Anesthesia management of a Jehovah's Witness patient with pheochromocytoma undergoing off pump coronary artery bypass graft surgery--acase report.

Autor: Kaddoum RN; Department of Anesthesiology, Wayne State University/The Detroit Medical Center, Room 2901; 2-Hudson, 3990 John R, Detroit, MI 48201, USA. rolandkaddoum@yahoo.com, Yu J, Wang H, Chidiac EJ
Jazyk: angličtina
Zdroj: Middle East journal of anaesthesiology [Middle East J Anaesthesiol] 2008 Jun; Vol. 19 (5), pp. 1099-104.
Abstrakt: Concomitant coronary artery disease (CAD) and pheochromocytoma are rare. Patients with advanced CAD requiring coronary artery bypass graft (CABG) surgery and clinically active pheochromocytoma present a challenge to anesthesiologists. The risk is much higher if the patient is an anemic Jehovah's Witness because these patients refuse to receive blood or blood products, even when faced with a life-threatening hemorrhage. To our knowledge, this is the first case to describe the anesthetic management of an anemic Jehovah's Witness patient with pheochromocytoma presenting for off-pump CABG surgery.
Databáze: MEDLINE