Case Reports in Anesthesiology最新文献_第3页

Anesthetic Management and Considerations for Cesarean Delivery in a Patient With Cystic Fibrosis. 囊性纤维化患者剖宫产的麻醉管理及注意事项。

Case Reports in Anesthesiology Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1155/cria/6388254

Richard Pham, Chris Mehdizadeh, Christopher Baker, Leonard J Soloniuk, Ioana Pasca, Ashish Sinha

引用次数: 0

Arrhythmia Induced by Positional Change Under General Anesthesia Related to Caudal Movement of the Peripherally Inserted Central Venous Catheter: A Case Report. 全身麻醉下体位改变引起的心律失常与周围置管中心静脉导管尾侧运动有关1例。

Case Reports in Anesthesiology Pub Date : 2024-12-27 eCollection Date: 2024-01-01 DOI: 10.1155/cria/9185758

Isao Utsumi, Tomasz Hascilowicz, Yasushi Mio, Sachiko Omi

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Surviving the Nightmare: Massive Bleeding From Large Intraoral Arteriovenous Malformation During Airway Management for Angioembolization Procedure. 从噩梦中幸存：在血管栓塞手术的气道管理过程中，巨大的口内动静脉畸形引起的大出血。

Case Reports in Anesthesiology Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI: 10.1155/cria/6311200

Muhammad Faisal Khan, Muhammad Khuzzaim Khan, Sidra Nazir, Faisal Shamim

{"title":"Surviving the Nightmare: Massive Bleeding From Large Intraoral Arteriovenous Malformation During Airway Management for Angioembolization Procedure.","authors":"Muhammad Faisal Khan, Muhammad Khuzzaim Khan, Sidra Nazir, Faisal Shamim","doi":"10.1155/cria/6311200","DOIUrl":"10.1155/cria/6311200","url":null,"abstract":"Arteriovenous malformations (AVMs) in the head and neck present significant challenges due to airway management complexities and hemorrhage risks. This case report describes a 15-year-old female with a congenital facial AVM causing dyspnea and obstructive symptoms. The patient required angioembolization of the AVM, but many hospitals deferred the procedure due to the anticipated difficult airway and severe bleeding risks. We did two attempts of awake fiberoptic intubation but could not succeed due to patient intolerance. Subsequently, inhalational induction started and video laryngoscopy performed but also failed due to anatomical distortion. With attempts to bag mask ventilate, severe venous engorgement started and patient experienced massive hemorrhage and circulatory collapse, necessitating prolonged resuscitation and intubation efforts. Eventually, intubation was successful after 40 min using suction assisted laryngoscopy and decontamination (SALAD) technique by video laryngoscope. She underwent angioembolization and shifted to the ICU where she remained on mechanical ventilation for 9 days. After tracheostomy was performed, she was gradually weaned off from ventilator and was later discharged. This case highlights the need for meticulous planning, comprehensive airway evaluation, backup strategies, and multidisciplinary support, suggesting video laryngoscopy as a valuable alternative in high-bleeding-risk cases.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2024 ","pages":"6311200"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903770","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

Hand Compartment Syndrome After Prolonged Robotic-Assisted Laparoscopic Rectal Resection: A Case Report and Literature Review. 长时间机器人辅助腹腔镜直肠切除术后的手室综合征：病例报告和文献综述

Case Reports in Anesthesiology Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5358112

Han Y Zhang, Susan Samudre, Xiuli Zhang, Justin J Lui, Fenghua Li

引用次数: 0

Cervical Spinal Epidural Hematoma After Spinal Anesthesia for Cesarean Section in the Parturient Using Long-Term Low Dose Aspirin. 使用长期小剂量阿司匹林进行剖腹产脊髓麻醉后的颈椎硬膜外血肿。

Case Reports in Anesthesiology Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6729275

Kham Van Vu, Hoang Van Nguyen, Quyen Thi Vu, Thang Toan Nguyen

引用次数: 0

Accidental Intrathecal Tranexamic Acid Injection During Caesarean Section: A Case Report. 剖腹产时意外鞘内注射氨甲环酸：病例报告。

Case Reports in Anesthesiology Pub Date : 2024-10-15 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4731010

Raymond Oyugi Samuel, Victoria Adonicam, Andrew Hans Mgaya

{"title":"Accidental Intrathecal Tranexamic Acid Injection During Caesarean Section: A Case Report.","authors":"Raymond Oyugi Samuel, Victoria Adonicam, Andrew Hans Mgaya","doi":"10.1155/2024/4731010","DOIUrl":"https://doi.org/10.1155/2024/4731010","url":null,"abstract":"Background: Tranexamic acid (TXA) is increasingly used in the management of haemorrhage during and after delivery and haemorrhage caused by other medical conditions due to its efficacy and safety. However, increasing report of fatal complications from inadvertent intrathecal TXA injection remains a cause of concern. The aim of this case report is to demonstrate clinical presentation and predictors of accidental intrathecal injection of TXA within the structure and processes of care in a health facility. Case Description: A 37-year-old woman, multiparous woman presented with a diagnosis of obstructed labour and, therefore, was scheduled for emergency caesarean section. She was assigned the American Society of Anesthesiology II physical status. Spinal anaesthesia was performed at a sitting position through L4-L5 interspace using a 25-G spinal needle gauge. The anaesthetist injected 3 mL of an aesthetic agent that was prepared earlier as hyperbaric bupivacaine 0.5%. About 2 min after receiving the injection, the patient reported gluteal discomfort and itching and severe back pain. She subsequently developed progressive altered mentation followed by generalized tonic-clonic seizures. General anaesthesia was conducted with propofol (100 mg), pethidine (50 mg) and suxamethonium (100 mg). Episodes of tonic-clonic seizures continued despite treatment with multiple doses of diazepam (10 mg), propofol (100 mg) and phenytoin infusion (1 gm). Postoperatively, the patient was transferred to the intensive care unit with persistent tachycardia (125-138 beats per minute), hypertension (157/105-175/118 mmHg) and oxygen saturation of 90%-95%. She died due to cardiac arrest after 21 h of stay. Conclusion: Medication error such as accidental intrathecal injection of TXA continues to jeopardise the safety of surgery under spinal anaesthesia.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2024 ","pages":"4731010"},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509698","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

Persistent Paradoxical Reaction to Midazolam despite General Anesthesia with Dexmedetomidine 使用右美托咪定进行全身麻醉后对咪达唑仑的持续副反应

Case Reports in Anesthesiology Pub Date : 2024-03-26 DOI: 10.1155/2024/4152422

Sarah Park, Mariam Ibrahim, Augusto Torres

引用次数: 0

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