The alcoholic patient and surgical stress

Anesthetic management of the alcoholic patient.

This article encompasses a brief background on the physical effects of alcohol-both in acute intoxication and in the chronic alcoholic. Also covered is an explanation of the process of intoxication, blood alcohol concentration and its pertinence in the anesthetic management of the acutely intoxicated. The author includes a section on the anesthetic management of both the chronic alcoholic and t...

Liver Transplant Dilemma: The Alcoholic, Medicaid Patient

Ivan Bradford is a fifty-five year old, white male in need of a liver transplant. Ivan has been an alcoholic since he was thirty-two years old, and has developed an irreversible advanced liver disease, cirrhosis. In essence, the disease is the end result in scarring of the liver due to prolonged alcohol abuse. This scarring prevents the liver from performing many of its vital functions. Without...

Ultrastructural observations in an alcoholic patient with post-surgical pseudomonas infection.

Gram negative bacteria were seen in the peripheral blood and within the neutrophils of a patient with bacteremic shock secondary to Pseudomonas aeruginosa infection. By electron microscopy, bacteria were present either in vacuoles or in the cytoplasm of neutrophils. When seen in the cytoplasm, they were surrounded by amorphous material which most probably represented fused lysosomal granules. I...

The diabetic surgical patient.

PURPOSE OF REVIEW This review summarizes the current progress in disease classification, pathophysiology and management of diabetes mellitus with a special focus on treatment modalities and recommendations for the practicing anesthesiologist. RECENT FINDINGS The revised classification of diabetes mellitus emphasizes disease cause and eliminates any reference to age-of-onset and insulin therap...

Anesthesia and the patient with alcoholic liver disease.