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tethered cord syndrome, 207 right atrium contraction, atrial septal defect thrombotic thrombocytopenic purpura, 308
thrombocytopenia, 299 management, 16“17 seizure disorders, 167“8
thromboembolic disease see thromboembolic right bundle branch block (RBBB), 33 selective serotonin reuptake inhibitors (SSRIs),
disease right ventricle (RV) 366“9
thrombotic thrombocytopenic purpura, 308 dilatation, primary pulmonary hypertension, 57 selegiline, 172
thyrotoxic crisis, 276 Eisenmenger syndrome management, 22 Senning procedure, 21, 32
Trypanosoma cruzi infection, 334 hypertrophy, primary pulmonary hypertension, 57 transposition of the great vessels, 40
valvulotomy, 10 preload sepsis
viral hepatitis, 252 atrial septal defect, 17 adult respiratory distress syndrome, 75
von Willebrand disease, 314 tetralogy of Fallot, 19 bacterial infections, 321, 322, 323
see also specific types right ventricle (RV), outflow tract dysrhythmias, 29 differential diagnosis
regional hyperplasia, congenital see congenital Riley“Day syndrome see familial dysautonomia malignant hyperthermia vs., 269
regional hyperplasia risk factors thyrotoxic crisis vs., 275
regurgitant valvular lesions, 9 antiphospholipid syndrome, 419 septal defects
rejection scoliosis, 136 atrial see atrial septal defects
kidney transplantation, 382 ritodrine, 79 ventricular see ventricular septal defects (VSDs)
pregnancy, 382“3 rocuronium serositis, systemic lupus erythematosus, 410
liver transplantation, 385 acute fatty liver of pregnancy, 255 serotonin, 366
relaxation training, migraine therapy, 230 cardiovascular effects, 2 sertraline, 366
remifentanil liver disease emergencies, 258 serum proteins, pregnancy, effects of, 384
aortic stenosis, 8 malignant hyperthermia, 255 severe acute respiratory syndrome (SARS), 328
mitral stenosis, 8 McArdle disease, 239 severe postpartum hemorrhage, cardiopulmonary
renal failure effects, 261 porphyria, 245 bypass, 14
renal calculi, 249, 261 renal failure effects, 261 severity index, aortic stenosis, 8
renal disease/disorders, 249, 258“65 Romano“Ward syndrome, 44, 45“6 sevoflurane
hemolytic uremic syndrome, 308 ropivacaine, 13 asthma, 79
systemic lupus erythematosus, 410 Ross procedure, 21, 32 cardiovascular effects, 2
tuberous sclerosis, 151 rotatory component, scoliosis, 131 Sheehan syndrome, 282
see also specific diseases/disorders rubella (German measles), 327 shivering, McArdle disease, 240
renal diseases/disorders, cirrhosis, 385 dermatoses, 355 short stature
renal failure transplant recipients, 389 peripheral neuropathy see peripheral neuropathy
acute, 249, 259 rubeola (measles), 326“7 spina bifida cystica, 204
chronic, 249, 250, 258“9, 261 dermatoses, 353, 355 see also dwarfism
renal insufficiency, transplantation, 381 RyR1 gene, 269 shunt-controlled hydrocephalus, spina bifida
renal replacement therapy (dialysis), 250, 264 cystica, 204
renal tubular acidosis, 250, 264 salmeterol, 78 shunt lesions see congenital heart disease (CHD)
resection, pulmonary arteriovenous salt restriction, carpal tunnel syndrome therapy, 232 shunts, pulmonary arteriovenous malformations, 60
malformations, 61 sarcoidosis, peripheral neuropathy, 222 Shy“Drager syndrome, 217




441
Index


sickle cell embolism, 89 continuous see continuous spinal analgesia/ splenectomy, hereditary spherocytosis, 297
sickle cell hemoglobin (HbS), 89 anesthesia splenic artery aneurysm, 70
sickling syndromes, 1, 295“6 diabetic neuropathy, 221 spondyloepiphyseal dysplasia, 102, 121, 124, 125, 126
sick sinus syndrome (SSS), 32 Friedreich ataxia, 157 spondylolisthesis, 129, 142
sideroblastic anemia, 298“9 Gaucher disease, 241 spondylolysis, 129, 142
sildenafil, 22 heart transplantation, anesthetic spondylometaphyseal dysplasia, 102, 121
single photon emission computed tomography management, 397 spontaneous abortion
(SPECT), Parkinson disease diagnosis, 171 herpes simplex virus infection, 325 scleroderma, 417
single-shot spinal anesthesia myotonia congenita, 108, 117 transplantation, 388
achondroplasia, 123“4 myotonic dystrophy, 103, 126 Stanford type A aortic dissection, 67
cystic fibrosis, 92 osteogenesis imperfecta, 162 Stanford type B aortic dissection, 67
dwarfism, 117 primary pulmonary hypertension, 59 Staphylococcus aureus infections, spinal meningitis,
sinus bradycardia, 21, 32 scleroderma, 418 post lumbar puncture, 335
sinus node dysrhythmias, 21, 30, 32 single-shot see single-shot spinal Staphylococcus infections, 322
sinus rhythm anesthesia starvation ketosis, 279
aortic stenosis, 8 spina bifida cystica, 204 status asthmaticus, 79
mitral stenosis, 7 Takayasu arteritis, 65 status epilepticus, 167, 168
tetralogy of Fallot, 19 tethered cord syndrome, 207 Steinert myopathy see myotonic dystrophy
sinus tachycardia, 21, 32 varicella zoster virus infection, 326 step therapy, chronic asthma management, 78
sinus venosus, 16 spinal canal narrowing, achondroplasia, 108, steroids
syphilis, 322 119“20 acute spinal cord injury, 191
sirolimus, 389, 393 spinal cord anatomy, 208 congenital regional hyperplasia, 288
¨
Sjogren syndrome, 409 spinal cord disorders, 191“214 hemolysis, elevated liver enzymes and low
skeletal diseases/disorders, 145“66 degenerative diseases, 197“202 platelets syndrome, 307
fat emboli, 88 vascular malformations, 195 status asthmaticus management, 79
Gaucher disease, 241 see also specific diseases/disorders see also specific types
see also specific diseases/disorders spinal cord injury, 191“5 Stevens“Johnson syndrome, 348, 350“1
skeletal muscle, hypothyroidism, 277 spinal cord injury, acute, 191 sticky platelet syndrome (SPS), 308“9
skin spinal cord injury, chronic, 191“5 stiff-joint syndrome (diabetic scleroderma), 279
anatomy, 343, 359 spinal cord ischemia, 177 Stokes“Adams attacks, 33
diseases see dermatoses; specific diseases/ spinal cord tumors, 195“7 stomatocytosis, hereditary, 297
disorders anesthetic management, 197 Streptococcus infections, 322
functions of, 343 arteriovenous malformations, 196 dermatoses, 350
anesthesia, effects of, 344 astrocytomas, 195 streptokinase
surgery effects, 344 benign tumors, 196 American Society of Regional Anesthesiology
integrity during anesthesia, 343 differential diagnosis, 195 guidelines, 5
ischemia avoidance, 343 ependymoblastomas, 195 pulmonary thromboembolism, 84
preparation of, 344 hemangiomas, 197 stress management, migraine therapy, 230
skin-derived antileukoproteinase (SKALP), 349 magnetic resonance imaging, 195 striae gravidarum, 345
Sneddon syndrome, 352 meningiomas, 195 stroke, 174
sodium channel disorders, 108 metastases, 195 essential thrombocytopenia, 300
sodium intake, peripartum cardiomyopathy, 11 presenting symptoms, 195 structural heart disease see heart disease, structural
sodium iodide, thyrotoxic crisis management, regional anesthesia, 197 structural scoliosis, 129, 132
275, 276 sarcomas, 195 ST segment depression, 29
sodium nitroprusside vascular tumors, 196 ST-T changes, 29
pheochromocytoma, 285 spinal deformities Sturge“Weber disease/syndrome, 183“4
spinal cord injury, 193 neurofibromatosis, 218 pheochromocytoma, 283
sodium thiopental scoliosis“pregnancy interactions, 134 subarachnoid block (SAB)
heart transplantation, anesthetic spina bifida cystica, 203 Ehlers Danlos syndrome, 161
management, 396 spinal diseases/disorders, achondroplasia, 108, Friedreich ataxia, 157
pheochromocytoma, 284 119, 120 Noonan syndrome, 147
sodium/water retention, chronic renal spinal dysraphism, 202“7 subarachnoid hemorrhage (SAH), 174“5, 179
failure, 259 spinal“epidural technique (CSE) see combined subclinical hyperthyroidism, 275
sotalol spinal“epidural analgesia/anesthesia subdural hematoma, 181
acquired long QT syndrome, 46 (CSE) subepidermal bullous dermatoses, 348
atrial fibrillation therapy, 38 spinal hematoma, 176 substance abuse, 14, 15
preexcitation syndrome therapy, 43 spinal immobilization, acute spinal cord succinylcholine
spherocytosis, hereditary see hereditary injury, 191 acute fatty liver of pregnancy, 255
spherocytosis spinal muscular atrophy (SMA), 134, 137, 197“8, 200 bacterial infections, 321
spina bifida cystica, 202, 203“4 spinal segments, 221 cardiovascular effects, 2
epidural anesthesia, 185 spinal shock, 185 Charcot“Marie“Tooth disease, 216
spina bifida occulta, 202“3 cardiovascular effects, 191 electroconvulsive therapy, 364, 368
ectodermal origin, 215“27 therapy, 191 kidney transplantation, 394
spinal anesthesia spinal tumors, 173 liver disease emergencies, 258
acute fatty liver of pregnancy, 255 spinocerebellar ataxia see Friedreich ataxia in muscle disease, 104, 116“17
Arnold Chiari malformation, 185 spiral computed tomography see computed neurosurgery, 180
arthrogryposis multiplex congenita, 159 tomography (CT) pheochromocytoma, 285




442
Index


porphyria, 245 TEG see thromboelastography (TEG) thrombotic microangiopathy, 2, 307“8
renal failure effects, 261 temporomandibular joint, rheumatoid arthritis, thrombotic thrombocytopenic purpura (TTP),
spinal cord injury, 194 31, 409 307, 308, 309“10
suction curettage, 376 teratogenesis thymectomy, 152, 153, 154
sufentanil, 284 antidysrhythmic drugs, 51 thyroid cancer, incidence, 375
sulfasalazine, 407, 408 fluoxetine, 366 thyroid disease, 275“7
sumatriptan, dosages, 232 haloperidol, 363 see also hyperthyroidism; hypothyroidism
supportive therapy monoamine oxidase inhibitors, 367 thyroidectomy, 375
aplastic anemia, 297 selective serotonin reuptake inhibitors, 366 thyroid nodules, 375
pulmonary lymphangioleiomyomatosis, 95 terbutaline thyroid replacement therapy, 277
supraventricular dysrhythmias, 37 acute asthma management, 79 thyroid-stimulating immunoglobulin (TSI), 277
supraventricular tachycardias (SVT), 29, 30, 34, 35, cardiovascular effects, 2 thyroid storm see thyrotoxic crisis (thyroid storm)
36, 77 status asthmaticus management, 79 thyrotoxic crisis (thyroid storm), 275“6
surgery tethered cord syndrome, 203, 206“7 thyrotoxicosis, trophoblastic disease, 377
Cushing syndrome, 286, 287 tetracycline, 333 ticlopidine, American Society of Regional
Marfan syndrome, 68 tetralogy of Fallot, 18“19 Anesthesiology guidelines, 5
ovarian cancer therapy, 374 surgical history, 39“40 tinzaparin, 84
Parkinson disease, 171 thalassemias, 294“5 tirofiban, 5
pheochromocytoma, 284 thallium, peripheral neuropathy, 223 tissue plasminogen activator (tPA), 177
thyrotoxic crisis, 275 theophylline tizanidine, 234
SVR see systemic vascular resistance (SVR) chronic asthma management, 78, 80 tobramycin, 90
SVT see supraventricular tachycardias (SVT) status asthmaticus management, 79 tocainide, 108, 118
Sweet syndrome, 349, 351 thermal biofeedback, 230 tocolytic therapy
swimmer™s itch, 332 thiopental anesthetic management in transplant
symphysis pubis widening, pubic pain, 232 asthma, 79 recipients, 393
syncope cardiovascular effects, 2 myotonic dystrophy, 102, 121
paroxysmal supraventricular tachycardia, 36 electroconvulsive therapy, 368 tongue cancer, 375
primary pulmonary hypertension, 57 malignant hyperthermia, 269, 270, 271 TORCH acronym, viral infections, 323
syndrome of inappropriate antidiuretic hormone myasthenia gravis, 155 Torsade de Pointes, 45
secretion (SIADH), 282 renal failure effects, 261 total lung capacity (TLC), scoliosis, 132
syntocinon, renal failure effects, 261 thioridazine, 363 tourniquets
syringomyelia, 204“6 third degree atrioventricular (AV) blocks see McArdle disease, 240
Arnold Chiari malformation, 184“5 atrioventricular (AV) blocks osteogenesis imperfecta, 163
systemic arterial oxygen saturation (SaO2), 57 Thomsen disease see myotonia congenita toxic epidermal necrolysis (Lyell syndrome), 350“1
systemic lupus erythematosus (SLE), 410“14 thoracolumbar scoliosis, 133 immunopathology, 348
dermatoses, 358 thoracotomy with tube resection, 93, 95 toxoplasmosis, 334
immunopathology, 348 thrombi, 60 tracheal resection with reconstruction, 94
pregnancy, effects of, 389 thrombocythemia, 300 tracheal stenosis, 94
Sneddon syndrome, 352 thrombocytopenia, 303“5 tramadol
systemic mastocytosis see mastocytosis hemolysis, elevated liver enzymes and low fibromyalgia therapy, 234
systemic sclerosis see scleroderma (systemic sclerosis) platelets syndrome, 307 renal failure effects, 261
systemic vascular resistance (SVR) heparin, 4 transaminases, 253
aortic stenosis, 8 maternal Gaucher disease, 241 transcatheter spring coil embolization, 61
atrial septal defect management, 17 paroxysmal nocturnal hemoglobinuria, 298 transesophageal echocardiography (TEE), 32
heart transplantation, 396 regional anesthesia, 299 heart“lung transplantation anesthetic
liver transplantation, 386 spinal hematoma, 176 management, 396
mitral regurgitation/insufficiency, 9 thrombotic thrombocytopenic purpura, 308 heart transplantation, anesthetic management,
mitral stenosis, 7 von Willebrand disease, 311 396
postpartum normalization, 1 see also specific diseases/disorders Marfan syndrome, 67
pregnancy in heart transplantation, 387 thromboelastography (TEG) venous air embolism diagnosis, 86
tetralogy of Fallot, 19 essential thrombocytopenia, 302 transferrin, pregnancy, effects of, 249, 250, 257
hemolysis, elevated liver enzymes and low transforming growth factor-beta, Marfan
tachycardia platelets syndrome, 307 syndrome, 66
malignant hyperthermia, 271 normal pregnancy, 293 transfusions, 293, 305
ventricular see ventricular tachycardia thromboembolic disease, 81“5 acute fatty liver of pregnancy management, 254
wide-complex, 38“9 arthrogryposis multiplex congenita, 157 anemias, 294
see also specific diseases/disorders Eisenmenger syndrome management, 22 anesthetic management in transplant
Wolff“Parkinson“White syndrome, 35 see also deep vein thrombosis (DVT); pulmonary recipients, 394
tachydysrhythmias, 29, 34, 36 thromboembolism (PTE) transient ischemic attacks, essential
diltiazem, 49“52 thrombolytic therapy thrombocytopenia, 300
pacemakers, 49 American Society of Regional Anesthesiology transplantation, 381“403
see also specific types guidelines, 5 see also immunosuppressive drugs; specific
tacrolimus, 322, 389, 392“3, 395 peripartum ischemic heart disease, 15 transplants
Takayasu arteritis, 64“8 during pregnancy, 4 transposition of the great vessels, 20, 40
tarda variant, spondyloepiphyseal dysplasia, 121 pulmonary thromboembolism, 84 Senning procedure, 40
Tauri disease, 240 thromboprophylaxis, essential thrombocytopenia, transverse myelitis, 202
TEE see transesophageal echocardiography (TEE) 302 Trendelenburg position, mitral stenosis, 7




443
Index


Treponema pallidum infection, 322 vagal maneuvers, supraventricular tachycardias, 36 vecuronium
tricuspid atresia, 40 vagal stimulation, preexcitation syndrome asthma, 80
tricuspid valve reconstruction, Ebstein anomaly, 39 therapy, 43 cardiovascular effects, 2
tricyclic antidepressants, 365“6 vaginal bleeding, cervical cancer, 373 liver transplantation, anesthetic
acquired long QT syndrome, 46 vaginal delivery management, 394
epileptic effects, 169 cerebral ischemia, 177 myasthenia gravis, 155
fibromyalgia therapy, 233 cesarean section vs. porphyria, 245
mechanism of action, 365, 367 heart disease, 6 renal failure effects, 261
panic disorder therapy, 369 HIV infection, 324 Trypanosoma cruzi infection, 334
trigeminal (V) cranial nerve lesions, 219 cirrhosis, 255 vena cava ligation, pulmonary
triglycerides (serum), pregnancy, effects of, 249, 250, dwarfism see dwarfism thromboembolism, 84
257“8, 384 Ehlers Danlos syndrome, 160 venous access, scleroderma, 418
trophoblastic disease, 376“7 factor XI deficiency, 313 venous air embolism, 85“8
tropical diseases, 323“8 Friedreich ataxia, 156 venous hypertension, spinal cord tumors, 196
see also specific diseases/disorders Gaucher disease, 241 venous thrombosis, paroxysmal nocturnal
truncus arteriosus, 20 hemodynamics, 6 hemoglobinuria, 298
Trypanosoma cruzi infection, 333“4 hydrocephalus with shunt, 178 ventilation, asthma see asthma
TSH-binding inhibitory immunoglobulin Kawasaki disease, 69 ventilation perfusion mismatch, asthma, 77
(TNII), 277 myasthenia gravis, 154 ventilatory failure, scoliosis, 135
TTP see thrombotic thrombocytopenic osteogenesis imperfecta, 162 ventricular dysrhythmias, 30
purpura (TTP) peripartum ischemic heart disease, 15 long QT syndrome, 46
tuberculosis, 331“2 rheumatoid arthritis, 408 ventricular fibrillation, 39
tuberous sclerosis, 149“51, 250, 263 scleroderma, 417 preexcitation syndromes, 42
pheochromocytoma, 283 subarachnoid hemorrhage, 175 ventricular septal defects (VSDs), 17“18
tube thoracostomy, 4, 93 systemic lupus erythematosus, 412 dysrhythmias, 29
tumor necrosis factor-a (TNF-a) in transplant recipients, 393 ventricular tachycardia, 38“9
adult respiratory distress syndrome, 75 vagolytics, Marfan syndrome, 68 ventriculoperitoneal shunts, 178
inhibiting agents, dermatoses, 43“4 valproate, breast milk, secretion in, 169 verapamil, 51“2
tumors see malignancy; specific tumors Valsalva maneuver Moyamoya disease management, 69
Turner syndrome, Noonan syndrome vs., 145 cystic fibrosis, 91 myotonic dystrophy, 102, 121
T wave, heart rate, 29 syringomyelia, 205 tachydysrhythmia therapy, 36, 36
12-lead electrocardiography, 36 valvular lesions, 6 vertebral column disorders, 129“44
two-dimensional echocardiography, 32 valvuloplasty see also under spinal; specific diseases/disorders
typhoid fever, 334 aortic stenosis, 8 vertebral displacement, scoliosis, 139
mitral stenosis, 7 VG5Q gene, 69
ultrasonography, parvovirus B19 infection, 327 valvulotomy, 10 Vibrio cholerae infections, 333
˜˜unilateral blown pupil,™™ 179 vancomycin, 5 vincristine, 224
unipolar depression see manic depressive illness varicella zoster virus infection (chickenpox), 326 viral hemorrhagic fevers (VHFs), 335
unipolar mania see manic depressive illness dermatoses, 355 see also specific fevers
unroofed coronary sinus, 16 transplant recipients, 389 viral hepatitis, 249“52, 253, 325
upper airway examination, 62 variegate porphyria (VP), 242 anesthetic management, 251“2
upper airway obstruction, 110, 120 vascular changes incidence, 249, 258
upper airway resistance, 135 normal pregnancy, 345 see also specific diseases/disorders
upper limb neuropathies see neuropathies Sturge“Weber disease/syndrome, 183 viral infections, 323“8
Ureaplasma urealyticum infection, 322 vascular diseases/disorders, 57“68 dermatoses, 353, 354
urinary metanephrines, 283 Ehlers Danlos syndrome, 159 thrombocytopenia, 305
urinary tract infections, 249, 260“1 Klippel“Trenaunay“Weber syndrome, 68“9 see also specific infections
chronic spinal cord injury, 192 renal, 249, 262 visceral leishmaniasis, 334“5
urokinase vascular tumors, spinal cord tumors see spinal cord vital capacity (VC), scoliosis, 133, 136
cerebral ischemia therapy, 177 tumors vitamin A deficiency, 253
pulmonary thromboembolism, 84 vasculitis, peripheral neuropathy, 222 vitamin B deficiency, 253
ursodeoxycholic acid (UDCA) vasoactive drugs vitamin deficiencies, 253, 347
intrahepatic cholestasis of pregnancy, 253, 347 Eisenmenger syndrome management, 22 vitamin E deficiency, 253
primary biliary cirrhosis management, 258 primary pulmonary hypertension, 58 vitamin K deficiency
uterine contractions, myotonic dystrophy, 102, 120“1 Takayasu arteritis, 65 factor VII deficiency, 325
uterine function, scoliosis, 138 vasodilator drugs intrahepatic cholestasis of pregnancy, 253
uterine muscle contractility, dantrolene, 271 acute cardiac decompensation, 141 vitamin K-dependent clotting factors inherited
uterotonic agents autonomic hyperreflexia, 193 deficiency (VKCFD), 314
aortic stenosis, 8“9 heart transplantation, anesthetic vitamin K supplements
heart disease, 6 management, 396 epilepsy, 169
mitral stenosis, 8 Marfan syndrome, 68 intrahepatic cholestasis of pregnancy,
peripartum cardiomyopathy, 11 253, 347
vaccines vasopressor drugs volatile anesthetic agents
dengue virus infection, 329 acute cardiac decompensation, 141 heart“lung transplantation anesthetic
dermatoses, 353 intravenous fluid management, 180 management, 398
human papillomavirus infection, 326 spinal cord injury, 194 renal failure effects, 261
influenza, 327 vasospasm, subarachnoid hemorrhage, 174 von Gierke disease, 240




444
Index


von Hippel“Lindau syndrome, 151“2, 283 during pregnancy, 4 Wolff“Parkinson“White (WPW) syndrome, 41,
von Recklinghausen disease see neurofibromatosis, valvulotomy, 10 42, 42“3
type 1 (von Recklinghausen disease) warfarin embryopathy, 4 electrocardiography, 43, 409
von Willebrand disease, 294, 303, 311, 314 warm-reactive autoantibodies, 297 with paroxysmal supraventricular
acquired, hypothyroidism, 277 washed red blood cell transfusions, 298 tachycardia, 36
von Willebrand factor, pregnancy, effects of, 249, Wegener granulomatosis, 262 preexcitation syndromes, 41, 42“3
257, 311 Werdnig“Hoffman disease (spinal muscular atrophy tachycardia, 35
V/Q mismatching, scoliosis, 135 type I), 197 therapy, 43, 44
V/Q scan, pulmonary thromboembolism, 82 West Nile virus (WNV) infection, 328 work, scoliosis, 133
vulvar cancer, 374 white blood cells, pregnancy, effects World Health Organization (WHO), malignancy risk
vulvar lesions, human papillomavirus of, 294 factor scoring, 377
infection, 326 WHO, malignancy risk factor wrist splints, carpal tunnel syndrome
scoring, 377 therapy, 232
¨
Waldenstrom macroglobulinemia, 301“2 wide-complex tachycardia, 34, 38“9
wandering pacemaker, 21, 32 adenosine, 51 yellow fever, 329“30
warfarin see also specific diseases/disorders Yersinia infections, 332“3
American Society of Regional Anesthesiology Wilson disease see hepatolenticular degeneration
guidelines, 5 (Wilson disease) zafirlukast, chronic asthma therapy, 78
deep vein thrombosis management, 84 Wiskott“Aldrich syndrome (WAS), 304 zidovudine interactions, 324




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