Anesthesia For Athletes An Issue Of Anesthesiology Clinics PDF Download

Sports participation has been growing rapidly since the 1960s. Anesthesiologists are increasingly confronted with athletes in a perioperative setting. The right choice of type of anesthesia technique, pain management of injuries, specific physiologic adaptations of the athlete and knowledge of prohibited substances are eminent for a correct approach of this subpopulation. This review aims to give an overview of athleteu2019s specific anesthetic management in perioperative and postoperative settings. The authors retrieved 881 articles using all MeSH terms of which 243 articles were screened using the search criteria referring to anesthetic management in the perioperative setting and after removing duplicates. Seventy-nine articles were eligible for full-text assessment and 59 articles were included in this synthesis. Preoperative evaluation, intraoperative implications and postoperative pain management categorized included articles. An anesthesiologist should recognize the most common benign ECG findings in athletes like bradycardia, isolated left ventricle hypertrophy on voltage criteria and early repolarization as normal features in the athleteu2019s heart. Isotonic physiology typically produces four chamber dilation. In contrast, isometric stress creates high intravascular pressure leading to left ventricular hypertrophy. Preoperative evaluation should also identify possible consumers of performance-enhancing drugs. Intraoperative points of interest for the anesthesiologist is mainly avoiding drugs on the prohibited list of the world anti-doping agency (WADA). Post-operative and chronic pain management are still developing fields in this population. The International Olympic Committee (IOC) proposed treating acute pain with a combination of paracetamol, NSAIDs, topical analgesics, injectable NSAIDs and local anesthetics. . It may be suggested that chronic pain management in elite athletes could benefit from treatment in specialized multidisciplinary pain clinics.