Anemia and perioperative myocardial ischemia in a Jehovah's Witness patient.
We present a case in which an anemic patient with religious objections to blood transfusion experienced three episodes of severe myocardial ischemia during the perioperative period. The first episode of ischemia was successfully treated by discontinuing isoflurane and resolving the hypotension. The second and third episodes were successfully treated by heart rate control with esmolol and neostigmine.
Botero
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C
Department of Anesthesiology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109, USA.
Smith
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CE
Morscher
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AH
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000740:Anemia / Q000150:complications*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D002800:Cholinesterase Inhibitors / Q000627:therapeutic use; D002835:Christianity; D005264:Femoral Fractures / Q000601:surgery; D005593:Fracture Fixation, Internal; D006339:Heart Rate / Q000187:drug effects; D006620:Hip Fractures / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D007530:Isoflurane / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D009388:Neostigmine / Q000627:therapeutic use; D011412:Propanolamines / Q000627:therapeutic use; D012068:Religion and Medicine
D000319:Adrenergic beta-Antagonists; D018685:Anesthetics, Inhalation; D002800:Cholinesterase Inhibitors; D011412:Propanolamines; D009388:Neostigmine; D007530:Isoflurane; C036604:esmolol