Abstract | BACKGROUND: OBJECTIVE: In this case series, we outline the anesthetic management and perioperative outcomes of OA patients. METHODS: We reviewed demographic characteristics, comorbidities, and perioperative course of patients with four different OAs who underwent anesthetic care at our institution between January 1, 2000, and December 31, 2013. RESULTS: CONCLUSIONS: Our patients with various forms of metabolically compensated OAs tolerated anesthetics for surgical procedures without metabolic decompensation, even when lactated Ringer's solution was used for hydration. Measures to prevent protein catabolism and intraoperative events that may precipitate metabolic acidosis, in addition to close monitoring of acid-base status during more extensive procedures, must be part of perioperative treatment of these patients.
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Authors | Katerina Ruzkova, Toby N Weingarten, Kelly J Larson, Robert J Friedhoff, Dimitar K Gavrilov, Juraj Sprung |
Journal | Paediatric anaesthesia
(Paediatr Anaesth)
Vol. 25
Issue 8
Pg. 807-817
(Aug 2015)
ISSN: 1460-9592 [Electronic] France |
PMID | 25943188
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2015 John Wiley & Sons Ltd. |
Chemical References |
- Isotonic Solutions
- Ringer's Lactate
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Topics |
- Acidosis
(complications)
- Adolescent
- Adult
- Amino Acid Metabolism, Inborn Errors
(complications, surgery)
- Anesthesia
(methods)
- Child
- Child, Preschool
- Female
- Humans
- Isotonic Solutions
(administration & dosage)
- Male
- Ringer's Lactate
- Young Adult
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