• Corpus ID: 38875241

Anesthesia management of surgery for sigmoid perforation and acute peritonitis patient following heart transplantation: case report.

  title={Anesthesia management of surgery for sigmoid perforation and acute peritonitis patient following heart transplantation: case report.},
  author={Xuli Yang and S H Dai and Juan Zhang and Jing Zhang and Yan-Jun Liu and Yan Yang and Yu-E Sun and Zhengliang Ma and Xiaoping Gu},
  journal={International journal of clinical and experimental medicine},
  volume={8 7},
  • Xuli Yang, S. Dai, X. Gu
  • Published 15 July 2015
  • Medicine
  • International journal of clinical and experimental medicine
Here we described a case in which a patient underwent emergency laparotomy for acute peritonitis and sigmoid perforation under general anesthesia with a history of heart transplantation. A good knowledge in the physiology of the transplanted heart is critical for effective and safe general anesthesia. We chose etomidate that have a weaker impact on cardiovascular function plus propofol for induction, and propofol plus cisatracurium for maintenance with intermittently analgesics and vasoactive… 
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Colon perforation is a catastrophic event in immunosuppressed renal transplant recipients and prompt diagnosis and treatment are critical; because of the masking effects of corticosteroids on symptoms and signs, a high index of suspicion and urgent investigation are indicated.
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Corticosteroid-sparing immunosuppression may be responsible for the low incidence of abdominal morbidity, and early, aggressive surgical intervention may reduce subsequent mortality.
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Incidence of adenomatous colorectal polyps in cardiac transplant recipients.
Long-term immunosuppression after cardiac transplantation does not increase the risk for adenomatous polyps of the colon, and synchronous lesions in were evident in 3 patients.
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