Document Detail


Anemia and perioperative myocardial ischemia in a Jehovah's Witness patient.
MedLine Citation:
PMID:  8832450     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case in which an anemic patient with religious objections to blood transfusion experienced three episodes of severe myocardial ischemia during the perioperative period. The first episode of ischemia was successfully treated by discontinuing isoflurane and resolving the hypotension. The second and third episodes were successfully treated by heart rate control with esmolol and neostigmine.
Authors:
C Botero; C E Smith; A H Morscher
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  8     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-12-17     Completed Date:  1996-12-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  386-91     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109, USA.
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Antagonists / therapeutic use
Anemia / complications*
Anesthetics, Inhalation / administration & dosage
Cholinesterase Inhibitors / therapeutic use
Christianity*
Femoral Fractures / surgery
Fracture Fixation, Internal
Heart Rate / drug effects
Hip Fractures / surgery
Humans
Intraoperative Complications*
Isoflurane / administration & dosage
Male
Middle Aged
Myocardial Ischemia / drug therapy,  etiology,  therapy*
Neostigmine / therapeutic use
Propanolamines / therapeutic use
Religion and Medicine*
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Anesthetics, Inhalation; 0/Cholinesterase Inhibitors; 0/Propanolamines; 26675-46-7/Isoflurane; 59-99-4/Neostigmine; 84057-94-3/esmolol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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