Anaesthetic implications of conditions

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The following list is similar but not identical to the list found in the prior section concerning comorbidities. This implies that medical and surgical conditions do not all have the same importance in their implications for the safe practice of anaesthesia.
A separate template is suggested for the consideration of how these conditions may be considered in their impact on anaesthetic practice.

1. Abnormal Electrocardiogram – Heart block, conduction defects, MI, Arrthythmias inc. WPW and AF
2. Abnormal haemoglobins
   1. Sickle Cell Disease
   2. Thalassaemia
3. Abnormalities of Coagulation (congenital and acquired) and Haemostasis
4. Acute polyneuropathy:
   1. Guillain Barre Syndrome
5. Adrenal dysfunction: e.g. Phaeochromocytoma
6. Alcohol abuse
7. Anaemia
8. Asthma
9. Autonomic Neuropathy
10. Bowel Obstruction
11. Carcinoid syndrome / tumours
12. Cardiac disease:
    1. Anaesthesia for non-cardiac surgery in patients with cardiac disease
13. Cardiomyopathy and abnormal ventricular function
14. Coagulopathies – congenital and acquired
15. Common congenital heart defects (with an understanding of the adult patient with)
16. COPD
17. Diabetis Mellitus
18. Disorders of respiratory mechanics, gas exchange and gas transport
19. Disorders of the pulmonary circulation – PE and Pulmonary Hypertension
20. Disturbances in neuromuscular transmission – Myasthenia Gravis ; Myasthenic Syndrome
21. Drug dependency and addiction
22. Epilepsy
23. Heart failure
24. Hepatitis B and C
25. HIV
26. Hypertension
27. Immunocompromised patients (from ICU)
28. Ischaemic heart disease
29. Jaundice
30. Jehova’s Witness
31. Latex allergy (appears under paediatric skills in CCT III)
32. Malignant hyperthermia
33. Massive Blood Transfusion
34. Muscle contracture – Myotonia including Myotonia Dystrophia
35. Muscular dystrophy
36. Myopathies
37. Obesity
38. Old age
39. Osteoarthritis
40. Pacemakers
41. Parkinson’s Disease
42. Phaeochromocytoma
43. Pituitary dysfunction therapeutics
    1. Panhypopituitarism
    2. Acromegaly
44. Plasma electrolyte disturbances
45. Plasma osmolality disturbances – SIADH and Diabetes insipidus
46. Polycythaemia
47. Porphyria
48. Prion Disease – implications for anaesthetist and other staff
49. Renal Failure, Acute and Chronic
50. Rheumatoid Arthritis
51. Sleep apnoea – Obstructive and Central
52. Smoking
53. Spinal Cord Transection
54. Swallowing disorders – Pharyngeal pouch, Achalasia
55. Thyroid dysfunction
56. Valvular defects – AS , MS, AR, MR
57. Varient CJD

• ts – AS , MS, AR, MR