title: Anaesthetic Management of Patients with Takayasu's Arteritis for Open Cholecystectomy.
abstract: Takayasu's arteritis is a well known yet rare form of large vessel vasculitis.1 This inflammatory disease often affects the ascending aorta and aortic arch, causing obstruction of the aorta and its major arteries.2 Anaesthetic management for these patients is complicated by severe hypertension, end-organ dysfunction, stenosis of major blood vessles and difficulties in monitoring blood pressure.1 We present two patients who underwent open cholecystectomy under neuraxial anaesthesia. We have discussed about various perioperative issues and their management.
authors.affiliation: Department of Anesthesiology, IOM, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
authors.forename: G S
authors.initials: GS
authors.lastname: Shrestha
authors.affiliation: Department of Anesthesiology, IOM, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
authors.forename: N
authors.initials: N
authors.lastname: Shrestha
authors.affiliation: Department of Anesthesiology, Sahid Gangalal National Heart Center, Kathmandu, Nepal.
authors.forename: B K
authors.initials: BK
authors.lastname: Shrestha
authors.affiliation: Department of Anesthesiology, IOM, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
authors.forename: P S
authors.initials: PS
authors.lastname: Shrestha
mesh_terms: D000328:Adult; D017311:Amlodipine / Q000627:therapeutic use; D000767:Anesthesia, Epidural / Q000379:methods*; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001262:Atenolol / Q000627:therapeutic use; D002763:Cholecystectomy / Q000379:methods*; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery*; D004656:Enalapril / Q000627:therapeutic use; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D006852:Hydrochlorothiazide / Q000627:therapeutic use; D006973:Hypertension / Q000150:complications / Q000188:drug therapy*; D011239:Prednisolone / Q000627:therapeutic use; D013625:Takayasu Arteritis / Q000150:complications / Q000188:drug therapy*
chemical_list: D000959:Antihypertensive Agents; D005938:Glucocorticoids; D006852:Hydrochlorothiazide; D017311:Amlodipine; D001262:Atenolol; D004656:Enalapril; D011239:Prednisolone
keywords: anaesthetic management; cholecystectomy; takayasu's arteritis.