Home > Anaesthesia, Vascular Surgery > Term 6 Week 7 (w/c 10/06/13)

Term 6 Week 7 (w/c 10/06/13)

Good morning everyone and welcome to a new case discussion on Gasclass.

Last weeks discussion saw consistent visitor numbers and means we are continuing with one of the strongest terms we have had. We were also exceptionally pleased to pass the 1000 follower mark, so thank you all!

As always we are going to begin our case discussion with a fairly general and open ended question. We do this to encourage new and more junior members to participate. As the week progresses we will increase the complexity so that hopefully there are learning points for all of us. So lets start off with the following question…

What are the important considerations to the anaesthetist of vascular surgery?

Thanks for the contributions so far. It’s good to see people thinking about risk factors in this patient group. Vascular surgery can consist of a range of proceedures several of which come with their own unique challenge(s) for the anaesthetist. Before we get on to the specific details of this weeks case, lets consider the following

What are the anaesthetic challenges when dealing with surgery to the carotid artery (endarterectomy for example)

Some good input everyone. It feels like we are making some progress in exploring this type of surgery. Carotid endarterectomy is a relatively common proceedure in vascular units. Using some of the principals we have mentioned lets see if we can deal with the following?

Additional case information

The next patient on your vascular list has been listed for excision of a carotid body tumor
Reviewing the patient you find a young female who presented with a painless swelling in her neck several weeks ago.
She is otherwise fit and well, takes no medicines and has had a previous GA some years ago for a gynae proceedure without problem.
A CT suggested carotid body tumor and this was confirmed with MR angiogram

Using the discussion above to inform your thoughts. How are you going to anaesthetise her? Lets see if we can form a sensible plan for this rare case between us…

There are no trick questions in #Gasclass. Everyone’s contribution is welcome. Please do not forget to add the ‘hashtag’ #gasclass to every Tweet so that it is included in the conversation. To help give new contributors an opportunity to join in we would advise that you should only add one idea per tweet and not contribute until another Tweeter has joined in.



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