1 and that it is strongly associated with macro- vascular complications such as stroke, amputatio... more 1 and that it is strongly associated with macro- vascular complications such as stroke, amputation and myocardial infarction. Aggressive treatment has become the recommended approach of diabetes associations across the world for long-term management of blood glucose. A core philosophy of traditional teaching on the management of glucose during anaesthesia has been the avoidance of hypoglycaemia. Hypoglycaemic brain injury, whilst
International journal of obstetric anesthesia, 2006
A pregnant woman with severe hypertrophic cardiomyopathy was monitored with transthoracic echocar... more A pregnant woman with severe hypertrophic cardiomyopathy was monitored with transthoracic echocardiography to guide management of fluids and vasopressors during elective caesarean section. After insertion of intravenous, arterial and central venous cannulae, a transthoracic echocardiogram was performed noting left ventricular cavity size and contractility, systolic anterior motion of the mitral valve and left ventricular outflow tract obstruction. Following combined spinal-epidural anaesthesia, serial examinations were made intraoperatively. Short-lived haemodynamic instability ensued just before the incision and with administration of oxytocin. Her postoperative course was complicated by post-partum haemorrhage requiring radiological intervention but she ultimately recovered fully. Maintaining preload to avoid worsening of left ventricular outflow tract obstruction is essential in these patients. A transthoracic echocardiogram is easily performed, of low risk and provides more usef...
1 and that it is strongly associated with macro- vascular complications such as stroke, amputatio... more 1 and that it is strongly associated with macro- vascular complications such as stroke, amputation and myocardial infarction. Aggressive treatment has become the recommended approach of diabetes associations across the world for long-term management of blood glucose. A core philosophy of traditional teaching on the management of glucose during anaesthesia has been the avoidance of hypoglycaemia. Hypoglycaemic brain injury, whilst
International journal of obstetric anesthesia, 2006
A pregnant woman with severe hypertrophic cardiomyopathy was monitored with transthoracic echocar... more A pregnant woman with severe hypertrophic cardiomyopathy was monitored with transthoracic echocardiography to guide management of fluids and vasopressors during elective caesarean section. After insertion of intravenous, arterial and central venous cannulae, a transthoracic echocardiogram was performed noting left ventricular cavity size and contractility, systolic anterior motion of the mitral valve and left ventricular outflow tract obstruction. Following combined spinal-epidural anaesthesia, serial examinations were made intraoperatively. Short-lived haemodynamic instability ensued just before the incision and with administration of oxytocin. Her postoperative course was complicated by post-partum haemorrhage requiring radiological intervention but she ultimately recovered fully. Maintaining preload to avoid worsening of left ventricular outflow tract obstruction is essential in these patients. A transthoracic echocardiogram is easily performed, of low risk and provides more usef...
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Papers by Michael Veltman