WikiAnesthesia - User contributions [en]

Brachytherapy

2021-09-01T19:44:50Z

Kevin.Youssefzadeh:

Brachytherapy is a form of radiation therapy that delivers concentrated radiation to target tissue while trying to preserve normal surrounding tissue via implanted radioactive seeds.

{{Infobox surgical procedure
| anesthesia_type =
| airway =
| lines_access =
| monitors =
| considerations_preoperative =
| considerations_intraoperative =
| considerations_postoperative =
}}

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Neurologic
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|-
|Cardiovascular
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|-
|Respiratory
|
|-
|Gastrointestinal
|
|-
|Hematologic
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|-
|Renal
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|-
|Endocrine
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|-
|Other
|
|}

=== Labs and studies ===
Special consideration for regional anesthesia including coag's and platelets

=== Operating room setup ===

=== Patient preparation and premedication ===
Consider anxiolysis prior to neuroaxial

=== Regional and neuraxial techniques ===
Should consider neuraxial anesthesia for all patients specially those with adverse risk factor profile for deep MAC anesthesia. Patients may have multiple treatments in one day will benefit from CSE.

== Intraoperative management ==

=== Monitoring and access ===
Standard ASA monitors. Most patients will not require invasive hemodynamic monitoring.

Minimal expected blood loss or volume shifts, Peripheral IV access is sufficient

=== Induction and airway management ===

=== Positioning ===
For pelvic brachytherapy placement patient will be in lithotomy position

=== Maintenance and surgical considerations ===
Placement of radioactive seeds can be stimulating without neuroaxial anesthesia. Surgeon can provide local anesthetic block, but likely will not be sufficient.

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===
Patients will have some postoperative pain from placement and long acting opioid is reasonable

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|
|
|-
|Surgical time
|
|
|-
|EBL
|
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]

Brachytherapy

2021-09-01T19:43:26Z

Kevin.Youssefzadeh: basic information regarding brachytherapy

Brachytherapy is a form of radiation therapy that delivers concentrated radiation to target tissue while trying to preserve normal surrounding tissue via implanted radioactive seeds.

{{Infobox surgical procedure
| anesthesia_type =
| airway =
| lines_access =
| monitors =
| considerations_preoperative =
| considerations_intraoperative =
| considerations_postoperative =
}}

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Respiratory
|
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===
Special consideration for regional anesthesia including coag's and platelets

=== Operating room setup ===

=== Patient preparation and premedication ===
Consider anxiolysis prior to neuroaxial

=== Regional and neuraxial techniques ===
For pelvic brachytherapy placement should consider neuraxial anesthesia for all patients specially those with adverse risk factor profile for deep MAC anesthesia

== Intraoperative management ==

=== Monitoring and access ===
Standard ASA monitors. Most patients will not require invasive hemodynamic monitoring.

Minimal expected blood loss or volume shifts, Peripheral IV access is sufficient

=== Induction and airway management ===

=== Positioning ===
For pelvic brachytherapy placement patient will be in lithotomy position

=== Maintenance and surgical considerations ===
Placement of radioactive seeds can be stimulating without neuroaxial anesthesia. Surgeon can provide local anesthetic block, but likely will not be sufficient.

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===
Patients will have some postoperative pain from placement and long acting opioid is reasonable

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|
|
|-
|Surgical time
|
|
|-
|EBL
|
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]

Ehlers-Danlos syndromes

2021-07-02T19:17:19Z

Kevin.Youssefzadeh: started working on the page

{{Infobox comorbidity
| other_names =
| anesthetic_relevance =
| specialty =
| signs_symptoms =
| diagnosis =
| treatment =
| image =
| caption =
}}

Ehlers-Danlos is a set of heritable heterogenous connective tissue disorders characterized by defects in collagen synthesis, affecting skin, ligaments, joints, blood vessels and other organ. Their are six manor subtypes ranging phenotypically from very mild to life-threatening phenotypes.<ref>{{Cite journal|last=Parapia|first=Liakat A.|last2=Jackson|first2=Carolyn|date=2008-04|title=Ehlers-Danlos syndrome--a historical review|url=https://pubmed.ncbi.nlm.nih.gov/18324963|journal=British Journal of Haematology|volume=141|issue=1|pages=32–35|doi=10.1111/j.1365-2141.2008.06994.x|issn=1365-2141|pmid=18324963}}</ref><ref>{{Cite journal|last=Wiesmann|first=Thomas|last2=Castori|first2=Marco|last3=Malfait|first3=Fransiska|last4=Wulf|first4=Hinnerk|date=2014-07-23|title=Recommendations for anesthesia and perioperative management in patients with Ehlers-Danlos syndrome(s)|url=https://doi.org/10.1186/s13023-014-0109-5|journal=Orphanet Journal of Rare Diseases|volume=9|issue=1|pages=109|doi=10.1186/s13023-014-0109-5|issn=1750-1172|pmc=PMC4223622|pmid=25053156}}</ref>

== Anesthetic implications==

===Preoperative optimization===
Preoperative evaluation should focus on bleeding history, cervical/TMJ hypermobility, skin fragility, scoliosis, signs of mitral/aortic insufficiency

===Intraoperative management===

===Postoperative management===

==Related surgical procedures==

==Pathophysiology==

==Signs and symptoms==

==Diagnosis==

==Treatment==

===Medication===

===Surgery===

===Prognosis===

==Epidemiology==

==References==

[[Category:Comorbidities]]
<references />