Case Reports in Anesthesiology最新文献

Safe Administration of Octenidine in a Surgical Patient With Documented Severe Chlorhexidine Anaphylaxis: A Case Report and Review of the Current Evidence. 有记录的严重氯己定过敏反应的外科患者奥西尼定的安全管理：一个病例报告和当前证据的回顾。

Case Reports in Anesthesiology Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.1155/cria/5754614

Mathias Froidevaux, Sophie Vandenberghe-Dürr, Amélie Borgeat, Julien Maillard

引用次数: 0

Charcot-Marie-Tooth Disease With Persistent Perioperative Hypotension due to Autonomic Dysfunction: A Case Report. 自主神经功能障碍所致腓骨肌病伴持续围手术期低血压1例。

Case Reports in Anesthesiology Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.1155/cria/9639101

Keevan Singh, Anna-Maria Lawrence

引用次数: 0

Propofol Exposure Precipitating a Functional Movement Disorder: A Case Report. 异丙酚暴露诱发功能性运动障碍1例报告。

Case Reports in Anesthesiology Pub Date : 2025-08-16 eCollection Date: 2025-01-01 DOI: 10.1155/cria/8850185

Shahbaz Saad, Federico Ciardi, Nathan Praschan, Brittani Bungart, Michael Fettiplace

引用次数: 0

Using Remimazolam to Generate Hemodynamically Stable Burst Suppression: A Case Report and Literature Review. 使用雷马唑仑产生血流动力学稳定的爆发抑制：1例报告和文献复习。

Case Reports in Anesthesiology Pub Date : 2025-07-30 eCollection Date: 2025-01-01 DOI: 10.1155/cria/7512576

Chin Fung Kelvin Kan, Jacob E Pollard

引用次数: 0

Infant Spinal Anesthesia for Urologic Surgery in a Patient With Epidermolysis Bullosa. 大疱性表皮松解症患者泌尿外科手术的婴儿脊髓麻醉。

Case Reports in Anesthesiology Pub Date : 2025-07-01 eCollection Date: 2025-01-01 DOI: 10.1155/cria/2537488

Alexander B Froyshteter, Jillian A Dibiase, Catherine M Seager, Alina Lazar

引用次数: 0

Erector Spinae Plane Block in Open Appendectomy: A Case Series. 开放性阑尾切除术中直立者脊柱平面阻滞：一个病例系列。

Case Reports in Anesthesiology Pub Date : 2025-06-25 eCollection Date: 2025-01-01 DOI: 10.1155/cria/3705137

Jassim Rauf, Mohammad Mohsin A M Haji

{"title":"Erector Spinae Plane Block in Open Appendectomy: A Case Series.","authors":"Jassim Rauf, Mohammad Mohsin A M Haji","doi":"10.1155/cria/3705137","DOIUrl":"10.1155/cria/3705137","url":null,"abstract":"Background: Open appendicectomy is a painful procedure requiring multimodal analgesia. Various fascial planes have been used successfully in the past as part of this multimodal analgesia like TAP block, quadratus lumborum block, and even local infiltration. All of these analgesic regimes have been shown to reduce intra- and postoperative opioid consumption. In this case series, we elaborate on the effects of ESPB on the consumption of opioids in the intra- and postoperative periods of two patients undergoing open appendicectomy. Case Series: Two American Society of Anesthesiologists (ASA) Emergency (1E) patients scheduled to undergo open appendicectomy were consented to receive ESPB after receiving GA. The block was performed at the transverse process at T12 level, on the right side with 30 mLs of 0.25% levobupivacaine. One patient received intra-op IV paracetamol and ketorolac, while the other patient did not receive paracetamol as he already received it in the ward and ketorolac was withheld due to high creatinine. The surgeries went uneventful. Both patients reported 0 NRS pain score in PACU. One of the patients recorded 0 NRS pain score till discharge, and the other reported an NRS score of 5/10 at 19 h 30 min. Both were discharged from the hospital after 24 h. Conclusion: ESPB has a potential opioid sparing effect and can provide a total morphine free analgesia both in the intra- and postoperative period in the setting of an open appendicectomy.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2025 ","pages":"3705137"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12221555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Intraoperative Reproducible Transient Bradycardia During Total Hip Arthroplasty: Direct Activation of Parasympathetic Vagal Afferents From Bone. 全髋关节置换术中可重复的短暂性心动过缓一例：骨直接激活副交感迷走神经传入神经。

Case Reports in Anesthesiology Pub Date : 2025-06-23 eCollection Date: 2025-01-01 DOI: 10.1155/cria/5583839

Yifan Li, Joseph Moskal, Maxine Lee

{"title":"A Case of Intraoperative Reproducible Transient Bradycardia During Total Hip Arthroplasty: Direct Activation of Parasympathetic Vagal Afferents From Bone.","authors":"Yifan Li, Joseph Moskal, Maxine Lee","doi":"10.1155/cria/5583839","DOIUrl":"10.1155/cria/5583839","url":null,"abstract":"The Gallagher-Wilkinson reflex was first reported by Gallagher and Wilkinson in 2001, describing intraoperative transient and reproducible bradycardia and/or asystole during intramedullary reaming in patients undergoing total knee replacement. The reflex has been originally thought to result from an indirect mechanism: the elevated intramedullary pressure transmits to intrapelvic and intra-abdominal viscera, indirectly causing a vagally mediated reflex bradycardia. Other case reports have documented this reflex and discounted potential physiologic causes such as microemboli or primary cardiac arrhythmia. Several preclinical and clinical studies have demonstrated how the parasympathetic innervation of bone modulates bone remodeling. This paper presents a case of a patient who underwent a total hip replacement, experiencing intraoperative transient and reproducible bradycardia. We postulate a direct mechanism for the Gallagher-Wilkinson reflex: increased pressure from intramedullary reaming directly activates the parasympathetic nervous system in the bone axis leading to vagally-mediated bradycardia. This case offers an alternative explanation for the Gallagher-Wilkinson reflex and emphasizes the important need for additional research to better understand parasympathetic innervation in the bone axis.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2025 ","pages":"5583839"},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Timing of Epidural Placement After an Epidural Blood Patch. 硬膜外补血后硬膜外放置的时机。

Case Reports in Anesthesiology Pub Date : 2025-06-09 eCollection Date: 2025-01-01 DOI: 10.1155/cria/1692478

Tara L Kelly, William Barrett, Amanda Bunnell, Toby B Steinberg, Christopher Wolla

引用次数: 0

Should Spinal Anesthesia Be Used for Spine Surgery: A Case Report. 脊柱手术是否应使用脊髓麻醉：1例报告。

Case Reports in Anesthesiology Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.1155/cria/7810025

Gabrielle A White-Dzuro, Xiaodong Bao, Francis McGovern, Robert A Peterfreund

引用次数: 0

Peripheral Regional Anesthesia for Awake Emergency Upper Limb Trauma Surgery in an Adult Patient With Fontan Physiology. 周围区域麻醉在醒后急诊上肢创伤手术中的应用。

Case Reports in Anesthesiology Pub Date : 2025-04-09 eCollection Date: 2025-01-01 DOI: 10.1155/cria/9525591

Patrick N Wiseman, Molly Featherstone, Noreen Dowd, Aislinn Sherwin

{"title":"Peripheral Regional Anesthesia for Awake Emergency Upper Limb Trauma Surgery in an Adult Patient With Fontan Physiology.","authors":"Patrick N Wiseman, Molly Featherstone, Noreen Dowd, Aislinn Sherwin","doi":"10.1155/cria/9525591","DOIUrl":"https://doi.org/10.1155/cria/9525591","url":null,"abstract":"Background: The Fontan procedure is the principal technique used in the surgical palliation of a range of congenital heart defects involving a single functional ventricle. With improvements in surgical technique and medical management, patients with Fontan physiology are surviving longer and a growing number are now presenting for noncardiac surgery in adulthood. The Fontan physiology provides a unique challenge for anaesthesiologists managing their perioperative care. This case report explores this challenge further and emphasises the benefits which regional anaesthesia can provide in the management of these complex patients. Case Presentation: We report the successful use of supraclavicular brachial plexus and intercostobrachial nerve blockade for awake surgery in a 27-year-old patient who had previously undergone a Fontan procedure at 5 years of age and now presented for emergency fixation of complex fractures of his radius, ulna and olecranon following a fall from his electric bicycle. Conclusions: This case report and ensuing discussion highlight the benefits which regional anaesthesia can provide for adult patients with complex cardiac physiology, including Fontan circulation, undergoing noncardiac surgery when compared to general anaesthesia.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2025 ","pages":"9525591"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0