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


Successful Perioperative Management with Damage Control Surgery in a Patient with Massive Postpartum Hemorrhage of More Than 20,000 mL.

Case Rep Anesthesiol 2020 16;2020:8872925. Epub 2020 Jun 16.

Department of Anesthesiology, Fukushima Medical University, 1, Hikariga-oka, Fukushima 960-1297, Japan.

Disseminated intravascular coagulation (DIC) in obstetrics is related to postpartum hemorrhage and has been a leading cause of maternal death. We here report a successful treatment, via damage control surgery (DCS), of a life-threatening massive hemorrhage of more than 20,000 mL due to DIC. A 30-year-old female was admitted to our hospital because of atonic bleeding. Read More

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http://dx.doi.org/10.1155/2020/8872925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315259PMC

Intraoperative Management of Large Resuscitation-Associated Venous Air Embolism (VAE) for Emergent Neurological Surgery.

Case Rep Anesthesiol 2020 6;2020:8868037. Epub 2020 Jun 6.

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

Venous air embolism (VAE) is a well-described phenomenon that may have life-threatening cardiopulmonary and neurological consequences. Accidental administration of air during resuscitation while using a rapid infuser is rare. Furthermore, there is a paucity of published data describing the intraoperative management of VAE during emergent nonseated neurological surgery. Read More

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http://dx.doi.org/10.1155/2020/8868037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294353PMC

Severe Intraoperative Bradycardia during Laparoscopic Cholecystectomy due to Rapid Peritoneal Insufflation.

Case Rep Anesthesiol 2020 6;2020:8828914. Epub 2020 Jun 6.

Department of Anesthesia and Intensive Care, Jahra Hospital, Al Jahra, Kuwait.

Laparoscopy is becoming increasingly popular in gynecological and general surgical operations. There are complications that are inherent to the laparoscopy techniques; amongst them is intraoperative vagal-mediated bradycardia that results from peritoneal stretching. This can occur due to high flow rate of gas during peritoneal insufflation, a practice still happening nowadays. Read More

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http://dx.doi.org/10.1155/2020/8828914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294365PMC

Sugammadex-Associated Hypotension, Bradycardia, Asystole, and Death.

Case Rep Anesthesiol 2020 10;2020:8767195. Epub 2020 Jun 10.

MD Anderson Cancer Center, Houston, TX, USA.

On December 16, 2015, the Food and Drug Administration (FDA) in the United States approved sugammadex (Bridion, Merck and Co), a modified gamma-cyclodextrin, to be used as a reversal agent. It is a first and unique selective nondepolarizing steroidal muscle relaxant (NDSMR) binding agent with a great affinity for rocuronium and vecuronium. However, there have been several recently published case reports of bradycardia and asystole immediately after sugammadex administration for the reversal. Read More

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http://dx.doi.org/10.1155/2020/8767195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303763PMC

Anesthesia outside the Operating Room in a Patient with Mitochondrial Disease.

Case Rep Anesthesiol 2020 16;2020:7902820. Epub 2020 May 16.

Department of Anesthesiology and Resuscitation, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.

Mitochondrial dysfunction comprehends a wide range of genetic disorders. These patients' precarious metabolic balance makes its management difficult. Furthermore, the same systems affected by mitochondrial disease can be altered by many of the frequently used anesthetic agents. Read More

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http://dx.doi.org/10.1155/2020/7902820DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246418PMC

Anesthetic Management for Cesarean Delivery in a Patient with a Gigantic Intracranial Tumor.

Case Rep Anesthesiol 2020 10;2020:9792580. Epub 2020 Apr 10.

Department of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USA.

A 31-year-old G5P1 patient with unremarkable past medical history at 29 weeks of gestation was diagnosed with a gigantic left frontotemporal brain mass. Initial clinical management as an inpatient achieved an improvement in the symptoms. The patient and surgical team agreed to schedule a cesarean delivery at 32 weeks of gestation if no neurological deterioration was observed. Read More

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http://dx.doi.org/10.1155/2020/9792580DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171641PMC

Detection and Management of Intraoperative Pneumothorax during Laparoscopic Cholecystectomy.

Case Rep Anesthesiol 2020 7;2020:9273903. Epub 2020 Apr 7.

Department of General Surgery, Farwaniya Hospital, Sabah Al Nasser, Kuwait.

Intraoperative pneumothorax is a rare but potentially lethal complication during general anesthesia. History of lung disease, barotrauma, and laparoscopic surgery increase the risk of developing intraoperative pneumothorax. The diagnosis during surgery could be difficult because the signs are often nonspecific. Read More

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http://dx.doi.org/10.1155/2020/9273903DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7166272PMC

Partnering with Palliative Care: A Case Report of Severe Pain in Critical Limb Ischemia Treated Successfully with a Continuous Popliteal Nerve Catheter.

Case Rep Anesthesiol 2020 6;2020:1054521. Epub 2020 Apr 6.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 1 St SW, Rochester, MN 55904, USA.

Background: Critical limb ischemia (CLI) is limb pain occurring at rest or impending limb loss as a result of lack of blood flow to the affected extremity. CLI pain is challenging to control despite multimodal pharmacologic analgesia and surgical intervention. We described the successful use of a continuous local anesthetic infusion via a popliteal nerve catheter to control severe refractory ischemic lower limb pain in a patient who failed surgical intervention and performed a brief narrative literature review on regional anesthesia for ischemic pain. Read More

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http://dx.doi.org/10.1155/2020/1054521DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7166256PMC

Successful Anesthetic Management Using Dexmedetomidine Sequentially with Propofol in the Asleep-Awake-Asleep Technique for Elderly Patients Undergoing Awake Craniotomy.

Case Rep Anesthesiol 2020 27;2020:6795363. Epub 2020 Mar 27.

Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan.

Anesthesiologists should supply proper sedation and high-quality awakening in awake craniotomy anesthesia. At our institution, we perform an asleep-awake-asleep technique for awake craniotomy anesthesia by using short-acting anesthetic drugs, such as propofol and remifentanil. However, elderly patients do not wake adequately in our normal protocol and hence are unable to complete the required neurological tasks. Read More

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http://dx.doi.org/10.1155/2020/6795363DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139854PMC

Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block.

Case Rep Anesthesiol 2020 27;2020:6062935. Epub 2020 Mar 27.

Anesthesia Department, McMaster University, Hamilton, Canada.

Multimodal anesthesia, which combines general and epidural anesthesia, is used in surgical cases in which a large or painful incision is anticipated. However, both epidural blocks and opioid-based analgesia have limitations in application. Here, we present a case of supra-infraumbilical laparotomy in a patient whose history of neurostimulator use and marked scoliosis discouraged the placement of an epidural catheter and whose prior adverse response to opioids prohibited their use. Read More

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http://dx.doi.org/10.1155/2020/6062935DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140130PMC

Anesthesia Experience for Open Gastrostomy with Ultrasound-Guided Erector Spinae Plane Block: A Case Report.

Case Rep Anesthesiol 2020 26;2020:5413848. Epub 2020 Mar 26.

Section of Anesthesia, Intensive Care and Pain Medicine, Santa Maria Della Misericordia Hospital, Piazzale G. Menghini 1, 06129 Perugia, Italy.

From the first description in 2016 till today, hundreds of studies have extensively presented Erector Spinae Plane block as an excellent perioperative analgesic technique especially in a multimodal pain management scenario. Only in few cases, this technique was used alone to provide surgical anesthesia. Read More

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http://dx.doi.org/10.1155/2020/5413848DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136758PMC

Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature.

Case Rep Anesthesiol 2020 18;2020:8925731. Epub 2020 Mar 18.

Department of Anesthesia, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY 11794, USA.

Epidural blood patch (EBP), generally considered a low-risk procedure, can potentially lead to significant neurological complications. We report the case of a parturient who underwent an uneventful EBP for postdural puncture headache (PDPH) and subsequently presented with progressively worsening radicular symptoms. Magnetic resonance imaging (MRI) revealed an intrathecal hematoma, and conservative management with steroids led to complete recovery. Read More

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http://dx.doi.org/10.1155/2020/8925731DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104125PMC

Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery.

Case Rep Anesthesiol 2020 9;2020:5628348. Epub 2020 Mar 9.

Mayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

In 2016, more than 11 million people reported misuse of opioids in the previous year. In an effort to combat opioid use disorder (OUD), the use of agonist/antagonist is becoming increasingly common, with more than 2.2 million patients reporting use of a buprenorphine containing medication such as Suboxone®. Read More

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http://dx.doi.org/10.1155/2020/5628348DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085354PMC

Cuff Failure of Spiral-Filled Polyvinyl Chloride Endotracheal Tube Immediately after Tracheal Intubation Using a Channeled Videolaryngoscope (Pentax Airway Scope).

Case Rep Anesthesiol 2020 10;2020:3658092. Epub 2020 Mar 10.

Department of Medical Engineering, Kawasaki University of Medical Welfare, Kurashiki City, Japan.

We report on a case of mechanical damage to the spiral-filled polyvinyl chloride endotracheal tube that occurred shortly after tracheal intubation using a channeled videolaryngoscope (Pentax airway scope). We also found this problem in two other cases among 350 neurosurgery patients over the past 5 years. Prior to intubation, we did not observe any defect in the cuff. Read More

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http://dx.doi.org/10.1155/2020/3658092DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085831PMC

Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures.

Case Rep Anesthesiol 2020 12;2020:1830136. Epub 2020 Mar 12.

Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan University, Kathmandu, 44600, Nepal.

Fractures in and around the hip are common presentations in the emergency department. It is commonly seen in the elderly as a result of osteoporotic changes. However, younger age groups are also affected, especially as a result of high velocity trauma. Read More

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http://dx.doi.org/10.1155/2020/1830136DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7091518PMC

Successful Regional Anesthetic for a Parturient with Moyamoya Syndrome.

Case Rep Anesthesiol 2020 10;2020:1785041. Epub 2020 Mar 10.

Department of Anesthesiology, NYP-Brooklyn Methodist Hospital, Brooklyn, NY, USA.

Anesthesia for Cesarean section could be challenging due to the physiological changes during pregnancy, but it can be more complicated if associated with sickle cell disease and moyamoya disease. The moyamoya syndrome is nothing but sickle cell disease complicated by cerebral vasculopathy. Incidence of moyamoya disease in the USA is 0. Read More

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http://dx.doi.org/10.1155/2020/1785041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085866PMC

Irreversible Acquired Noncompaction Cardiomyopathy in a Parturient with Corrected Atrial Septal Defect: A Case Report and Clinical Implications.

Case Rep Anesthesiol 2020 29;2020:1937589. Epub 2020 Feb 29.

Department of Anesthesiology, Royal Victoria Hospital-Glen Site, McGill University Health Center, Montréal, QC, Canada.

Left ventricular noncompaction (LVNC) is described as a cardiomyopathy with an increase in left ventricle trabeculations and recesses. We report a rare case of persistent pregnancy-acquired LVNC cardiomyopathy and review the anesthetic peripartum management strategies. A 33-year-old parturient was followed closely by the high-risk obstetric service for her second pregnancy. Read More

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http://dx.doi.org/10.1155/2020/1937589DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066400PMC
February 2020

Early Recognition and Treatment of Malignant Hyperthermia in Pediatric Patient during Bronchoscopy.

Case Rep Anesthesiol 2020 22;2020:6562896. Epub 2020 Feb 22.

Department of Anesthesiology, Faculty of Medicine, Mae Fah Luang University Hospital, Chiang Rai, Thailand.

Malignant hyperthermia is a rare pharmacogenetic disorder triggered by depolarizing muscle relaxant and potent volatile anesthetic agents. An MH crisis is an emergency and life-threatening event requiring early recognition and prompt management. Dantrolene is the specific antagonist of MH. Read More

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http://dx.doi.org/10.1155/2020/6562896DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057021PMC
February 2020

Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor.

Case Rep Anesthesiol 2020 13;2020:6893587. Epub 2020 Feb 13.

Department of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USA.

A 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery. Read More

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http://dx.doi.org/10.1155/2020/6893587DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040380PMC
February 2020

ST Elevations and Ventricular Tachycardia Secondary to Coronary Vasospasm upon Extubation.

Case Rep Anesthesiol 2020 12;2020:1527345. Epub 2020 Feb 12.

Department of Anesthesia Critical Care and Pain, Massachusetts General Hospital, Boston, Massachusetts, USA.

ST elevations (STE) in the perioperative setting can result from a number of different etiologies, the most common and feared being acute coronary syndrome (ACS). However, other causes should be considered, as treatment may differ depending on the diagnosis. Here, we describe a case of STE and ventricular tachycardia in a patient at high risk for ACS. Read More

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http://dx.doi.org/10.1155/2020/1527345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037527PMC
February 2020

Left Lower Lung Collapse in a Patient Undergoing Endoscopic Procedure.

Case Rep Anesthesiol 2020 31;2020:8670102. Epub 2020 Jan 31.

Department of Anesthesiology, NYP-Brooklyn Methodist Hospital, New York City, NY, USA.

ASA closed claims from 2000 to 2009 have shown that adverse respiratory events are more common in nonoperating room locations like endoscopy suite than in the operating room (44% v/s 20%). Here, we report a case of lung atelectasis which resulted in hypoxemia in a malnourished patient undergoing endoscopic procedure. It is crucial to identify the high-risk patients and monitor them appropriately in the postoperative phase. Read More

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http://dx.doi.org/10.1155/2020/8670102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013292PMC
January 2020

Skin Testing to Identify Safe Drugs for Patients with Rocuronium-Induced Anaphylaxis.

Case Rep Anesthesiol 2020 28;2020:8163620. Epub 2020 Jan 28.

Department of Anesthesiology, Musashikosugi Hospital Nippon Medical School, Kawasaki, Kanagawa, Japan.

Among patients who develop anaphylaxis during anesthesia, anaphylaxis caused by a neuromuscular blocking agent has the highest incidence. In patients who developed IgE-mediated anaphylaxis, and cross-reactivity among NMBAs is a concern in subsequent anesthetic procedures. We present a patient who developed rocuronium-induced anaphylaxis in whom the skin prick test (SPT) and intradermal test (IDT) could identify a safe drug to use in the subsequent anesthetic procedure. Read More

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http://dx.doi.org/10.1155/2020/8163620DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008275PMC
January 2020

Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous Fistula.

Case Rep Anesthesiol 2020 30;2020:3714718. Epub 2020 Jan 30.

Department of ENT, Maharajgunj Medical Campus, Kathmandu, Nepal.

A 4-year-old child had closure of tracheocutaneous fistula under general anaesthesia. He developed extensive surgical emphysema over the face, chest, and upper abdomen immediately in the recovery room. We gave him oxygen supplementation, removed surgical stitch, and inserted a 4 mm tracheostomy tube to secure airway. Read More

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http://dx.doi.org/10.1155/2020/3714718DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011345PMC
January 2020

Erroneous Activated Coagulation Time During Atrial Flutter Ablation.

Case Rep Anesthesiol 2020 6;2020:3842051. Epub 2020 Jan 6.

Assistant Professor of Anesthesiology, Montefiore Medical Center/Albert Einstein College of Medicine, 111 East 210 St. 4 Floor Silver Zone, Bronx, NY 10467, USA.

When performing left-sided catheter ablation, anticoagulation is used to prevent formation of thrombi that might embolize. After heparin administration, appropriate anticoagulation is confirmed by measuring Activated Coagulation Time (ACT). We report a case during which ACT results were erroneous, and review alternatives to the ACT under such circumstances. Read More

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http://dx.doi.org/10.1155/2020/3842051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969646PMC
January 2020

Anesthetic Management of a Voluminous Left Atrial Myxoma Resection in a 19 Weeks Pregnant with Atypical Clinical Presentation.

Case Rep Anesthesiol 2019 12;2019:4181502. Epub 2019 Dec 12.

Department of Anesthesiology, University Hospital Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium.

We report the case of a semi-urgent cardiac surgery, in a 19 gestation age pregnant. Despite the fact that the patient was asymptomatic, except for some palpitations, a large left auricle (LA) myxoma was fortuitously diagnosed with transthoracic echocardiography (TEE). Considering the important embolic risk, the tumor was successfully removed during cardiac surgery under cardiopulmonary bypass (CPB). Read More

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http://dx.doi.org/10.1155/2019/4181502DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942744PMC
December 2019

Sentinel Node Biopsy and Lumpectomy in a Patient with Machado-Joseph Disease.

Case Rep Anesthesiol 2019 12;2019:2309598. Epub 2019 Dec 12.

Anesthesiology/Pain Medicine, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.

Spinocerebellar ataxia 3 (SCA3), also known as Machado-Joseph disease (MJD) is an autosomal dominant, progressive neurodegenerative disorder. Patients present with cerebellar ataxia, dystonia, rigidity, and neuropathy that worsen with time. On a molecular level, it occurs due to a CAG trinucleotide repeat expansion in the gene. Read More

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http://dx.doi.org/10.1155/2019/2309598DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942782PMC
December 2019

Intermittent Boluses of Local Anesthetic Through Quadratus Lumborum Catheters for Analgesia in a Living Donor Hepatectomy.

Case Rep Anesthesiol 2019 23;2019:1246256. Epub 2019 Dec 23.

Anesthesiologist, Associate Professor, Department of Anesthesiology, University of Wisconsin, School of Medicine and Public Health, Madison, WI, USA.

The demand for liver transplants in the United States far exceeds the supply of organs. As need has increased, so has use of living donors. Coagulopathy and various side effects often preclude the use of neuraxial regional techniques and opioids for postoperative analgesia in patients with large "J" incisions. Read More

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http://dx.doi.org/10.1155/2019/1246256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942774PMC
December 2019

Intubation of a Patient with a Large Goiter: The Advantageous Role of Videolaryngoscopy.

Case Rep Anesthesiol 2019 5;2019:1327482. Epub 2019 Dec 5.

Department of Anesthesiology and Critical Care Medicine, George Washington University Hospital, George Washington University School of Medicine and Health Sciences, 2300 I St NW, Washington, DC 20037, USA.

Fiberoptic bronchoscopy has long been considered the gold standard for patients who present with a difficult airway. In the case presented, a patient has a large palpable goiter and requires intubation. After the unsuccessful attempt to intubate with the use of fiberoptic bronchoscopy, the decision to switch to videolaryngoscopy afforded a positive result. Read More

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http://dx.doi.org/10.1155/2019/1327482DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915117PMC
December 2019

Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery.

Case Rep Anesthesiol 2019 24;2019:9581285. Epub 2019 Nov 24.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.

We present the case of a 58-year-old woman who underwent a minimally invasive robotic-assisted L4-S1 instrumentation and fusion which was complicated by a Kirschner wire (K-wire) fracture and migration into the abdominal cavity necessitating emergent exploratory laparotomy. Retrieval of the K-wire proceeded without incident, and the patient had an otherwise uneventful surgery and recovery. This is the first such case description reported in the literature. Read More

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http://dx.doi.org/10.1155/2019/9581285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906877PMC
November 2019

Corrigendum to "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;2019:3605064. Epub 2019 Nov 20.

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

[This corrects the article DOI: 10.1155/2019/3189719.]. Read More

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http://dx.doi.org/10.1155/2019/3605064DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886350PMC
November 2019

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

Case Rep Anesthesiol 2019;2019:7254218. Epub 2019 Oct 29.

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

[This corrects the article DOI: 10.1155/2018/2896032.]. Read More

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http://dx.doi.org/10.1155/2019/7254218DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875387PMC
October 2019

Tongue Tied after Shoulder Surgery: A Case Series and Literature Review.

Case Rep Anesthesiol 2019 29;2019:5392847. Epub 2019 Oct 29.

Mayo Clinic, Phoenix, AZ, USA.

This article presents three cases of cranial nerve palsy following shoulder surgery with general anesthesia in the beach chair position. All patients underwent preoperative ultrasound-guided interscalene nerve block. Two cases of postoperative hypoglossal and one case of combined hypoglossal and recurrent laryngeal nerve palsies (Tapia's syndrome) were identified. Read More

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http://dx.doi.org/10.1155/2019/5392847DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855057PMC
October 2019

Use of a Tracheal Tube as a Nasally Inserted Supraglottic Airway in a Case of Near-Fatal Airway Obstruction Caused by Epiglottitis.

Case Rep Anesthesiol 2019 31;2019:2160924. Epub 2019 Oct 31.

Department of Anesthesia, Japan Community Health Care Organization Kyushu Hospital, Kitakyushu 806-8501, Japan.

Airway management is critical during near-fatal obstruction of the upper airway in epiglottitis; however, this is challenging because of the sitting posture and agitated mental status of the patient. Moreover, there is currently no established protocol for safe airway management in patients with epiglottitis. Here, we describe the use of a conventional tracheal tube as a nasolaryngeal airway to maintain airway patency at the site of airway narrowing in the supine position, which enabled alleviation of imminent airway obstruction in a patient with epiglottitis. Read More

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http://dx.doi.org/10.1155/2019/2160924DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875303PMC
October 2019

Aversion for Avulsion: A Case of Delayed Diagnosis of Traumatic Tricuspid Rupture.

Case Rep Anesthesiol 2019 5;2019:1562124. Epub 2019 Nov 5.

Department of Anesthesiology, Kaiser Permanente Wailuku, Maui Memorial Medical Center, Maui, HI, USA.

Tricuspid rupture secondary to blunt force trauma is a rare diagnosis. However, the incidence of this injury is rising due to the improved initial treatment of complex trauma patients as well as enhanced early detection methods through the use of cardiac ultrasound. We report the case of an otherwise healthy 42 year old male who sustained significant blunt force trauma after a single motor vehicle accident. Read More

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http://dx.doi.org/10.1155/2019/1562124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875343PMC
November 2019
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Acute Awake Fiberoptic Intubation in the ICU in a Patient with Limited Mouth Opening and Hypoxemic Acute Respiratory Failure.

Case Rep Anesthesiol 2019 23;2019:6421910. Epub 2019 Oct 23.

Department of Intensive Care Medicine, Aarhus University Hospital, 8200 Aarhus N, Denmark.

The incidence and survival of patients with head-and-neck cancer have been on the increase for decades. Following surgery or radiation therapy, complications such as difficult airways may evolve. These difficult airways may be unique and not manageable with conventional intubation methods as well as video laryngoscopes. Read More

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http://dx.doi.org/10.1155/2019/6421910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6854940PMC
October 2019

The Use of Succinylcholine in Brugada Syndrome: A Case Report and Discussion of Literature.

Case Rep Anesthesiol 2019 27;2019:5182672. Epub 2019 Oct 27.

Cardiologist, Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.

We describe a patient with a major depression and a newly discovered Brugada syndrome, who was successfully treated with 35 electroconvulsive therapy sessions using succinylcholine as muscle relaxant. We discuss the use of succinylcholine in patients with Brugada syndrome. Read More

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http://dx.doi.org/10.1155/2019/5182672DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6854987PMC
October 2019

Airway Compromise due to Retropharyngeal Emphysema-A Rare Complication of an Extravasated Peripherally Inserted Central Venous Catheter.

Authors:
Ana Licina

Case Rep Anesthesiol 2019 16;2019:6980475. Epub 2019 Oct 16.

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

A 48-year-old woman was scheduled for flexible bronchoscopy, video-assisted thoracoscopic surgery and mediastinal washout. She had developed voice changes, difficulty swallowing, shortness of breath with a fever and increased respiratory rate in intensive care unit 12 days after a double liver and kidney transplantation. Computerised tomography of neck and chest demonstrated extensive retropharyngeal and subcutaneous emphysema, laryngeal distortion and pneumo-mediastinum; however, the causative factors were not immediately obvious. Read More

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http://dx.doi.org/10.1155/2019/6980475DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815971PMC
October 2019

Massive Upper Body and Cervicofacial Subcutaneous Emphysema Following Robotic Myomectomy.

Case Rep Anesthesiol 2019 10;2019:5861705. Epub 2019 Sep 10.

Department of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W. Wellington Ave, Chicago, IL 60657, USA.

Subcutaneous emphysema is defined as the unintentional introduction of air or carbon dioxide in the subcutaneous tissues. The use of robotic surgical techniques has greatly expanded over the past decade specifically to treat intraperitoneal pathology. In general, advantages of these minimally invasive procedures are reported to decrease operating time, patient morbidity, and shorten hospital stay providing a safe alternative to traditional surgery. Read More

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http://dx.doi.org/10.1155/2019/5861705DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754864PMC
September 2019
1 Read

Pulmonary Artery Catheter Seemingly Entrapped in the Skull.

Case Rep Anesthesiol 2019 5;2019:9842129. Epub 2019 Aug 5.

Department of Anesthesiology & Perioperative Care, UC Irvine School of Medicine, Irvine, USA.

A pulmonary artery catheter is an important tool for the monitoring of hemodynamics in patients. Unfortunately, misplacement of a catheter tip may occur in the vasculature local to the intended placement. Misplacement of the catheter can be further complicated by entrapment at the unintended destination. Read More

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http://dx.doi.org/10.1155/2019/9842129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699295PMC

Persistent Left Superior Vena Cava (PLSVC) with a Connection to the Azygos System: Case Report and Clinical Implications.

Case Rep Anesthesiol 2019 5;2019:5390272. Epub 2019 Aug 5.

University of Nevada, Reno School of Medicine, 1664 N. Virginia St., Reno, NV 89557, USA.

Persistent left superior vena cava (PLSVC) is a rare anatomic variant that has a significant effect on the structure of the heart and venous system with clinical implications that are far-reaching. The presence of this variant is relevant to central venous catheter insertion, cardioverter-defibrillator placement, coronary artery bypass grafting, and numerous other medical procedures. In this report, we describe a rare case of PLSVC with a connection to the azygos system; notably, the vast majority of PLSVCs connect to the coronary sinus. Read More

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http://dx.doi.org/10.1155/2019/5390272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699348PMC

Difficult Internal Jugular Central Venous Cannulation Using J-Tip Guidewire with Indwelling Peripherally Inserted Central Venous Catheters.

Case Rep Anesthesiol 2019 22;2019:5134575. Epub 2019 Jul 22.

New York Presbyterian Brooklyn Methodist Hospital, USA.

Central venous cannulation is a commonly performed procedure while managing critically ill patients; increasingly we encounter patients with indwelling wires or devices, like pacemakers, implantable cardioverter defibrillator devices, and peripherally inserted central venous catheters which complicate insertion of central venous catheters further. We present two cases where use of standard J-tip guidewire may have exacerbated the difficulty associated with internal jugular cannulation in presence of peripherally inserted central venous catheters. Recognition and avoidance of possible complications are crucial, and we discuss complexity posed by indwelling peripherally inserted central venous catheters and possible solutions. Read More

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http://dx.doi.org/10.1155/2019/5134575DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679875PMC
July 2019
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A Patient with Graves' Disease Scheduled for Thyroidectomy with High Risk for Thyroid Storm Caused by Severe Medication Nonadherence: Anaesthetic and Surgical Considerations.

Case Rep Anesthesiol 2019 22;2019:4781902. Epub 2019 Jul 22.

Department of Surgery, Hospital of Zollikerberg, 8125 Zollikerberg, Zurich, Switzerland.

In patients with failed hormone regulation who are scheduled for indispensable total thyroidectomy, the risk of thyroid storm with severe end-organ complications has to be anticipated. This case report presents the successful surgical and anaesthesiological management of a patient with Graves' disease, without any signs of perioperative thyroid storm. Possible recommendations for treatment are presented. Read More

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http://dx.doi.org/10.1155/2019/4781902DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679877PMC
July 2019
4 Reads

Explosive Vomiting Associated with Proximal Colonic Distention during a Difficult Propofol-Assisted Colonoscopy.

Case Rep Anesthesiol 2019 17;2019:6960493. Epub 2019 Jul 17.

Anesthesiology and Perioperative Medicine, Rutgers Robert Wood Johnson Medical School, 125 Paterson St. CAB 3100, New Brunswick, NJ 08901, USA.

We present a case of explosive vomiting associated with the extensive manipulation of the proximal colon during a difficult colonoscopy procedure. The cause of vomiting in this case may have been multifactorial; however, proximal colonic distention was the most likely factor because the onset of vomiting coincided with proximal colonic manipulation and happened without any prodromal signs, coughing, and airway obstruction. Propofol, the sedative most commonly administered to the patient during colonoscopy, allows for a deep state of sedation, and consequently extensive colonic distention and scope manipulation. Read More

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http://dx.doi.org/10.1155/2019/6960493DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662496PMC
July 2019
4 Reads

Ultrasound Guided Continuous Sciatic Nerve Block for Acute Herpetic Neuralgia.

Case Rep Anesthesiol 2019 2;2019:7948282. Epub 2019 Jul 2.

Section of Anesthesia, Intensive Care and Pain Medicine 1, Santa Maria della Misericordia Hospital, Perugia, Italy.

Herpes Zoster (HZ) is the reactivation of a well-known viral disease which manifests itself with painful skin lesions. An effective analgesic method during the acute phase of HZ can contribute to decrease the incidence of postherpetic neuralgia (PHN) by reducing neural sensitization. Sciatic nerve block (SNB) is useful in the management of distal lower extremity pain sustained by the sciatic nerve. Read More

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http://dx.doi.org/10.1155/2019/7948282DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6633869PMC
July 2019
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Anesthetic Management of Total Aortic Arch Replacement in a Myasthenia Gravis Patient under Deep Hypothermic Circulatory Arrest.

Case Rep Anesthesiol 2019 4;2019:3278147. Epub 2019 Jul 4.

Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan.

The anesthetic management of myasthenia gravis patients undergoing cardiac or aortic surgery under cardiopulmonary bypass, especially with deep hypothermic circulatory arrest, is challenging. We describe a case of successful anesthetic management of a myasthenia gravis patient undergoing total arch replacement with deep hypothermic circulatory arrest under neuromuscular monitoring and complete reversal of the action of neuromuscular blocking drugs by sugammadex. The present case suggests that patients with well-controlled myasthenia gravis might be safely managed in cardiac or aortic surgery under cardiopulmonary bypass with deep hypothermic circulatory arrest. Read More

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http://dx.doi.org/10.1155/2019/3278147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637670PMC
July 2019
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A Case Report of Thalamic Infarction after Lumbar Drain: A Unique Cause of Perioperative Stroke?

Case Rep Anesthesiol 2019 9;2019:8764706. Epub 2019 Jun 9.

University of California San Diego, USA.

In the case presented, a patient has an unexplained episode of hypertension during aneurysm clipping. Following the procedure, the patient was discovered to have bilateral thalamic infarctions unrelated to the vascular location of the aneurysm. After a review of the case, it becomes apparent that intracranial hypotension caused by lumbar over drainage of cerebrospinal fluid (CSF) is the likely cause of both the episode of intraoperative hypertension and the thalamic infarcts. Read More

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http://dx.doi.org/10.1155/2019/8764706DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590593PMC
June 2019
2 Reads

Transient Asystole after Sugammadex Administration for Immediate Reversal of Deep Blockade while on Dexmedetomidine Infusion in a Super Obese Patient.

Case Rep Anesthesiol 2019 21;2019:2709568. Epub 2019 May 21.

Department of Anesthesiology, Rutgers New Jersey Medical School, USA.

Sugammadex is increasingly used to reverse aminosteroid neuromuscular blocking agents. Dosing is calculated based on actual body weight, even for those who are obese. We report a case where a super obese patient (BMI 58. Read More

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http://dx.doi.org/10.1155/2019/2709568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556339PMC
May 2019
3 Reads

Intraoperative Pulmonary Embolism Diagnosed by Rescue Transesophageal Echocardiography in a Morbidly Obese Patient Undergoing Orthopedic Surgery following Motor Vehicle Crash.

Case Rep Anesthesiol 2019 26;2019:2429194. Epub 2019 May 26.

Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

A case of intraoperative pulmonary embolism diagnosed by rescue transesophageal echocardiography in a morbidly obese patient undergoing orthopedic surgery following motor vehicle crash, who developed acute and persistent tachycardia, hypotension, and reduction of end-tidal CO2 during general and regional anesthesia, is described. Read More

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http://dx.doi.org/10.1155/2019/2429194DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556296PMC
May 2019
3 Reads

Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium.

Case Rep Anesthesiol 2019 26;2019:2320879. Epub 2019 May 26.

Department of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave, Suite 4815, Chicago, IL 60657, USA.

Pericardial cysts are rare mediastinal cysts composed of a single fluid-filled mesothelial layer and can be congenital in origin or develop secondary to pericarditis, trauma, or infection. Although most pericardial cysts are asymptomatic, life-threatening complications can occasionally occur. We report on a 57-year-old man with an asymptomatic 9 cm pericardial cyst that was incidentally found as an abnormal cardiac silhouette on routine chest radiography. Read More

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http://dx.doi.org/10.1155/2019/2320879DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556248PMC
May 2019
4 Reads

New Onset Tinnitus after High-Frequency Spinal Cord Stimulator Implantation.

Case Rep Anesthesiol 2019 2;2019:5039646. Epub 2019 May 2.

Department of Anesthesiology and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.

The most common complications of spinal cord stimulation (SCS) therapy are generally related to surgical site infection and hardware malfunction. Less well understood are the adverse neurological effects of this therapy. We present the case of a patient who underwent placement of a Senza HF10 high-frequency spinal cord stimulator with subsequent development of tinnitus, vertigo, intermittent involuntary left facial twitches, and perioral numbness. Read More

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https://www.hindawi.com/journals/cria/2019/5039646/
Publisher Site
http://dx.doi.org/10.1155/2019/5039646DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521477PMC
May 2019
10 Reads