RT Book, Section
A1 Eilers, Helge
A1 Yost, Spencer
A2 Katzung, Bertram G.
SR Print(0)
ID 1148436494
T1 General Anesthetics
T2 Basic & Clinical Pharmacology, 14e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259641152
LK accessmedicine.mhmedical.com/content.aspx?aid=1148436494
RD 2024/04/19
AB CASE  STUDYAn  elderly  man  with  type  2  diabetes  mellitus  and  ischemic  pain  in  the  lower  extremity  is  scheduled  for  femoral-to-popliteal  artery  bypass  surgery.  He  has  a  history  of  hypertension  and  coronary  artery  disease  with  symptoms  of  stable  angina.  He  can  walk  only  half  a  block  before  pain  in  his  legs  forces  him  to  stop.  He  has  a  50-pack-year  smoking  history  but  stopped  2  years  ago.  Medications  include  atenolol,  atorvastatin,  and  hydrochlorothiazide.The  nurse  in  the  preoperative  holding  area  obtains  the  following  vital  signs:  temperature  36.8°C  (98.2°F),  blood  pressure  168/100  mm  Hg,  heart  rate  78  bpm,  oxygen  saturation  by  pulse  oximeter  96%  while  breathing  room  air,  and  pain  5/10  in  the  right  lower  leg  after  walking  into  the  hospital.  What  anesthetic  agents  will  you  choose  for  his  anesthetic  plan?  Why?  Does  the  choice  of  anesthetic  make  a  difference?