Urologic Surgery with Multisystem Comorbidities: A Case Report.
Publication/Presentation Date
9-1-2018
Abstract
BACKGROUND Originally implemented for colorectal surgery, enhanced perioperative protocols have been incorporated into many surgical fields in an effort to improve outcomes. The cornerstone of many strategies includes patient education, liberalized oral intake on the day of surgery, no routine bowel prep, targeted multimodal analgesia, cautious use of IV hydration, early extubation, avoidance of NG tubes and/or surgical drains, and encouraging early postoperative ambulation. CASE REPORT We report on the successful outcome of a single patient with a rare autosomal dominant disorder (hereditary hemorrhagic telangiectasia) with multisystem involvement including pulmonary, cardiac, hematologic, gastrointestinal, renal, oncologic, and hepatic comorbidities, scheduled for open nephrectomy. CONCLUSIONS Prospective and retrospective studies are needed to specifically elucidate the role of similar management in higher-risk surgical candidates.
Volume
19
First Page
1047
Last Page
1052
ISSN
1941-5923
Published In/Presented At
Maddineni, U., Worrall, E. F., Baker, E. A., Earasi, M., Mathieu, F., & Guruli, G. (2018). Urologic Surgery with Multisystem Comorbidities: A Case Report. The American journal of case reports, 19, 1047–1052. https://doi.org/10.12659/AJCR.909554
Disciplines
Anesthesiology | Medicine and Health Sciences
PubMedID
30171179
Department(s)
Department of Anesthesiology
Document Type
Article