Noncardiac surgery in patients with Ischemic Heart Disease – Ten Rules for Anaesthetic Consideration

1. Pre-operative evaluation: If the non-cardiac surgery is an emergency, clinical risk stratification can be done and proceed to surgery. If it’s non-emergency and the patient has risk factors for …

Renal Transplant- Ten Rules for Anesthetic Consideration

1. Preoperative Evaluation and Preparation: The immediate preoperative assessment includes identification of disturbances in acid–base balance and electrolytes, as well as an estimation of fluid status, which can range from …

Systemic hypertension and non-cardiac surgery – Ten Rules for Anaesthetic Considerations

1. General practitioners should refer patients for elective surgery with mean blood pressures in primary care in the past 12 months less than 160 mmHg systolic and less than 100 …

Peri-operative Myocardial Infarction (PMI) – Ten Rules of Management

Diagnosis: Perioperative MI is mostly silent, and the electrocardiogram (ECG) is often difficult to interpret and frequently does not exhibit characteristic ST-segment elevation or Q-waves. In the frequent absence of …

DIABETES MELLITUS: TEN RULES FOR ANAESTHETIC CONSIDERATION

1. Preoperative evaluation:  Preoperative evaluation should emphasize the cardiovascular, renal, neurologic, and musculoskeletal systems. Silent ischemia is possible if autonomic neuropathy is present, and stress testing should be considered in …

MITRAL STENOSIS AND PREGNANCY – Ten Rules for Anaesthetic Consideration

1. Anesthetic considerations: ➢ With the increase in transmitral gradient associated with clinically significant mitral stenosis, more time for diastolic filling is necessary to ensure adequate preload. Whereas heart rate …

ANAEMIA AND PREGNANCY – Ten Rules For Anaesthetic Consideration

1. It involves thorough pre-operative assessment, evaluation of cause, type and severity of anemia and adequacy of compensatory mechanism. 2. Pre-anesthetic (PAC) Checkup: tiredness, easy fatigability, breathlessness, dyspnea, palpitations, should …

Pacemakers and ICDs- Anaesthetic Considerations

What Anesthesiologists should know? Patients with cardiac disease presenting for noncardiac surgery pose a considerable challenge to the anesthesiologists. With the availability of pacing devices to suit many conditions, potential …

Morbid Obese – Ten Rules for Anesthesia Consideration

1. PRE OPERATIVE EVALUATION: The preoperative assessment for anesthesia should include consideration of hypertension, diabetes, heart failure, and obesity hypoventilation syndrome. more extensive preoperative diagnostic testing may include chest radiography, …

Chronic Kidney Disease – Ten Rules for Anaesthesia Consideration

1. Preoperative Evaluation: Preoperative evaluation of patients with CKD includes consideration of renal function, underlying pathological processes, and co-morbid conditions. Evaluation of the trend in serum creatinine concentration is useful …