PPT-Anesthetic Considerations For Patients With Trisomy 21

Andrew Infosino MD Jina Sinskey MD UCSF Department of Anesthesia and Perioperative Care Disclosures None Learning Objectives Indicate the incidence and major risk factor for having a child with trisomy 21. Developing Countries Regional Anesthesia Lecture Series. Daniel D. Moos CRNA, . Ed.D. . USA . moosd@charter.net. . Lecture 1. Soli . Deo. Gloria . Disclaimer. Every effort was made to ensure that material and information contained in this presentation are correct and up-to-date. The author can not accept liability/responsibility from errors that may occur from the use of this information. It is up to each clinician to ensure that they provide safe anesthetic care to their patients.. A chart of chromosome pairs arranged by length and location of the centromere. How are karyotypes made?. Somatic cells (remember these are body cells) in metaphase are grown and then dropped onto a slide bursting the nucleus. . Developing Countries Regional Anesthesia Lecture Series. Daniel D. Moos CRNA, . Ed.D. . USA . moosd@charter.net. . Lecture 1. Soli . Deo. Gloria . Disclaimer. Every effort was made to ensure that material and information contained in this presentation are correct and up-to-date. The author can not accept liability/responsibility from errors that may occur from the use of this information. It is up to each clinician to ensure that they provide safe anesthetic care to their patients.. Populatons. Pregnant. Geriatric. Diabetic. Obese . The Pregnant Patient-Physiologic Changes. The presence of fetus and placenta . Aorta and vena . caval. compression . Reflux and possible aspiration of gastric contents. Prepared by PJ. 12-16-11. Syndromes to Know. Trisomy 21,18, 13. Turner’s and Kleinfelters. diGeorge/VCF. VACTERL. Noonan’s. Williams. Orbital distance. Hypotelorism. Holoprosencephaly. maternal PKU. What happens if mistakes occur?. Nondisjunction. When chromosomes fail to separate in meiosis. Lead to chromosomes disorders. Karyotype. Is an organized profile of a persons chromosomes. Two chromosomes specify gender:. . SYFTET. Göteborgs universitet ska skapa en modern, lättanvänd och . effektiv webbmiljö med fokus på användarnas förväntningar.. 1. ETT UNIVERSITET – EN GEMENSAM WEBB. Innehåll som är intressant för de prioriterade målgrupperna samlas på ett ställe till exempel:. . Parts 1 & 2: A&A pages 100-116. Objective: To be able to safely and . efficiently operate an anesthetic . machine, and trouble shoot any . problems that may arise.. Purpose of the Anesthetic Machine. Chris Heine, MD. Medical University of South Carolina. Updated 4/2019. Disclosures. No relevant financial relationships. Learning Objectives. Describe the different classes of neuromuscular disorders. Aneuploidy. :. Variation of a certain chromosome with in the set.. Hyperploidy. : gain of chromosome. Trisomy 2n+1. Double trisomy 2n+1+1. Tetrasomy. 2n+2. Hypoploid. y. : loss of chromosome. Monosomy 2n-1. 22 pairs of autosomes. 1 pair of sex chromosomes. XX = Female, XY = Male. Karyotype - chromosomes are arranged according to shape and size. AN EXTRA COPY OF CHROMOSOME 21 CAUSES DOWN SYNDROME. This condition is called . Vasili Chernishof, M.D.. Carl Lo, M.D.. Children’s Hospital Los Angeles. Updated 9/2019. Disclosures. No relevant financial relationships to report. Learning Objectives:. Identify anatomical and physiological perturbations that occur with mediastinal masses. Enterocolitis. Monica Williams, MD. Johns Hopkins School of Medicine. Updated 9/2019. Disclosures. No relevant financial relationships. Learning Objectives:. The learner will be able to identify key features of NEC. Dr R P Pandey. IV. Onset is and peak effect is quick, effect is intense, duration of action short. IM. Onset in 10-15 min, peak effect is delayed, depends on tissue perfusion/drug absorption/metabolism.