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Updated: Jun 24, 2026
03:37
Cerebral Ischemic Coma Model Induced by Modified Four-Vessel Occlusion
Published on: July 5, 2024
[Convulsions in the operating room in a man with AIDS]
R Rosado Caracena1, R Uña Orejón, P Garrido Ortega
1Hospital General La Paz, Paseo de la Castellana, 261 28046 Madrid. rogerosado@hotmail.com
Revista Espanola De Anestesiologia Y Reanimacion
|April 2, 2009
Summary
Anesthesiologists must understand human immunodeficiency virus (HIV) implications for surgery, including antiretroviral drug effects. This case highlights challenges in HIV-positive patients, such as difficult intubation and operating room convulsions.
Area of Science:
- Anesthesiology
- Infectious Diseases
- Pharmacology
Background:
- Over 50 million people globally are infected with human immunodeficiency virus (HIV).
- An estimated 25% of individuals with HIV will require surgical intervention.
- Anesthesiologists must be aware of HIV's impact on multiorgan failure and opportunistic infections.
Observation:
- The case involved an HIV-infected male patient presenting for surgery.
- The patient was identified as being at risk for difficult intubation.
- The patient experienced intraoperative convulsions.
Findings:
- Antiretroviral agents used in HIV treatment can interact with anesthetic agents.
- HIV infection can increase the risk of perioperative complications.
- Difficult intubation and seizures are potential anesthetic challenges in HIV patients.
Implications:
- Enhanced vigilance and preparation are crucial for anesthesiologists managing HIV-positive surgical patients.
- Understanding drug interactions between antiretrovirals and anesthetics is paramount for patient safety.
- This case underscores the need for tailored anesthetic management strategies in immunocompromised individuals.
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