Case Reports in Anesthesiology最新文献

Double Trouble: Combined Prekallikrein and IgA Deficiencies in a Patient Undergoing Orthotopic Heart Transplantation-A Case Report. 双重麻烦：在接受原位心脏移植的患者合并Prekallikrein和IgA缺乏- 1例报告。

Case Reports in Anesthesiology Pub Date : 2026-04-27 eCollection Date: 2026-01-01 DOI: 10.1155/cria/9463500

Brittany McLay, Jocelyn E Coholich, Katelyn Glines, Jonathan A Bond, Mir Ali Abbas Khan, Brian P Peppers, Sonikpreet Aulakh

{"title":"Double Trouble: Combined Prekallikrein and IgA Deficiencies in a Patient Undergoing Orthotopic Heart Transplantation-A Case Report.","authors":"Brittany McLay, Jocelyn E Coholich, Katelyn Glines, Jonathan A Bond, Mir Ali Abbas Khan, Brian P Peppers, Sonikpreet Aulakh","doi":"10.1155/cria/9463500","DOIUrl":"https://doi.org/10.1155/cria/9463500","url":null,"abstract":"Prekallikrein (PK) and selective IgA deficiencies are rare, and their coexistence in a cardiac transplant patient presents unique challenges. These disorders affect anticoagulation monitoring and transfusion safety, necessitating tailored perioperative strategies. We present the case of a 58-year-old female with both PK and IgA deficiency who underwent orthotopic heart transplantation (OHT), complicated by significant postoperative bleeding requiring re-exploration. A multidisciplinary plan included FFP-based IgA desensitization and correction of elevated ACT from PK deficiency. Anti-Xa levels were used to confirm anticoagulation. The patient tolerated unwashed blood products without anaphylaxis and recovered uneventfully. This is the first known report of combined PK and IgA deficiencies in cardiac surgery. It highlights a successful strategy involving perioperative FFP administration for both desensitization and ACT normalization. These measures ensured safe anticoagulation and transfusion in a high-risk setting.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2026 ","pages":"9463500"},"PeriodicalIF":0.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783860","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

Physiological Persistence of Tension Pneumothorax After Minor Diaphragmatic Injury During Laparoscopic Adrenalectomy: A Case Report. 腹腔镜肾上腺切除术中轻微膈损伤后张力性气胸的生理持续：1例报告。

Case Reports in Anesthesiology Pub Date : 2026-04-27 eCollection Date: 2026-01-01 DOI: 10.1155/cria/6594164

Eun Ji Park, Jeong-Min Hong, Hyeon-Jeong Lee, Unji Kim, Wangseok Do

{"title":"Physiological Persistence of Tension Pneumothorax After Minor Diaphragmatic Injury During Laparoscopic Adrenalectomy: A Case Report.","authors":"Eun Ji Park, Jeong-Min Hong, Hyeon-Jeong Lee, Unji Kim, Wangseok Do","doi":"10.1155/cria/6594164","DOIUrl":"https://doi.org/10.1155/cria/6594164","url":null,"abstract":"Background: During laparoscopic surgery, tension pneumothorax may persist despite prompt anatomical repair of a diaphragmatic injury, posing a diagnostic and management challenge for anesthesiologists under general anesthesia.Case: A 68-year-old male undergoing bilateral laparoscopic adrenalectomy using a retroperitoneal approach developed progressive hypoxemia, hypercapnia, elevated peak inspiratory pressure, and hemodynamic instability approximately 4 h after surgical initiation. A minor diaphragmatic injury was identified and immediately repaired after reduction of pneumoretroperitoneum. Despite anatomical correction, respiratory and circulatory instability persisted, requiring high-dose vasopressor support and 100% inspired oxygen until the end of surgery. A radiograph obtained at the conclusion of surgery demonstrated marked mediastinal shift consistent with tension pneumothorax. The pneumothorax resolved spontaneously with supportive ventilation, and the patient recovered without chest tube insertion.Conclusion: This case highlights a physiological pitfall rather than a rare complication: even a minor diaphragmatic injury can result in sustained tension physiology despite timely anatomical repair during prolonged laparoscopic surgery. Continuous vigilance for evolving physiological abnormalities and proactive anesthesiologist-led management are essential.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2026 ","pages":"6594164"},"PeriodicalIF":0.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13114809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783870","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

Right Stellate Ganglion Blockade as a Bridging Therapy Prior to Sympathectomy in a Hemodynamically Unstable Adolescent With Ventricular Storm Secondary to Congenital Long QT Syndrome. 右星状神经节阻滞作为交感神经切除术前的桥接治疗在血流动力学不稳定的青少年继发于先天性长QT综合征的心室风暴。

Case Reports in Anesthesiology Pub Date : 2026-04-27 eCollection Date: 2026-01-01 DOI: 10.1155/cria/9787071

Pedro Gabriel Dotto, Ian Novy Quadri, Rafael de March Ronsoni, Marcelo Murilo Mejia

{"title":"Right Stellate Ganglion Blockade as a Bridging Therapy Prior to Sympathectomy in a Hemodynamically Unstable Adolescent With Ventricular Storm Secondary to Congenital Long QT Syndrome.","authors":"Pedro Gabriel Dotto, Ian Novy Quadri, Rafael de March Ronsoni, Marcelo Murilo Mejia","doi":"10.1155/cria/9787071","DOIUrl":"https://doi.org/10.1155/cria/9787071","url":null,"abstract":"Ventricular electrical storm is a life-threatening emergency, especially in pediatric settings. The condition is largely mediated by heightened cardiac adrenergic tone and may be triggered by acquired conditions, while therapeutic options remain limited. We report the case of a 15-year-old male adolescent with profound functional impairment and congenital long QT syndrome admitted to a tertiary pediatric cardiology referral center in Southern Brazil for the treatment of aspiration pneumonia, who subsequently presented with refractory ventricular electrical storm during hospitalization. Despite optimized medical therapy in the intensive care unit, the patient became severely hemodynamically unstable and was deemed unsuitable for immediate definitive cardiac sympathectomy. A temporary autonomic modulation strategy using right stellate ganglion blockade was proposed. The intervention was successful in suppressing the electric storm, promoting hemodynamic stabilization, and serving as a bridging therapy until sympathectomy could be safely performed under more stable clinical conditions.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2026 ","pages":"9787071"},"PeriodicalIF":0.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783932","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

Severe Suspected Anaphylaxis due to Sugammadex in a Healthy Patient Undergoing Endoscopic Sinus Surgery: A Case Report. 一名健康患者接受内窥镜鼻窦手术后因糖玛德引起的严重疑似过敏反应：一例报告。

Case Reports in Anesthesiology Pub Date : 2026-04-21 eCollection Date: 2026-01-01 DOI: 10.1155/cria/4537025

Thai Quoc Phan, Quan Quang Luu, Thanh Minh Vo, Khuong Kinh Luu

{"title":"Severe Suspected Anaphylaxis due to Sugammadex in a Healthy Patient Undergoing Endoscopic Sinus Surgery: A Case Report.","authors":"Thai Quoc Phan, Quan Quang Luu, Thanh Minh Vo, Khuong Kinh Luu","doi":"10.1155/cria/4537025","DOIUrl":"https://doi.org/10.1155/cria/4537025","url":null,"abstract":"Background: Sugammadex is widely used for reversal of steroidal neuromuscular blockade and is generally considered safe; however, rare cases of anaphylaxis have been reported.Case presentation: A 36-year-old healthy Vietnamese male patient underwent elective endoscopic sinus surgery under general anesthesia. Neuromuscular blockade induced by rocuronium was reversed with sugammadex (4 mg/kg). Within 5-6 min after administration, shortly after arrival in the postanesthesia care unit, the patient developed acute dyspnea, generalized erythema and urticaria, severe hypotension, tachycardia, and bronchospasm, consistent with anaphylactic shock. Immediate treatment with epinephrine, fluid resuscitation, and airway support led to rapid stabilization. The patient recovered fully and was discharged on postoperative Day 3.Conclusions: Sugammadex-induced anaphylaxis, although rare, can be life-threatening even in individuals without prior allergy history. Vigilant monitoring, early recognition, and immediate epinephrine administration are essential to improve outcomes.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2026 ","pages":"4537025"},"PeriodicalIF":0.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783920","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

2-Chloroprocaine vs. Lidocaine in a Patient With Hypermobile Ehlers-Danlos Syndrome and a History of Local Anesthetic Resistance: A Case Report. 2-氯普鲁卡因与利多卡因在过度移动的埃勒-丹洛斯综合征患者和局部麻醉抵抗史中的对比：1例报告。

Case Reports in Anesthesiology Pub Date : 2026-04-10 eCollection Date: 2026-01-01 DOI: 10.1155/cria/8693646

Jayanth Dasika, Zachary B Deutch, Amie L Hoefnagel

引用次数: 0

Anesthetic and Analgesic Management of Pediatric Patients for Staged Repeat Same-Day Surgery. 分阶段重复同日手术患儿的麻醉和镇痛管理。

Case Reports in Anesthesiology Pub Date : 2026-04-06 eCollection Date: 2026-01-01 DOI: 10.1155/cria/7047720

Martha O Herbst, Katherine G C Keech, Bryan S Brindeiro, Kristen G Berrebi, Jennifer G Powers, Michelle N Bremer Gama, Stephen R Hays

{"title":"Anesthetic and Analgesic Management of Pediatric Patients for Staged Repeat Same-Day Surgery.","authors":"Martha O Herbst, Katherine G C Keech, Bryan S Brindeiro, Kristen G Berrebi, Jennifer G Powers, Michelle N Bremer Gama, Stephen R Hays","doi":"10.1155/cria/7047720","DOIUrl":"https://doi.org/10.1155/cria/7047720","url":null,"abstract":"Background: Dermatofibrosarcoma protuberans (DFSP) is a rare dermatologic malignancy in children requiring a multidisciplinary approach for surgical excision and postoperative care. The modified \"slow Mohs\" repeat staged excision and the associated anesthetic technique are not well described in the pediatric literature.Case presentation: We describe three pediatric patients whose staged excision procedures were completed using general anesthesia plus systemic multimodal analgesia (all patients), including tunneled epidural catheters (two patients with truncal tumors) or a scheduled long-acting opioid (one patient with a forehead lesion). Complete dermatologic excision and excellent surgical analgesia were achieved in all patients. Specific interventions to verify epidural catheter position and allow potential prolonged catheter use were of particular utility in perioperative management.Conclusions: Children with DFSP present a unique challenge to provide optimal surgical and cosmetic results with serial staged Mohs excision while ensuring adequate ongoing analgesia. Close interdisciplinary communication and advance planning are essential. Multimodal analgesia, including tunneled epidural catheters if anatomically appropriate, or scheduled long-acting opioid, is a key component of successful management. Confirmation of epidural catheter position likely improves analgesic efficacy and reduces the need for catheter replacement. We suggest that the care of pediatric patients undergoing slow Mohs staged repeat excision is best undertaken in a tertiary care setting with adequate multidisciplinary subspecialist support.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2026 ","pages":"7047720"},"PeriodicalIF":0.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634405","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

Implementation of Pectointercostal Fascial Plane and Rectus Sheath Block as a Tool in Weaning From Mechanical Ventilation in Gripping Poststernotomy Pain: A Case Report. 胸间筋膜平面和直肌鞘阻滞作为机械通气工具在胸骨切开术后夹持疼痛患者中的应用：1例报告。

Case Reports in Anesthesiology Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.1155/cria/4642503

Mohammad Zishan Uddin, Maliha Karim, Md Abdul Karim, Niaz Ahmed, Saiful Islam Khan

{"title":"Implementation of Pectointercostal Fascial Plane and Rectus Sheath Block as a Tool in Weaning From Mechanical Ventilation in Gripping Poststernotomy Pain: A Case Report.","authors":"Mohammad Zishan Uddin, Maliha Karim, Md Abdul Karim, Niaz Ahmed, Saiful Islam Khan","doi":"10.1155/cria/4642503","DOIUrl":"https://doi.org/10.1155/cria/4642503","url":null,"abstract":"Successful weaning from mechanical ventilation depends on many factors. Optimizing all factors creates the pathway of liberation from ventilation. Among them, comprehensive pain management is one of the most critical factors, especially for cardiac surgical patients, who require median sternotomy. This case report is about a case of a 55-year-old patient with diabetes mellitus, hypertension, and pneumonia, in whom weaning failed repeatedly after a coronary artery bypass graft operation and was successfully extubated after ultrasound-guided implementation of a combined bilateral pectointercostal fascial plane block and rectus sheath block by reducing pain and improving ventilation, which was evidenced by reduced visual analog scale score and improvement of tidal volume. Integration of regional anesthesia not only provides adequate analgesia but also reduces opioid requirements and facilitates weaning, particularly for postcardiac surgical patients.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2026 ","pages":"4642503"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12997231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487787","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

Brachial Plexus Block Following Serratus Anterior Plane Block After Minimally Invasive Cardiac Surgery Identified Using Contrast X-Ray: A Case Report. 微创心脏手术后使用对比x线识别锯肌前平面阻滞后的臂丛神经阻滞1例。

Case Reports in Anesthesiology Pub Date : 2026-01-06 eCollection Date: 2026-01-01 DOI: 10.1155/cria/9755915

Yuna Sato, Michio Kumagai, Yusuke Takei, Kazutomo Saito, Takahiro Tasaki, Masanori Yamauchi

{"title":"Brachial Plexus Block Following Serratus Anterior Plane Block After Minimally Invasive Cardiac Surgery Identified Using Contrast X-Ray: A Case Report.","authors":"Yuna Sato, Michio Kumagai, Yusuke Takei, Kazutomo Saito, Takahiro Tasaki, Masanori Yamauchi","doi":"10.1155/cria/9755915","DOIUrl":"10.1155/cria/9755915","url":null,"abstract":"A serratus anterior plane block is effective for pain management after minimally invasive cardiac surgery (MICS) but may cause rare complications. In this study, we present a case of upper limb neurological symptoms following a serratus anterior plane block (SAPB) administered after MICS, which was visualized via contrast x-ray imaging. A 74-year-old woman with severe aortic stenosis underwent aortic valve replacement via minithoracotomy. We preoperatively inserted a SAPB catheter deep into the serratus anterior muscle (SAM). Postoperative x-ray imaging with contrast medium revealed its distribution extending from the chest wall (second to fourth ribs), detached from the thorax, toward the right upper arm. We initiated a programmed intermittent bolus infusion (PIBI) via the catheter, but the patient developed reduced grip and sensory deficits in the right arm. Discontinuation of PIBI on postoperative day five led to neurological symptom resolution by day six. The clinical course and contrast distribution suggested that the catheter tip may have migrated to the superficial layer of the SAM. These findings highlight the importance of confirming catheter placement and carefully monitoring neurological symptoms when atypical contrast spread patterns are observed.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2026 ","pages":"9755915"},"PeriodicalIF":0.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12771605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918634","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

Anesthetic Management of a Pregnant Woman With an Unruptured Cerebral Aneurysm Undergoing Simultaneous Cesarean Section and Craniotomy for Aneurysm Clipping: A Case Report. 妊娠期未破裂脑动脉瘤同时行剖宫产和开颅夹闭术的麻醉处理1例。

Case Reports in Anesthesiology Pub Date : 2025-12-23 eCollection Date: 2025-01-01 DOI: 10.1155/cria/2681007

Kakeru Okubo, Yui Ikuta, Erika Imasato, Sayaka Kawamura, Hideya Kato

引用次数: 0

Prophylactic Use of Lipid Emulsion Therapy After Inadvertent Administration of 0.5% Ropivacaine for a Bier Block: A Case Report. 误用0.5%罗哌卡因治疗脑块后脂质乳剂的预防性应用：一例报告。

Case Reports in Anesthesiology Pub Date : 2025-12-22 eCollection Date: 2025-01-01 DOI: 10.1155/cria/6254387

Alexander Luong, Sirimas Lau, Elizabeth Johnson-Gray, Rayyan Bhutta, Austin Shaffer, Mitchell Hughes, Andrew Gable, Matthias Franzen

引用次数: 0