<p>Risk Factors Associated with Postoperative Discomfort After Ambulatory Strabismus Surgery Under General Anesthesia</p>

Gastrointestinal colic in mares during early pregnancy may require general anesthesia for surgical correction. There is a scarcity of literature identifying anesthetic risk factors associated with negative outcome in the pregnant mare. In this case report, a seven-year-old Thoroughbred broodmare, presenting for the investigation and treatment of colic in the fifth month of pregnancy, underwent surgery for the correction of right dorsal displacement of the large colon. Intraoperatively, interventions for maternal hypoxemia and hypotension were necessary. The mare recovered well from general anesthesia and was discharged from the hospital eleven days postoperatively. In this case report, the successful anesthetic management of a pregnant broodmare is described, and all aspects that may improve the outcome for both mare and fetus are considered, with emphasis on the prevention of cardiovascular and respiratory disturbances.

Download Full-text

Risk factors associated with hypoxemia in horses undergoing general anesthesia: a retrospective study

Veterinary Anaesthesia and Analgesia ◽

10.1016/j.vaa.2021.08.019 ◽

2021 ◽

Vol 48 (6) ◽

pp. S989-S990

Author(s):

T. Hovda ◽

L. Love ◽

L. Chiavaccini

Keyword(s):

Risk Factors ◽

Retrospective Study ◽

General Anesthesia ◽

Factors Associated

Download Full-text

Analysis of urgent/emergent conversions from monitored anesthesia care to general anesthesia with airway instrumentation

BMC Anesthesiology ◽

10.1186/s12871-021-01403-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sang Kim ◽

Brian A. Chang ◽

Amreen Rahman ◽

Hung-Mo Lin ◽

Samuel DeMaria ◽

...

Keyword(s):

Risk Factors ◽

General Anesthesia ◽

Mount Sinai Hospital ◽

Anesthesia Care ◽

Monitored Anesthesia Care ◽

Surgical Specialty ◽

Factors Associated ◽

Physical Status Classification ◽

American Society ◽

American Society Of Anesthesiologists

Abstract Background Monitored Anesthesia Care (MAC) is an anesthetic service involving the titration of sedatives/analgesics to achieve varying levels of sedation while avoiding general anesthesia (GA) and airway instrumentation. The goal of our study was to determine the overall incidence of conversion from MAC to general anesthesia with airway instrumentation and elucidate reasons and risk factors for conversion. Methods In this retrospective observational study, all non-obstetric adult patients who received MAC from July 2002 to July 2015 at Mount Sinai Hospital were electronically screened for inclusion via a clinical database. Patient, procedure, anesthetic, and practitioner data were all collected and analyzed to generate descriptive analyses. Subsequent univariate and multivariate analyses were used to identify specific risk factors associated with conversion to GA. Results Overall, 0.50% (1097/219,061) of MAC cases were converted to GA. Approximately half of conversions were due to the patient’s “intolerance” of MAC (with or without failed regional anesthesia), while the other half were due to physiologic derangements. Body mass index, male sex, American Society of Anesthesiologists Physical Status Classification, anesthesia team composition, and surgical specialty were all associated with risk of conversion to GA. Conclusions This is one of the first and largest retrospective studies aimed at identifying reasons and risk factors associated with the conversion of MAC to GA. These findings may be used to help better anticipate or prevent these events.

Download Full-text

Airway Complications from Laryngoscopy and Panendoscopy

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948709600616 ◽

1987 ◽

Vol 96 (6) ◽

pp. 691-694 ◽

Cited By ~ 41

Author(s):

Richard S. Hill ◽

Peter J. Koltai ◽

Steven M. Parnes

Keyword(s):

Risk Factors ◽

General Anesthesia ◽

Recovery Room ◽

Medical Center ◽

Surgical Patients ◽

Veterans Administration ◽

Airway Compromise ◽

Administration Medical ◽

Factors Associated ◽

Airway Complications

Laryngoscopy and panendoscopy can cause airway complications. To determine the risk to the airway from reintubation following general anesthesia in otolaryngology patients, we examined recovery room and anesthesia records at the Albany Veterans Administration Medical Center covering a 10-year period. From this information we determined the incidence of recovery room reintubation and studied airway risk factors associated with otolaryngologic endoscopy. From 1975 to 1984, 10,060 surgical patients were intubated at the Albany VA Medical Center. Only 17 patients (0.17%) required reintubation. Of 1,365 otolaryngology patients intubated during the same period, 324 had laryngoscopy and 302 had panendoscopy. Significantly, four laryngoscopy patients (1.2%) and nine panendoscopy patients (3%) required recovery room intubation. Nine endoscopy patients needed reintubation within 1 hour of extubation. We conclude that the risk of postoperative airway compromise is significantly greater among patients who underwent diagnostic laryngoscopy and panendoscopy than among patients who had general anesthesia for other reasons.

Download Full-text

Risk factors associated with postoperative pain and discomfort in oculoplastic surgery with general anesthesia: a prospective study

Journal of Pain Research ◽

10.2147/jpr.s156104 ◽

2018 ◽

Vol Volume 11 ◽

pp. 407-415 ◽

Cited By ~ 7

Author(s):

Huijing Ye ◽

Rongxin Chen ◽

Xiufen Lian ◽

Jingxia Huang ◽

Yuxiang Mao ◽

...

Keyword(s):

Risk Factors ◽

Postoperative Pain ◽

Prospective Study ◽

General Anesthesia ◽

Factors Associated ◽

A Prospective Study ◽

Oculoplastic Surgery

Download Full-text

Risk factors associated with substance use

PsycEXTRA Dataset ◽

10.1037/e553882014-001 ◽

2014 ◽

Author(s):

Ariel M. Barber ◽

Alexandra Crouch ◽

Stephen Campbell

Keyword(s):

Risk Factors ◽

Substance Use ◽

Factors Associated

Download Full-text

A Six Year Prospective Study of Fibrinogen and Other Risk Factors Associated with Mortality in Stable Claudicants

Thrombosis and Haemostasis ◽

10.1055/s-0038-1656361 ◽

1992 ◽

Vol 68 (03) ◽

pp. 261-263 ◽

Cited By ~ 71

Author(s):

A K Banerjee ◽

J Pearson ◽

E L Gilliland ◽

D Goss ◽

J D Lewis ◽

...

Keyword(s):

Risk Factors ◽

Intermittent Claudication ◽

Fibrinogen Level ◽

Past History ◽

Fold Increase ◽

Arterial Disease ◽

Plasma Fibrinogen ◽

Plasma Fibrinogen Level ◽

Factors Associated ◽

Probability Of Death

SummaryA total of 333 patients with stable intermittent claudication at recruitment were followed up for 6 years to determine risk factors associated with subsequent mortality. Cardiovascular diseases were the underlying cause of death in 78% of the 114 patients who died. The strongest independent predictor of death during the follow-up period was the plasma fibrinogen level, an increase of 1 g/l being associated with a nearly two-fold increase in the probability of death within the next 6 years. Age, low ankle/brachial pressure index and a past history of myocardial infarction also increased the probability of death during the study period. The plasma fibrinogen level is a valuable index of those patients with stable intermittent claudication at high risk of early mortality. The results also provide further evidence for the involvement of fibrinogen in the pathogenesis of arterial disease.

Download Full-text