210 results match your criteria Case reports in anesthesiology[Journal]


Myotonic Dystrophy and Anesthetic Challenges: A Case Report and Review.

Case Rep Anesthesiol 2019 20;2019:4282305. Epub 2019 Mar 20.

Department of Anesthesiology, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, USA.

Providing anesthesia to patients with myotonic dystrophy (DM) can be very challenging due to the multisystemic effects of the disease and extreme sensitivity of these patients to sedatives, opioids, and anesthetic agents. Other factors such as hypothermia, shivering, or mechanical or electric stimulation during surgery can precipitate myotonia which is difficult to abolish and can lead to further complications. Generally, local or regional anesthesia is preferred to avoid the complications associated with general anesthesia in this group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2019/4282305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446115PMC

Change of Anesthesia Management for a Patient Undergoing CABG by an Incidental Finding of a Genetic Variant Associated with Malignant Hyperthermia.

Case Rep Anesthesiol 2019 19;2019:3189719. Epub 2019 Mar 19.

Anesthesiology Department, Geisinger Medical Center, Danville, PA, USA.

Malignant hyperthermia (MH) is a rare life-threatening hypermetabolic muscular disorder with a high mortality rate. Three genes, , , and , have been associated with MH susceptibility. Multiple genetic variants have been identified in these three genes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2019/3189719DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444225PMC

Unexpected Tension Pneumothorax-Hemothorax during Induction of General Anaesthesia.

Case Rep Anesthesiol 2019 24;2019:5017082. Epub 2019 Feb 24.

Aristotle University of Thessaloniki, Stilponos Kyriakidi 1 Thessaloniki 54636, Greece.

Tension pneumothorax during general anaesthesia is a rare but possibly deleterious event, especially where predisposing factors are absent or unknown, making diagnosis even challenging. We describe a case of a healthy middle-aged woman, who was planned to receive general anaesthesia for total thyroidectomy. After intubation, the patient experienced marked hypoxemia (SpO2=75%), hypotension, and tachycardia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2019/5017082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409028PMC
February 2019
1 Read

In-Hospital Onset of Pseudothrombocytopenia Days before Surgery.

Case Rep Anesthesiol 2018 31;2018:4726036. Epub 2018 Dec 31.

Instituto Nacional de Câncer (INCA), Rio de Janeiro, Brazil.

Automated cell counters often produce spuriously low platelet counts due to laboratory artifacts. These phenomena may lead to erroneous treatments, surgical delays, and unnecessary platelet transfusions. An overlooked case of newly developed anticoagulant-induced platelet aggregation diagnosed in a preoperative visit is discussed and diagnostic clues are presented. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/4726036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333016PMC
December 2018

Denture Induced Submandibular Hematoma in a Patient on Warfarin.

Case Rep Anesthesiol 2018 17;2018:4245809. Epub 2018 Dec 17.

Department of Anaesthesiology and Critical Care, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia.

A 79-year-old lady, who was taking warfarin, presented to the Emergency Department with a painless anterior neck swelling, which was associated with hoarseness of voice, odynophagia, and shortness of breath. She first noticed the swelling after she removed her dentures in the evening. On examination, she had an increased respiratory rate. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/4245809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311759PMC
December 2018
1 Read

Bradycardia Leading to Asystole Following Dexmedetomidine Infusion during Cataract Surgery: Dexmedetomidine-Induced Asystole for Cataract Surgery.

Case Rep Anesthesiol 2018 5;2018:2896032. Epub 2018 Dec 5.

Laboratory of Pharmacology, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Dexmedetomidine is an elective alpha-2 adrenergic agonist, being used in anesthesia practice. It offers sedative, anxiolytic, analgesic, muscle relaxant, and sympathetic lytic properties. While respiratory effects are considered minor, there are important cardiovascular side effects with bradycardia and hypotension being the most common. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/2896032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304573PMC
December 2018
6 Reads

Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the Literature.

Case Rep Anesthesiol 2018 4;2018:2404756. Epub 2018 Dec 4.

Anesthesia, Loma Linda University, Loma Linda, Ca, USA.

Neuromyelitis optica (NMO) is a rare demyelinating disorder affecting the spinal cord and optic nerves. Like multiple sclerosis (MS), it predominantly affects women during childbearing years. The impact of neuraxial anesthesia on the course of NMO is uncertain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/2404756DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304564PMC
December 2018
1 Read

Facilitating Airway Surgery in a Morbidly Obese Patient Using Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE).

Case Rep Anesthesiol 2018 19;2018:5310342. Epub 2018 Nov 19.

Department of Anaesthesia, Changi General Hospital, 2 Simei Street 3, Singapore 529889.

Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) is a relatively new noninvasive oxygenation technique with a broad range of applications. It is used in the treatment of type one respiratory failure, as a preoxygenation tool, as a rescue and temporising measure in difficult airways, and as step-down oxygen therapy in patients after extubation. Its use has also been described in laryngeal surgeries, but they mainly involved normal-weight subjects or were used as a bridging oxygenation therapy before definitive airway is secured. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/5310342DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276495PMC
November 2018
3 Reads

Anaesthetic Considerations in a Patient with Pycnodysostosis undergoing Caesarean Delivery.

Case Rep Anesthesiol 2018 13;2018:5675637. Epub 2018 Nov 13.

Department of Anesthesia, Hospital Unit Vest, Herning, Denmark.

Pycnodysostosis is a rare congenital disorder with several implications, which might complicate anesthesia. Patients are more prone to fractures and have an anticipated difficult airway. We report a case of a 34-year-old woman with pycnodysostosis who underwent elective caesarean delivery under epidural blockade. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/5675637DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260546PMC
November 2018
3 Reads

A Case Report of Suspected Malignant Hyperthermia: How Will the Diagnosis Affect a Patient's Insurability?

Case Rep Anesthesiol 2018 30;2018:6532821. Epub 2018 Oct 30.

University of Miami, Miller School of Medicine, Department of Anesthesiology, 1611 NW 12 Avenue, Suite C-300, Miami, FL 33136, USA.

The purpose of this case report is to increase awareness that a diagnosis of malignant hyperthermia may have long-lasting or permanent effects on a patient's insurance eligibility or premiums despite legislation providing varying levels of protection from preexisting conditions or genetic discrimination. We present a case of severe rigors, unexplained severe metabolic acidosis, and severe hyperthermia in a patient after general anesthesia for extensive head and neck surgery. The patient was treated for malignant hyperthermia and demonstrated a significant clinical improvement with the administration of dantrolene. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/6532821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232818PMC
October 2018
17 Reads

Use of Awake Flexible Fiberoptic Bronchoscopic Nasal Intubation in Secure Airway Management for Reconstructive Surgery in a Pediatric Patient with Burn Contracture of the Neck.

Case Rep Anesthesiol 2018 21;2018:8981561. Epub 2018 Oct 21.

Department of Anesthesiology and Reanimation, Health Sciences University, Istanbul Bagcılar Training and Educational Hospital, Turkey.

Although the use of awake flexible fiberoptic bronchoscopic (FFB) intubation is a well-recognized airway management technique in patients with difficult airway, its use in smaller children with burn contractures or in an uncooperative older child may be challenging. Herein, we report successful management of difficult airway in a 7-year-old boy with burn contracture of the neck, by application of FFB nasal intubation in a stepwise approach, first during an initial preoperative trial phase to increase patient cooperation and then during anesthesia induction for the reconstructive surgery planned for burn scars and contractures. Our findings emphasize the importance of a preplanned algorithm for airway control in secure airway management and feasibility of awake FFB intubation in a pediatric patient with burn contracture of the neck during anesthesia induction for reconstructive surgery. Read More

View Article

Download full-text PDF

Source
http://downloads.hindawi.com/journals/cria/2018/8981561.pdf
Web Search
https://www.hindawi.com/journals/cria/2018/8981561/
Publisher Site
http://dx.doi.org/10.1155/2018/8981561DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215584PMC
October 2018
8 Reads

Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis.

Case Rep Anesthesiol 2018 17;2018:5038272. Epub 2018 Oct 17.

Anesthesiology and Pediatrics, Morgan Stanley Children's Hospital at Columbia University Irving Medical Center, New York, NY, USA.

Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can be fatal. The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding. We present the case of a fourteen-year-old female who had previously traveled to Hawaii and developed severe neuropathic pain related to A. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/5038272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207877PMC
October 2018
1 Read

Early Detection and Management of Massive Intraoperative Pulmonary Embolism in a Patient Undergoing Repair of a Traumatic Acetabular Fracture.

Case Rep Anesthesiol 2018 1;2018:7485789. Epub 2018 Oct 1.

New York Medical College-Westchester Medical Center, USA.

A 73-year-old male with history of hyperlipidemia and osteoarthritis was transferred from an outside hospital after a fall from a ladder at home. He sustained a severe right sided acetabular fracture involving the femoral head, requiring operative repair. Preoperative evaluation was unremarkable except for oxygen saturation < 95 %. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/7485789DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188772PMC
October 2018
3 Reads

Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain.

Case Rep Anesthesiol 2018 25;2018:5287150. Epub 2018 Sep 25.

Department of Anesthesiology and Pain Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

A 54-year-old male patient with postoperative axillary lymph node, intrapulmonary, intracranial, and cervical spine metastases of left liver cancer was suffering from severe, persistent, and pricking pain in the right dorsal shoulder and right arm since 3 months. The drug dose of the fentanyl transdermal patch was gradually increased after admission and an adjuvant analgesic was also included, but neither treatment alleviated the pain. It was gradually alleviated after intramedullary analgesic infusion through intrathecal pump implantation in cistern magna. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/cria/2018/5287150/
Publisher Site
http://dx.doi.org/10.1155/2018/5287150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176312PMC
September 2018
3 Reads

Preoperative Fasting Guidelines in Children: Should They Be Revised?

Case Rep Anesthesiol 2018 26;2018:8278603. Epub 2018 Aug 26.

Saint George Hospital-University Medical Center, Beirut, Lebanon.

Children presenting with ingestion of foreign bodies need gastroscopy as a primary management modality. A controversy lies regarding guidelines for preoperative fasting among children with low risk of aspiration and intraoperative complications. This case report represents cases of children who ingested foreign bodies and underwent fasting at different times preoperatively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/8278603DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129370PMC
August 2018
4 Reads

Erratum to "Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report".

Case Rep Anesthesiol 2018 19;2018:8316750. Epub 2018 Aug 19.

Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA.

[This corrects the article DOI: 10.1155/2018/7161860.]. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/cria/2018/8316750/
Publisher Site
http://dx.doi.org/10.1155/2018/8316750DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120304PMC
August 2018
5 Reads

Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban.

Case Rep Anesthesiol 2018 13;2018:7653202. Epub 2018 Aug 13.

University of Utah Department of Anesthesiology, USA.

Hematoma formation after peripheral nerve block placement is a rare event. We report a case of a morbidly obese patient who was anticoagulated with apixaban and developed a massive thigh hematoma after an ultrasound-guided adductor canal block. Despite continuous visualization of the block needle, an unrecognized vascular injury occurred leading to a 14-cm hematoma in the anterolateral thigh. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/7653202DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110037PMC
August 2018
1 Read

Can ACE-I Be a Silent Killer While Normal Renal Functions Falsely Secure Us?

Case Rep Anesthesiol 2018 9;2018:1852016. Epub 2018 Jul 9.

Department of Anaesthesia and Intensive Care Medicine, Tallaght University Hospital (Adelaide and Meath Incorporating National Children's Hospital), Ireland.

The current case report represents a warning against serious hyperkalaemia and acidosis induced by ACE-I during surgical stress while normal renal function could deceive the attending anaesthetist. Arterial gas analysis for follow-up of haemoglobin loss accidentally discovered hyperkalaemia and acidosis. Glucose-insulin and furosemide successfully corrected hyperkalaemia after 25 minutes and acidosis after 3 hours. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/1852016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077600PMC
July 2018
4 Reads

Ropivacaine Plasma Concentrations after 192-Hour High Dose Epidural Ropivacaine Infusion in a Pediatric Patient without Side Effects.

Case Rep Anesthesiol 2018 11;2018:9150980. Epub 2018 Jul 11.

Department of Anesthesiology, Pain and Palliative Medicine, Radboudumc, Nijmegen, Netherlands.

This case report discusses continuous epidural administration of ropivacaine 0.56 mg kg h for 8 days in a 7-year-old trauma patient to prevent pain, after performing a lower right and upper left leg guillotine amputation. Venous sampling after 8 days revealed bound and unbound ropivacaine concentrations of 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/9150980DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076945PMC
July 2018
2 Reads

Percutaneous Epidural Hydrogel Sealant for the Treatment of Spontaneous Intracranial Hypotension: A Case Report of Chronic Thoracic Neuralgia and Technical Lessons Learned.

Case Rep Anesthesiol 2018 3;2018:4189518. Epub 2018 Jul 3.

Department of Anesthesiology and Pain Medicine, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708-2197, USA.

We report a case in which a 34-year-old female with refractory intracranial hypotension headaches due to a spontaneous dural tear was ultimately treated with CT-guided transforaminal epidural placement of a synthetic absorbable sealant (DuraSeal®). The procedure successfully resolved her headaches; however she subsequently developed thoracic neuralgia presumably due to mass effect of the sealant material on the lower thoracic spinal cord and nerve roots. This case report describes the potential for significant spinal cord and nerve root compression as well as the development of chronic neuralgia with the placement of epidural hydrogel and fibrin glue sealants. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/4189518DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051269PMC
July 2018
2 Reads

Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report.

Case Rep Anesthesiol 2018 28;2018:7161860. Epub 2018 Jun 28.

Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA.

Quadratus Lumborum (QL) block has been successfully used for different abdominal procedures in the past. Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterized mainly by autonomic instability, motor impairment, and cognitive dysfunction. We report a case of a patient with MSA with a history of multiple episodes of unplanned admissions following outpatient minor surgical procedures under general anesthesia scheduled to undergo open inguinal hernia repair. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/7161860DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6046158PMC
June 2018
3 Reads

Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring.

Case Rep Anesthesiol 2018 7;2018:6248467. Epub 2018 Jun 7.

Department of Anesthesiology and Resuscitology, Shinshu University School of Medicine, Japan.

Insulinoma is a rare neuroendocrine tumor that causes hypoglycemia due to unregulated insulin secretion. Blood glucose management during insulinoma resection is therefore challenging. We present a case in which real-time subcutaneous continuous glucose monitoring (SCGM) in combination with intermittent blood glucose measurement was used for glycemic control during surgery for insulinoma resection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/6248467DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011100PMC
June 2018
5 Reads

Hemodynamic Response to Massive Bleeding in a Patient with Congenital Insensitivity to Pain with Anhidrosis.

Case Rep Anesthesiol 2018 3;2018:9593458. Epub 2018 Jun 3.

Division of Anesthesia, Shinonoi General Hospital, Japan.

A patient with congenital insensitivity to pain with anhidrosis (CIPA) underwent revision of total hip arthroplasty under general anesthesia with only propofol. During surgery, neither elevation of stress hormones nor hemodynamic changes associated with pain occurred; however, when blood was rapidly lost, compensatory tachycardia was observed. Although patients with CIPA are complicated with autonomic disturbance due to dysfunction of postganglionic sympathetic fibers, this compensatory response indicated that the adrenal glands in patients with CIPA secrete catecholamine as part of a compensatory response during bleeding under general anesthesia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/9593458DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6008617PMC
June 2018
11 Reads

Management of a Parturient with Mast Cell Activation Syndrome: An Anesthesiologist's Experience.

Case Rep Anesthesiol 2018 22;2018:8920921. Epub 2018 May 22.

Department of Anesthesiology, New York Medical College at Westchester Medical Center, Valhalla, NY, USA.

Mast cell activation syndrome (MCAS) is a disorder in which patients experience symptoms and signs attributable to inappropriate mast cell activation and mediator release. Multiorgan involvement in patients can result in significant morbidity and possible mortality. Limited literature exists regarding anesthetic management of patients with MCAS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/8920921DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987329PMC
May 2018
3 Reads

Unexpected Exacerbation of Tracheal Stenosis in a Patient with Hunter Syndrome Undergoing Cardiac Surgery.

Case Rep Anesthesiol 2018 10;2018:5691410. Epub 2018 May 10.

Department of Anesthesiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

We report unexpected exacerbation of tracheal stenosis during general anesthesia in a 50-year-old patient with Hunter syndrome undergoing cardiac surgery for valvular disease. He had undergone cervical laminoplasty 3 months previously; at that time, his airway had been uneventfully managed. Preoperative flexible fiberoptic laryngoscopy showed a normal upper respiratory tract, but chest computed tomography showed tracheal stenosis that had flattened the lumen. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/5691410DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971357PMC
May 2018
4 Reads

Coccydynia Treated with Dorsal Root Ganglion Stimulation.

Case Rep Anesthesiol 2018 29;2018:5832401. Epub 2018 Apr 29.

Spine & Pain Institute of New York, New York City, NY, USA.

Coccydynia can be difficult to resolve with conventional treatment options. Dorsal root ganglion (DRG) stimulation has recently emerged as a treatment for chronic pain, but its application has not been described in the context of coccydynia. We used DRG stimulation treatment in a patient suffering from intractable coccyx pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/5832401DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5949195PMC
April 2018
15 Reads

Airway Management during Thyroidectomy for a Giant Goitre due to McCune-Albright Syndrome.

Authors:
Hiroyuki Nakao

Case Rep Anesthesiol 2018 6;2018:4219187. Epub 2018 May 6.

Department of Emergency and Critical Care Medicine, Hyogo College of Medicine, Hyōgo Prefecture, Japan.

There have been no case reports to date describing the technical aspects of tracheal intubation in a patient with a goitre associated with McCune-Albright syndrome (MAS), even though goitre is frequently observed in this condition. I describe a case of resection of a giant goitre in a patient with MAS, with difficult airway management. Preoperative investigation showed that the trachea was shifted to the right by the goitre, with the narrowest part of the tracheal lumen 4 mm in diameter. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/4219187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960512PMC
May 2018
6 Reads

Erector Spinae Plane Block for Elective Laparoscopic Cholecystectomy in the Ambulatory Surgical Setting.

Case Rep Anesthesiol 2018 1;2018:5492527. Epub 2018 Apr 1.

Department of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark.

Postoperative pain after laparoscopic cholecystectomy can be severe. Despite multimodal analgesia regimes, administration of high doses of opioids is often necessary. This can further lead to several adverse effects such as drowsiness and respiratory impairment as well as postoperative nausea and vomiting. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/cria/2018/5492527/
Publisher Site
http://dx.doi.org/10.1155/2018/5492527DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899876PMC
April 2018
19 Reads

Anesthetic Implications for Cesarean Section in a Parturient with Complex Congenital Cyanotic Heart Disease.

Case Rep Anesthesiol 2018 29;2018:2616390. Epub 2018 Mar 29.

Department of Anesthesia and Intensive Care, Singapore General Hospital, Singapore.

The discordance between increased physiological demand during pregnancy and congenital cardiac pathology of a parturient is a perilous threat to the maternal-fetal well-being. Early involvement of a multidisciplinary team is essential in improving peripartum morbidity and mortality. Designing the most appropriate anesthetic care will require a concerted effort, with inputs from the obstetricians, obstetric and cardiac anesthesiologists, cardiologists, neonatologists, and cardiothoracic surgeons. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/2616390DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896257PMC
March 2018
7 Reads

Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic Echocardiography.

Case Rep Anesthesiol 2018 4;2018:8709026. Epub 2018 Mar 4.

Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Miami, FL, USA.

Perioperative pulmonary embolism can go undetected until the sudden onset of cardiopulmonary collapse. Point of care echocardiography in such setting can narrow the differential diagnosis of precipitous instability and facilitate tailored, rather than empiric, therapy in the event of a massive pulmonary embolism. We describe the diagnosis and successful multidisciplinary management of intraoperative massive pulmonary embolism aided by both transthoracic and transesophageal echocardiography. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/8709026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857334PMC
March 2018
6 Reads

Erector Spinae Plane Block for Different Laparoscopic Abdominal Surgeries: Case Series.

Case Rep Anesthesiol 2018 18;2018:3947281. Epub 2018 Feb 18.

Department of General Surgery, Maltepe University Faculty of Medicine, Istanbul, Turkey.

The ultrasound guided erector spinae plane (ESP) block is a recent block described for various surgeries for postoperative analgesia. ESP block has effect on both visceral and somatic pain; therefore, its use in laparoscopic cholecystectomy and other abdominal surgeries can be advantageous. We describe successful ESP block application in three different cases for postoperative pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/3947281DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5835299PMC
February 2018
6 Reads

Anesthetic Considerations for an Adult Patient with Freeman-Sheldon Syndrome Undergoing Open Heart Surgery.

Case Rep Anesthesiol 2018 13;2018:7862327. Epub 2018 Feb 13.

Department of Anesthesiology and Critical Care Medicine, MediClin Heart Institute Lahr/Baden, Lahr, Germany.

Freeman-Sheldon syndrome (FSS) or "whistling face" syndrome is a rare congenital disorder complicated by characteristic facial deformities and muscular contractures. We report on a 64-year-old male patient presenting for surgical replacement of his aortic valve and review the available literature on anesthetic considerations and perioperative management principles. FSS frequently poses a significant challenge to airway management and gaining vascular access. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/cria/2018/7862327/
Publisher Site
http://dx.doi.org/10.1155/2018/7862327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5831973PMC
February 2018
13 Reads

Spinal Anaesthesia for Cesarean Section in a Patient with Vascular Type Ehlers-Danlos Syndrome.

Case Rep Anesthesiol 2018 28;2018:1924725. Epub 2018 Jan 28.

Department of Anesthesiology, Naval Medical Center Portsmouth, Portsmouth, VA, USA.

We report the administration of spinal anaesthesia for cesarean delivery in a parturient with vascular Ehlers-Danlos syndrome. Parturients who genetically inherit this disorder are at risk for significant morbidity and mortality. Risks during pregnancy include premature labor, uterine prolapse, and uterine rupture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/1924725DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829370PMC
January 2018
13 Reads

Pulmonary Edema and Diastolic Heart Failure in the Perioperative Period.

Case Rep Anesthesiol 2018 23;2018:5101534. Epub 2018 Jan 23.

Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

Heart failure with preserved ejection fraction (HFPEF) is a diagnosis encountered with increasing frequency in the aging population. We present a case of postoperative pulmonary edema in 63-year-old male with HFPEF. This patient highlights the gap in risk stratification with respect to diastolic heart failure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/5101534DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828472PMC
January 2018
8 Reads

A Rare Central Venous Catheter Malposition in a 10-Year-Old Girl.

Case Rep Anesthesiol 2018 23;2018:2658640. Epub 2018 Jan 23.

Department of Anesthesiology and Critical Care, Dr. Ali Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Central venous catheters (CVCs) are placed in operating rooms worldwide via different approaches. Like any other medical procedure, CVC placement can cause a variety of complications. We report the case of an unexpected malposition of a catheter in the right internal jugular vein, where it looped back on itself during placement and went upward into the right internal jugular vein. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/cria/2018/2658640/
Publisher Site
http://dx.doi.org/10.1155/2018/2658640DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828353PMC
January 2018
12 Reads

Ultrasound-Guided Interscalene Catheter Complicated by Persistent Phrenic Nerve Palsy.

Case Rep Anesthesiol 2018 3;2018:9873621. Epub 2018 Jan 3.

Department of Anesthesiology, The Ohio State University Wexner Medical Center, 410 W. 10th Ave., Columbus, OH 43210, USA.

A 76-year-old male presented for reverse total shoulder arthroplasty (TSA) in the beach chair position. A preoperative interscalene nerve catheter was placed under direct ultrasound-guidance utilizing a posterior in-plane approach. On POD 2, the catheter was removed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/9873621DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5817254PMC
January 2018
6 Reads

Unique Phrenic Nerve-Sparing Regional Anesthetic Technique for Pain Management after Shoulder Surgery.

Case Rep Anesthesiol 2017 19;2017:1294913. Epub 2017 Dec 19.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA.

Background: Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which can result in respiratory deterioration in patients with preexisting pulmonary conditions. Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention of providing satisfactory postoperative analgesia while minimizing hemidiaphragmatic paralysis after shoulder surgery.

Case Report: We report the successful application of a combined ultrasound-guided infraclavicular brachial plexus block and suprascapular nerve block in a patient with a complicated pulmonary history undergoing a total shoulder replacement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/1294913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749212PMC
December 2017
11 Reads

Inability to Utilize Retrograde Cardioplegia due to a Persistent Left Superior Vena Cava.

Case Rep Anesthesiol 2017 3;2017:4671856. Epub 2017 Dec 3.

Cardiothoracic Section, Department of Anesthesiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157-1009, USA.

A persistent left superior vena cava is a congenital abnormality that affects a minority of the general population. While this finding is not hemodynamically significant in all patients, failure to recognize the altered anatomy in any of these patients can be consequential during procedures such as central venous catheter placement, pacemaker/defibrillator wire placement, and use of retrograde cardioplegia during cardiac surgery. We present a case of an intraoperative diagnosis of a persistent left superior vena cava that altered the original plan to arrest the heart using retrograde cardioplegia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/4671856DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5733155PMC
December 2017
7 Reads

A Rare Complication of a TAP Block Performed after Caesarean Delivery.

Case Rep Anesthesiol 2017 29;2017:1072576. Epub 2017 Oct 29.

Department of Anesthesiology, Mount Sinai Medical Center of Florida, Miami Beach, FL 33139, USA.

The transversus abdominis plane block is a regional anesthesia technique that has become popular. Being a relatively simple procedure, the TAP block has an excellent safety profile and major complications are rare. We present a case of transient femoral nerve palsy occurring after a TAP block with involvement of the sacral plexus for a patient who had undergone a caesarean section. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/1072576DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682055PMC
October 2017
8 Reads

Conducting Prolonged General Anesthesia without Intravenous Access in a Child with Hypoplastic Left Heart Syndrome.

Case Rep Anesthesiol 2017 17;2017:5604975. Epub 2017 Oct 17.

Department of Anesthesiology, Rush University Medical Center, 1653 W. Congress Parkway, Jelke 7, Chicago, IL 60612, USA.

Children with chronic medical conditions often need multiple intravenous (IV) access instances during their hospitalizations, both peripheral and central. Obtaining a working IV in this patient population undergoing general anesthesia can be challenging. In our case report, we describe a method of administering general anesthesia in an infant with partially repaired hypoplastic left heart syndrome without IV access. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/5604975DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664257PMC
October 2017
9 Reads

An Undiagnosed Paraganglioma in a 58-Year-Old Female Who Underwent Tumor Resection.

Case Rep Anesthesiol 2017 15;2017:5796409. Epub 2017 Oct 15.

General, Vascular, Transplant Division, Department of Anesthesiology, Duke University Medical Center, Box 3823 Durham, NC 27710, USA.

Paragangliomas and pheochromocytomas are rare neuroendocrine tumors that can have high morbidity and mortality if undiagnosed. Here we report a case of an undiagnosed paraganglioma in a 58-year-old female who underwent tumor resection. The patient became severely hypertensive intraoperatively with paroxysmal swings in blood pressure and then later became acutely hypotensive after tumor removal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/5796409DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661086PMC
October 2017
8 Reads

Dexmedetomidine as Part of a Multimodal Analgesic Treatment Regimen for Opioid Induced Hyperalgesia in a Patient with Significant Opioid Tolerance.

Case Rep Anesthesiol 2017 25;2017:9876306. Epub 2017 Sep 25.

Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.

Acute postoperative pain in patients with opioid tolerance creates a significant management challenge for anesthesiologists and pain medicine physicians. A multimodal approach is key; however other factors can complicate management such as opioid induced hyperalgesia. We present the case of a patient on large amounts of intrathecal opioids for chronic pain syndrome with opioid induced hyperalgesia after an exploratory laparotomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/9876306DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632867PMC
September 2017
12 Reads

Previously Undiagnosed Spinal and Bulbar Muscular Atrophy as a Cause of Airway Obstruction after Robot-Assisted Laparoscopic Prostatectomy.

Case Rep Anesthesiol 2017 17;2017:9780265. Epub 2017 Jul 17.

Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.

Background: Preoperative vocal cord paralysis is a risk factor for postoperative respiratory distress following extubation after general anesthesia. We present an unusual case where a geriatric patient developed airway obstruction after robot-assisted laparoscopic prostatectomy.

Case Presentation: A 67-year-old male, who had suffered from left vocal cord paralysis of unknown etiology, was scheduled for robot-assisted laparoscopic prostatectomy (RALP). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/9780265DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535701PMC
July 2017
18 Reads

Ultrasound-Guided Subclavian Vein Cannulation in Neonate via Supraclavicular Approach.

Case Rep Anesthesiol 2017 9;2017:9789427. Epub 2017 Jul 9.

Department of Anesthesiology & Pain Medicine, Dumlupinar University Hospital, Merkez, Kutahya, Turkey.

Central venous cannulation of infants may be challenging. Ultrasonography is recommended and has been found superior to classic landmark technique in pediatric central venous cannulation. The cannulation of the subclavian vein using supraclavicular approach under real-time ultrasound guidance is a novel technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/9789427DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5523351PMC
July 2017
9 Reads

Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain.

Case Rep Anesthesiol 2017 20;2017:7845358. Epub 2017 Jun 20.

New York Medical College, Valhalla, NY, USA.

We report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited voluntary guarding and tenderness without distension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/7845358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5496101PMC
June 2017
8 Reads

Discharge against Medical Advice in Surgical Patients with Posttraumatic Stress Disorder: A Case Report Series Illustrating Unique Challenges.

Case Rep Anesthesiol 2017 21;2017:3045907. Epub 2017 Jun 21.

VA Medical Center, Anesthesia Services, 4150 Clement Street, San Francisco, CA 94121, USA.

Discharge against medical advice (DAMA) can have detrimental effects on patient outcomes. Recently, the diagnosis of posttraumatic stress disorder (PTSD) has been linked with DAMA in the setting. However, PTSD as a risk factor for DAMA in patients has not received much consideration, although such patients may be at risk for triggering or amplification of PTSD symptoms perioperatively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/3045907DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497649PMC
June 2017
12 Reads

Takotsubo Cardiomyopathy after Spinal Anesthesia for a Minimally Invasive Urologic Procedure.

Case Rep Anesthesiol 2017 13;2017:8641641. Epub 2017 Jun 13.

Department of Urology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, Greece.

We present the case of a patient who suffered from Takotsubo cardiomyopathy (TCM) immediately after the initiation of subarachnoid anesthesia for a minimally invasive urologic procedure (tension-free vaginal tape (TVT) surgery for stress urine incontinence). TCM mimics acute coronary syndrome and is caused by an exaggerated sympathetic reaction to significant emotional or physical stress. Our patient suffered from chest pain, palpitations, dyspnea, and hemodynamic instability immediately following subarachnoid anesthesia and later in the postanesthesia care unit. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/8641641DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485281PMC
June 2017
14 Reads

Acute Abdominal Compartment Syndrome following Extraperitoneal Bladder Perforation.

Authors:
Ana Licina

Case Rep Anesthesiol 2017 30;2017:3073160. Epub 2017 May 30.

Austin Health, 145 Studley Road, Heidelberg, VIC 3084, Australia.

Extraperitoneal bladder perforation is a known complication of a commonly performed rigid cystoscopy. If unrecognized, this complication can lead to continuous intra-abdominal fluid leakage with consequent organ function impairment and symptoms. This is the first case report in literature of a transurethral bladder perforation causing an acute abdominal compartment syndrome, which was subsequently managed conservatively with supportive management only. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/3073160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5468565PMC
May 2017
15 Reads

Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery.

Case Rep Anesthesiol 2017 24;2017:8206970. Epub 2017 Apr 24.

Anesthesiology, University of Denver School of Medicine, Aurora, CO, USA.

We report the first case of severe respiratory failure after thyroid surgery requiring venovenous extracorporeal membrane oxygenation (vvECMO). The patient was a 41-year-old woman with metastatic thyroid cancer. She underwent thyroidectomy, including left lateral and bilateral central neck dissection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/8206970DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5421092PMC
April 2017
13 Reads