Asunto(s)
Síndrome Coronario Agudo/complicaciones , Síndrome Coronario Agudo/cirugía , Catatonia/complicaciones , Puente de Arteria Coronaria Off-Pump , Complicaciones Posoperatorias/tratamiento farmacológico , Estupor/complicaciones , Anciano , Catatonia/tratamiento farmacológico , Moduladores del GABA/uso terapéutico , Humanos , Lorazepam/uso terapéutico , Masculino , Estupor/tratamiento farmacológico , Resultado del TratamientoRESUMEN
Perioperative management of deaf and dumb patients can be a challenging task. For smooth postoperative recovery, proper care should begin in the preoperative period. Understanding the patients' needs and training him to follow the instructions requires to involve a communication specialist. Judicious use of sedatives and analgesics is essential to keep the patient pain-free and comfortable. Postoperatively, the patient should be kept awake, enough to understand the internal need of the body and to make a meaningful response to external stimuli. Adequate preoperative planning and coordinated team efforts with involvement of specialists can help in delivering better postoperative care.
Asunto(s)
Sordera/complicaciones , Cardiopatías/complicaciones , Cardiopatías/cirugía , Mutismo/complicaciones , Dolor Postoperatorio/prevención & control , Atención Perioperativa/métodos , Procedimientos Quirúrgicos Cardíacos , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Ectopic acromegaly due to growth hormone-releasing hormone secretion by a bronchial carcinoid is rare. We report a case of bronchial carcinoid presenting with acromegaly due to ectopic growth hormone production. The patient was treated successfully with right pneumonectomy.