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Oral case 3

Created: 3/9/2004

Patient with cardiac disease for noncardiac surgery

A 62-year old male out-patient with pharyngeal tumor is scheduled for extensive surgical biopsies under general anesthesia. A previous cardiac catheterization revealed significant double vessel disease. An anesthetic was administered two weeks ago without complication. Now he presents with a new finding of a hemoglobin of 7gm/dl and complains of intermittent dizziness.

1. Will you anesthetize this patient? Why or why not?

2. The surgeon wants to proceed. What will you do?

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