Case Reports in Anesthesiology最新文献_第2页

Carpometacarpal Osteoarthritis Pain of the Thumb Can Be Relieved by Commercial Beverage Carbonated Water. 商用碳酸饮料水可缓解拇指腕骨关节炎疼痛

Case Reports in Anesthesiology Pub Date : 2024-02-24 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6238171

Masaaki Nakajima

引用次数: 0

Anesthetic Management and Neuromonitoring in a Patient with Very Long-Chain Acyl-Coenzyme A Dehydrogenase Deficiency Undergoing Scoliosis Surgery: A Case Report and Review of Literature 一名接受脊柱侧弯手术的超长链酰辅酶 A 脱氢酶缺乏症患者的麻醉管理和神经监测：病例报告和文献综述

Case Reports in Anesthesiology Pub Date : 2024-01-08 DOI: 10.1155/2024/1050279

Anna Tanaka, Tim Cai, Michael Platten, Luis E. Tollinche, Samuel J. DeJoy

{"title":"Anesthetic Management and Neuromonitoring in a Patient with Very Long-Chain Acyl-Coenzyme A Dehydrogenase Deficiency Undergoing Scoliosis Surgery: A Case Report and Review of Literature","authors":"Anna Tanaka, Tim Cai, Michael Platten, Luis E. Tollinche, Samuel J. DeJoy","doi":"10.1155/2024/1050279","DOIUrl":"https://doi.org/10.1155/2024/1050279","url":null,"abstract":"Patients with very long-chain acyl-CoA dehydrogenase deficiency (VLCADD) are prone to hypoglycemia and clinical decompensation when metabolic demands of the body are not met. We present a pediatric patient with VLCADD who underwent a posterior spinal fusion for scoliosis requiring intraoperative neurophysiology monitoring. Challenges included minimization of perioperative metabolic stressors and careful selection of anesthetic agents since propofol-based total intravenous anesthesia (TIVA) was contraindicated due to its high fatty acid content. This case is unique due to the sequential use of inhaled anesthetics after TIVA to allow for a rapid wakeup and immediate postoperative physical exam. Additionally, intraoperative neuromonitoring in the setting of VLCADD has not been reported in the literature. With communication among anesthesia, surgery, and neuromonitoring teams before and during the operation, the patient successfully underwent a major surgery without complications. This trial is registered with NCT03808077.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"57 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Migration of an Inferior Vena Cava Tumor Thrombus during Renal Cell Carcinoma Resection. 肾细胞癌切除术中下腔静脉肿瘤血栓的迁移。

Case Reports in Anesthesiology Pub Date : 2023-12-26 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6632030

Roupen Hatzakorzian, Andrea Blotsky, Albert Moore, Julien Vaillancourt, Pattra Mettasittigorn, Armen Aprikian, Steven B Backman

引用次数: 0

Adequate Oxygenation State Maintained during Electroconvulsive Therapy in Nonobese Patients Using the Oxygen Reserve Index: A Pilot Study. 利用氧储备指数在非肥胖患者电休克治疗期间维持充足的氧合状态:一项初步研究。

Case Reports in Anesthesiology Pub Date : 2023-11-06 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7807693

Yuji Kadoi, Jo Ohta, Yumeka Sasaki, Shigeru Saito

{"title":"Adequate Oxygenation State Maintained during Electroconvulsive Therapy in Nonobese Patients Using the Oxygen Reserve Index: A Pilot Study.","authors":"Yuji Kadoi, Jo Ohta, Yumeka Sasaki, Shigeru Saito","doi":"10.1155/2023/7807693","DOIUrl":"10.1155/2023/7807693","url":null,"abstract":"Some controversial reports have observed oxygen desaturation (defined as percutaneous oxygen saturation (SpO2) < 90%) during electroconvulsive therapy (ECT). The purpose of this pilot study was to examine oxygenation states in eight patients during ECT. In addition to the usual hemodynamic monitors and pulse oximeter, the oxygen reserve index (ORi) was monitored using a pulse oximeter. Patients received either no preoxygenation or preoxygenation with 100% oxygen via a tight-fitting mask for 1 or 3 min before induction of anesthesia. ORi increased after preoxygenation. ORi differed significantly between 3 min of preoxygenation and the other two methods before restarting mask ventilation. SpO2 was significantly increased with all methods before stopping manual mask ventilation or before restarting manual mask ventilation compared with that before preoxygenation. No oxygen desaturation was observed at any time with any treatment methods. In nonobese patients, the adequate oxygenation state as shown by SpO2 and ORi was maintained during ECT even without preoxygenation.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2023 ","pages":"7807693"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10643024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592420","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

Delayed Anaphylactic Reaction to Midazolam in the Absence of Immediate Respiratory or Skin Manifestations. 在没有立即呼吸道或皮肤症状的情况下对咪达唑仑的延迟过敏反应。

Case Reports in Anesthesiology Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3873076

Andrew Winegarner, Mark C Kendall, Mekhala Stephen, Afreen Siddiqui

{"title":"Delayed Anaphylactic Reaction to Midazolam in the Absence of Immediate Respiratory or Skin Manifestations.","authors":"Andrew Winegarner, Mark C Kendall, Mekhala Stephen, Afreen Siddiqui","doi":"10.1155/2023/3873076","DOIUrl":"https://doi.org/10.1155/2023/3873076","url":null,"abstract":"Anaphylaxis, a type 1 hypersensitivity reaction, is a feared but uncommon complication of medications administered in the perioperative period. The incidence of perioperative hypersensitivity reactions has been reported to range from 1 in 20,000 to 1 in 1,361. Anesthesiologists are well aware of common causes of hypersensitivity such as paralytics and antibiotics; however, less common triggers of anaphylaxis need to be considered as well. Midazolam, a short acting benzodiazepine metabolized by cytochrome P450 enzymes, is considered very safe with a minimal risk profile. Previous reports have described adverse reactions to occur within seconds to minutes following the administration of midazolam. We describe a patient with no known history of asthma or allergies who underwent elective hydrocelectomy with spinal analgesia without incident until 42 minutes later at the conclusion of the procedure, when they experienced circulatory collapse necessitating immediate emergency treatment. This case emphasizes the necessity to improve knowledge and awareness of delayed hypersensitivity reactions following the administration of perioperative medications such as midazolam.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2023 ","pages":"3873076"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172481","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: 1

Ultrasound-Assisted Management for Tracheal Intubation in the Patient with Tracheal Diverticulum. 气管憩室患者气管插管的超声辅助治疗。

Case Reports in Anesthesiology Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5586490

Tingting Wan, Ya Gao, Changyi Wu

引用次数: 0

Triple Threat: Significant Concomitant Aortic Stenosis, Mitral Stenosis, and Systolic Anterior Motion of the Mitral Valve Causing Left Ventricular Outflow Tract Obstruction in Cardiac Surgical Patients. 三重威胁：心脏外科患者同时伴有主动脉瓣狭窄、二尖瓣狭窄和二尖瓣收缩期前移，导致左室流出道阻塞。

Case Reports in Anesthesiology Pub Date : 2023-03-17 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9995115

Katelyn Glines, J W Awori Hayanga, Christina Gibson, Mohamad El Churafa, Lawrence Wei, Heather K Hayanga

引用次数: 0

Rare Image of Epidural Catheter Fracture in Lumbar Analgesia. 腰痛术中硬膜外导管断裂的罕见影像。

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/8880024

Fiacro Jiménez-Ponce, Ylián Ramírez-Tapia, Erick Ariñez-Barahona, Jorge A Nava-López, Sai Naveen Alla

{"title":"Rare Image of Epidural Catheter Fracture in Lumbar Analgesia.","authors":"Fiacro Jiménez-Ponce, Ylián Ramírez-Tapia, Erick Ariñez-Barahona, Jorge A Nava-López, Sai Naveen Alla","doi":"10.1155/2023/8880024","DOIUrl":"https://doi.org/10.1155/2023/8880024","url":null,"abstract":"Objective: Accidental fracture of epidural analgesia catheters has a very low incidence of 2.5 per 100,000 anesthesia. A rare image of the fracture is reported.Methods: A 42-year-old female patient was attending a cesarean section eight years earlier to her consult. In the cesarean section, she received regional epidural anesthesia, and the main complaint was low back pain, specifically between the spinous processes L2 and L3. The somatic pain had been presenting intermittently for eight years. The sagittal section of magnetic resonance imaging of the lumbar spine showed a \"golf club\" image from the midline to the laminae of L2 and L3 with the subcutaneous tissue.Results: A small right hemilaminectomy was performed to remove the complete catheter, which did not adhere, but was coiled in the S-shape. The catheter was trapped between the left facets of L2 and L3 laterally than through the midline. Several risk factors and therapeutic procedures have been proposed.Conclusion: In a systematic review, 24 articles were reported on this specific issue. No surgical procedure and follow-up were informed by 8 authors. Surgical remotion by laminectomy was used in 9 articles, surgical explanation by skin incision was reported by 4 authors, and remotion by endoscopy was reported in 1 article. Two articles not reported solution.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2023 ","pages":"8880024"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10477027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10522942","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

Video Laryngoscope Assistance in Button Battery Retrieval. 视频喉镜辅助钮扣电池检索。

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/8550685

Sandy Ren, Heitor Lopes, Neil Masters

引用次数: 0

Managing Anesthesia for a Patient with Takayasu Illness. 高须病患者的麻醉管理。

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/2852203

Gabriela Freitas, João Luiz Guerra, Cesar Henrique Fornero, Marina Delgado

{"title":"Managing Anesthesia for a Patient with Takayasu Illness.","authors":"Gabriela Freitas, João Luiz Guerra, Cesar Henrique Fornero, Marina Delgado","doi":"10.1155/2023/2852203","DOIUrl":"https://doi.org/10.1155/2023/2852203","url":null,"abstract":"This article intended to provide an overview of the anesthetic management for a patient with Takayasu arteritis, an uncommon and challenging disease. Despite the limited literature, it becomes more evident that there is no right answer for all patients. Considering that, it is important to take into account the severity and specific features of the underlying disease to decide the best anesthetic approach. In this context, an adequate preoperative assessment focusing on cardiovascular function becomes essential. Adequate cardiovascular monitoring is also essential in the intraoperative period. A multidisciplinary team should be involved in the perioperative period to provide the best care possible and improve patient outcomes. This case illustrates a successful hysterectomy in a patient with Takayasu arteritis, pointing out the pathophysiologic considerations and discussing the means to reduce the perioperative risk. The particularities described in this case report may help other physicians choose the best strategy when facing challenging patients similar to the one described.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2023 ","pages":"2852203"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9836809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10527390","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