Anesthesia for hemicolectomy in a known porphyric with cecal malignancy
Intraoperative management of a known acute intermittent porphyria patient is a challenge requiring awareness of factors, which trigger an acute crisis, clinical features of a porphyric attack, knowledge of safe pharmacologic intervention, and preparedness for reintubation and ventilatory support. Th...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2015;volume=9;issue=1;spage=82;epage=85;aulast=Naithani |
| _version_ | 1818694523526578176 |
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| author | B K Naithani Shagun Bhatia Shah A K Bhargava Vivek Batra |
| author_facet | B K Naithani Shagun Bhatia Shah A K Bhargava Vivek Batra |
| author_sort | B K Naithani |
| collection | DOAJ |
| description | Intraoperative management of a known acute intermittent porphyria patient is a challenge requiring awareness of factors, which trigger an acute crisis, clinical features of a porphyric attack, knowledge of safe pharmacologic intervention, and preparedness for reintubation and ventilatory support. The classical signs of a porphyric crisis such as pain abdomen, vomiting and neuropsychiatric symptoms are masked under general anesthesia and can be confused with postoperative pain and vomiting and postoperative cognitive dysfunction, especially for intra-abdominal surgeries. Eternal vigilance for onset of an acute crisis is imperative. After a crisis of acute intermittent porphyria, residual paresis may persist for years in the absence of further attacks. |
| first_indexed | 2024-12-17T13:30:56Z |
| format | Article |
| id | doaj.art-638eaacdc1de4784ab835a143a4b8fa3 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-12-17T13:30:56Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-638eaacdc1de4784ab835a143a4b8fa32022-12-21T21:46:35ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2015-01-0191828510.4103/1658-354X.146320Anesthesia for hemicolectomy in a known porphyric with cecal malignancyB K NaithaniShagun Bhatia ShahA K BhargavaVivek BatraIntraoperative management of a known acute intermittent porphyria patient is a challenge requiring awareness of factors, which trigger an acute crisis, clinical features of a porphyric attack, knowledge of safe pharmacologic intervention, and preparedness for reintubation and ventilatory support. The classical signs of a porphyric crisis such as pain abdomen, vomiting and neuropsychiatric symptoms are masked under general anesthesia and can be confused with postoperative pain and vomiting and postoperative cognitive dysfunction, especially for intra-abdominal surgeries. Eternal vigilance for onset of an acute crisis is imperative. After a crisis of acute intermittent porphyria, residual paresis may persist for years in the absence of further attacks.http://www.saudija.org/article.asp?issn=1658-354X;year=2015;volume=9;issue=1;spage=82;epage=85;aulast=NaithaniAcute intermittent porphyriaanesthesiahemicolectomy |
| spellingShingle | B K Naithani Shagun Bhatia Shah A K Bhargava Vivek Batra Anesthesia for hemicolectomy in a known porphyric with cecal malignancy Saudi Journal of Anaesthesia Acute intermittent porphyria anesthesia hemicolectomy |
| title | Anesthesia for hemicolectomy in a known porphyric with cecal malignancy |
| title_full | Anesthesia for hemicolectomy in a known porphyric with cecal malignancy |
| title_fullStr | Anesthesia for hemicolectomy in a known porphyric with cecal malignancy |
| title_full_unstemmed | Anesthesia for hemicolectomy in a known porphyric with cecal malignancy |
| title_short | Anesthesia for hemicolectomy in a known porphyric with cecal malignancy |
| title_sort | anesthesia for hemicolectomy in a known porphyric with cecal malignancy |
| topic | Acute intermittent porphyria anesthesia hemicolectomy |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2015;volume=9;issue=1;spage=82;epage=85;aulast=Naithani |
| work_keys_str_mv | AT bknaithani anesthesiaforhemicolectomyinaknownporphyricwithcecalmalignancy AT shagunbhatiashah anesthesiaforhemicolectomyinaknownporphyricwithcecalmalignancy AT akbhargava anesthesiaforhemicolectomyinaknownporphyricwithcecalmalignancy AT vivekbatra anesthesiaforhemicolectomyinaknownporphyricwithcecalmalignancy |