.com/
http://www.otmanage.blogspot.com/
Click on image to see detail.
