Tumor Specific Effects

Alteration of physiologic function or distortion of normal anatomy may occur due to specific tumor effects. For example, tumors of the mediastinum or neck may cause venous congestion, superior vena cava obstruction, airway compression, or tracheal deviation that may make establishment of an airway or ventilatory management difficult. Gastrointestinal tumors may cause obstruction, causing an aspiration risk. Cerebral tumors or brain metastases can cause changes in mental status, syndrome of inappropriate secretion of antidi-uretic hormone making perioperative fluid management difficult, or may cause an increased intercerebral pressure that affects anesthesia management of the patient.

A Disquistion On The Evils Of Using Tobacco

A Disquistion On The Evils Of Using Tobacco

Among the evils which a vitiated appetite has fastened upon mankind, those that arise from the use of Tobacco hold a prominent place, and call loudly for reform. We pity the poor Chinese, who stupifies body and mind with opium, and the wretched Hindoo, who is under a similar slavery to his favorite plant, the Betel but we present the humiliating spectacle of an enlightened and christian nation, wasting annually more than twenty-five millions of dollars, and destroying the health and the lives of thousands, by a practice not at all less degrading than that of the Chinese or Hindoo.

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