ANAESTHETIC MANAGEMENT OF A PATIENT WITH HYPERHOMOCYSTEINEMIA FOR TOTAL ABDOMINAL HYSTERECTOMY

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dc.contributor.authorDavies, Dr Anjuen_US
dc.contributor.authorK, Dr Rekhaen_US
dc.contributor.authorS, Dr Syamkumaren_US
dc.contributor.authorK R, Dr Radhaen_US
dc.date.accessioned2023-08-09T05:59:55Z
dc.date.available2023-08-09T05:59:55Z
dc.date.issued2023-07
dc.description.abstractHyperhomocysteinemia is a disorder caused by a disruption of any of the enzymes or cofactors involved in the pathways of homocysteine metabolism. The resultant high plasma levels of homocysteine increase the risk for thromboembolic events. These patients are frequently anticoagulated in the perioperative setup. Interruption of anticoagulant therapy may subject the patient to an increased risk of thrombosis, infarction, and death. Neuraxial anaesthesia techniques may be relatively contraindicated in anticoagulated patients and nitrous oxide may exacerbate the condition by inhibiting the conversion of homocysteine to methionine. We describe a case of the anaesthetic management of a unique case of hyperhomocysteinemia with multiple recent thrombotic episodes proposed for total abdominal hysterectomy conducted under general anaesthesia, the intraoperative and postoperative monitoring and considerations.en_US
dc.identifier.affiliationsJunior Resident, Department Of Anaesthesiology Government Medical College, Kozhikodeen_US
dc.identifier.affiliationsAssociate Professor, Department Of Anaesthesiology Government Medical College, Kozhikodeen_US
dc.identifier.affiliationsAssistant Professor, Department Of Anaesthesiology Government Medical College, Kozhikodeen_US
dc.identifier.affiliationsProfessor, Department Of Anaesthesiology Government Medical College, Kozhikodeen_US
dc.identifier.citationDavies Dr Anju, K Dr Rekha, S Dr Syamkumar, K R Dr Radha. ANAESTHETIC MANAGEMENT OF A PATIENT WITH HYPERHOMOCYSTEINEMIA FOR TOTAL ABDOMINAL HYSTERECTOMY. Indian Journal Of Applied Research. 2023 Jul; 13(7): 1-2en_US
dc.identifier.issn2249-555X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/221454
dc.languageenen_US
dc.publisherIndian Society For Health And Advanced Researchen_US
dc.relation.issuenumber7en_US
dc.relation.volume13en_US
dc.source.urihttps://www.doi.org/10.36106/ijaren_US
dc.subjectHyperhomocyteinemiaen_US
dc.subjectthromboembolismen_US
dc.subjectgeneral anaesthesiaen_US
dc.subjectnitrous oxide.en_US
dc.titleANAESTHETIC MANAGEMENT OF A PATIENT WITH HYPERHOMOCYSTEINEMIA FOR TOTAL ABDOMINAL HYSTERECTOMYen_US
dc.typeJournal Articleen_US
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