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ID 114164
Title Alternative
Anesthesia in a severe anorexic with cirrhosis
Author
Hirose, Kayo Tokyo University|Tokyo Metropolitan Geriatric Hospital
Ogura, Makoto Tokyo Metropolitan Geriatric Hospital
Yamada, Yoshitsugu Tokyo University
Keywords
anorexia
end-stage liver cirrhosis
anesthesia
Content Type
Journal Article
Description
Recent advancements in intensive care have increased the number of severe anorexia nervosa patients presenting for surgery. We provided anesthesia to a patient who had a 22-year history of anorexia with life-threatening cirrhosis. Although surgery should be avoided in patients with end-stage cirrhosis, she was in the best preoperative optimized condition compared to her condition over the past few years. Potential complications are heart failure easily caused by deterioration of cirrhosis, lethal arrhythmias related to electrolyte disturbances and increased myocardial sensitivity to drugs, and refeeding syndrome in the postoperative period. The several rare events that we experienced are worth reporting.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA12022913
AA11166929
Publisher
Tokushima University Faculty of Medicine
Volume
66
Issue
3-4
Start Page
337
End Page
339
Sort Key
337
Published Date
2019-08
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher