Journal of Surgery and Anesthesia addresses all aspects of surgery & anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, General Surgery, Robotic Surgery, Orthopedic Surgery, GI Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Urology, Surgical Oncology, Radiology, Ophthalmology, Pediatric Surgery, Trauma Services, Minimal Access Surgery, Endocrine Surgery, Colorectal Surgery, Laparoscopic and Endoscopic Techniques and Procedures, Preoperative and Postoperative Patient Management, Complications in Surgery and New Developments in Instrumentation and technology related to surgery, Intra-Operative Regional Anesthesia Administration Techniques, Peri-Operative Pain, Obstetric Anesthesia, Pediatric Anesthesia, General Anesthesia, Sedation, Regional Anesthesia, Outcome Studies and Associated Complications, etc. Journal of Surgery and Anesthesia accepts manuscripts in the form of original research articles, review articles, case reports, short communications, letters to editor and editorials for publication in an open access platform.

We are sharing one of the most cited article from our journal. Article entitled “Anesthetic Considerations and Perioperative Optimization of a Patient with Hereditary Hemorrhagic Telangiectasia in the Ambulatory Surgical Setting: A Case Report” was well written by Dr. Archana S. Hudson.

ABSTRACT

Hereditary Hemorrhagic Telangiectasia (HHT), also known as Osler-Weber-Rendu Syndrome, is a rare autosomal dominant disorder characterized by multiple systemic Arteriovenous Malformations (AVMs) which presents unique challenges and considerations for the anesthetic management during the perioperative period. Patients with HHT are not typically considered appropriate candidates for outpatient surgery centers due to their high risk of complications relating to these AVMs, including a higher incidence of symptomatic anemia, paradoxical air embolus and/or bacteremia due to pulmonary AVMs, congestive heart failure, portal hypertension, seizures, and intracranial hemorrhage. We present a case of a 55 year-old male with known history of HHT who presented to our outpatient surgery center for intranasal mass injection/excision and septodermoplasty. Extensive planning and optimization was performed by our center for perioperative optimization, including coordination with hematology, cardiology, pulmonology, and obtaining proper imaging to rule out significant pulmonary or cerebral AVMs prior to proceeding. The patient underwent general anesthesia with an unremarkable perioperative course, and did well in recovery without any bleeding complications. The patient with HHT can safely undergo surgery in the outpatient surgery setting with proper patient selection, preoperative coordination and optimization.

Here is the link to view complete article: https://www.longdom.org/open-access/anesthetic-considerations-and-perioperative-optimization-of-a-patient-with-hereditary-hemorrhagic-telangiectasia-in-the-.pdf

Authors are invited to submit their research work to our valuable journal. Manuscripts can be submitted at https://www.longdom.org/submissions/surgery-anesthesia.html or as an e-mail attachment to surgery@emedsci.com

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Journal of Surgery and Anesthesia.

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