Mastocytosis. Perioperative considerations.
Mastocytosis, an uncommon clinical disorder, can present a variety of clinical manifestations ranging from an asymptomatic state to one characterized by recurrent episodes of severe vasodilatation. Even the patient whose disease appears to be well controlled and is asymptomatic preoperatively can develop serious intraoperative problems. Knowledge of the pathogenesis and treatment, avoidance of known provoking factors, and adherence to established precautionary measures, in particular the constant availability of IV epinephrine infusion throughout the perioperative period, enables members of the surgical team to safely support the patient throughout the operative experience.
Goins
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Operative Services, Vanderbilt University Medical Center, Nashville, Tenn.
D004509:Education, Nursing, Continuing; D006633:Histamine Antagonists / Q000627:therapeutic use; D006801:Humans; D008415:Mastocytosis / Q000188:drug therapy / Q000451:nursing / Q000601:surgery*; D009871:Operating Room Nursing / Q000379:methods*; D010347:Patient Care Planning; D014665:Vasodilator Agents / Q000627:therapeutic use
D006633:Histamine Antagonists; D014665:Vasodilator Agents