Case Reports in Anesthesiology最新文献_第5页

Effect of Arginine Vasopressin on Intraoperative Hypotension Caused by Oral Administration of 5-Aminolevulinic Acid. 精氨酸加压素对口服5-氨基乙酰丙酸所致术中低血压的影响。

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/1745373

Gen Owada, Hideo Nishizawa, Yuki Matoyama, Eri Watanabe, Keigo Mitsuda, Naoki Kaneko, Yasuhiro Kimura, Taikan Nanao, Junichi Fujimoto

{"title":"Effect of Arginine Vasopressin on Intraoperative Hypotension Caused by Oral Administration of 5-Aminolevulinic Acid.","authors":"Gen Owada, Hideo Nishizawa, Yuki Matoyama, Eri Watanabe, Keigo Mitsuda, Naoki Kaneko, Yasuhiro Kimura, Taikan Nanao, Junichi Fujimoto","doi":"10.1155/2023/1745373","DOIUrl":"https://doi.org/10.1155/2023/1745373","url":null,"abstract":"5-Aminolevulinic acid (5-ALA) is used for the photodynamic diagnosis of malignant tumors and has been effectively utilized to improve the complete resection rate and reduce the risk of tumor recurrence. However, intraoperative hypotension is a common adverse effect of oral 5-ALA, and it occasionally progresses to severe prolonged hypotension requiring high-dose catecholamine administration. We report a case of intraoperative hypotension due to oral 5-ALA in which arginine vasopressin (AVP) administration was effective for increasing the blood pressure. A 77-year-old man scheduled for a craniotomy for glioma was administered 5-ALA orally before surgery. After the induction of anesthesia, his blood pressure decreased substantially. Although we administered various vasopressor agents, hypotension was prolonged. However, after starting a continuous administration of AVP, the systolic blood pressure increased, and the hemodynamic parameters remained stable during the remainder of the operation. 5-ALA administration may lower blood pressure by inducing nitric oxide production, and AVP inhibits inducible nitric oxide synthase messenger RNA expression and interleukin-1β-stimulated nitric oxide production. In light of these mechanisms, AVP may be a reasonable treatment agent for hypotension induced by 5-ALA.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2023 ","pages":"1745373"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10182879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9487755","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

Use of a Superficial Abdominal Wall Vein in a Gravida Patient for Emergency Vascular Access. 腹壁浅静脉在妊娠患者急诊血管通路中的应用

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/1514940

Christine Ha, Rotem Naftalovich, Faraz Chaudhry, Jean Eloy, Erica Spano, George Tewfik

引用次数: 0

Cesarean Delivery of a Parturient with Lumboperitoneal Shunt under Spinal Anesthesia. 脊髓麻醉下剖宫产腰腹腔分流术1例。

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/8892695

Hicham Ziani, Med Yassir Lahbabi, Nabil Elachhab, Nawfel Elcaidi, Aziz Slaoui, Hanaa Lazhar, Sophia Lahbabi, Aziz Baidada, Nezha Oudghiri, Rajae Tachinante

引用次数: 0

Perioperative Management of a Patient with Hemophilia C and Allergy to Fresh Frozen Plasma. 1例C型血友病伴新鲜冷冻血浆过敏患者的围手术期处理。

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/8973346

Sara Kianian, Giacomo Scorsese, Eric Zabirowicz, Jeremy Poppers

引用次数: 0

The Use of Oxygen/Air Blender during Transoral Laser Microsurgery with Supraglottic Manual Jet Ventilation: A Safe Approach. 经口激光显微手术合并声门上手动喷射通气时使用氧气/空气混合器:一种安全的方法。

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/5516988

Sara Abu-Ghanem, James Cochran

{"title":"The Use of Oxygen/Air Blender during Transoral Laser Microsurgery with Supraglottic Manual Jet Ventilation: A Safe Approach.","authors":"Sara Abu-Ghanem, James Cochran","doi":"10.1155/2023/5516988","DOIUrl":"https://doi.org/10.1155/2023/5516988","url":null,"abstract":"Background: Surgical fires are known, preventable, and devastating complications of transoral microlaryngeal laser surgery. Several guidelines have recommended maintaining the fraction of inspired oxygen concentration (FiO2) at or below 30% for open delivery cases. We hereby present our experience utilizing an air/oxygen gas mixing device (blender) attached to a supraglottic manual jet ventilator during transoral laser microlaryngeal surgery in three cases to control oxygen levels.Methods: Retrospective chart review of three cases and literature review.Results: Three patients underwent microlaryngeal laser surgery and balloon dilation for the management of subglottic stenosis. All three patients were successfully ventilated throughout the procedures, and no major complications occurred intraoperatively. Two of three patients demonstrated symptomatic and clinical improvement at the first follow-up.Conclusions: This report demonstrates the successful use of an oxygen/air blender to reduce FiO2 to fire-safe levels of less than 30% during laser surgery of the airway using jet ventilation.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2023 ","pages":"5516988"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10242979","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 Pediatric Patient with Congenital Methemoglobinemia. 先天性高铁血红蛋白血症患儿的麻醉处理。

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/3474638

Sung-Wook Choi, Elizabeth Putnam

引用次数: 0

Anesthesia Management of a Liver Transplant Recipient with Remimazolam. 肝移植受者使用雷马唑仑的麻醉管理。

Case Reports in Anesthesiology Pub Date : 2023-01-01 DOI: 10.1155/2023/5935657

Takashi Kawasaki, Takafumi Oyoshi, Naoyuki Hirata

{"title":"Anesthesia Management of a Liver Transplant Recipient with Remimazolam.","authors":"Takashi Kawasaki, Takafumi Oyoshi, Naoyuki Hirata","doi":"10.1155/2023/5935657","DOIUrl":"https://doi.org/10.1155/2023/5935657","url":null,"abstract":"Background: Intraoperative anesthetic requirements might be altered due to the modulated metabolic function in living donor liver transplant recipients. Remimazolam may provide appropriate anesthesia in patients with cirrhosis. However, the efficacy and safety of remimazolam in liver transplant recipients have not been reported. We present the successful anesthesia management of a liver transplant recipient using remimazolam. Case Presentation. A 54-year-old woman who was diagnosed with Child-Pugh C cirrhosis of unknown etiology was scheduled for living donor liver transplantation. Remimazolam was used for anesthesia management under electroencephalogram monitoring, including bispectral index (BIS) and patient state index (PSI) values. Despite the prolonged surgical time (1,037 min) and massive blood loss (22,500 mL), BIS and PSI values were maintained within acceptable ranges intraoperatively. There was no intraoperative awareness/recall or adverse events associated with remimazolam administered perioperatively.Conclusions: We safely managed general anesthesia for living donor liver transplantation with remimazolam using electroencephalogram monitoring.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2023 ","pages":"5935657"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9851793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10579539","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

Postoperative Heart Failure with Preserved Ejection Fraction Induced by Flumazenil Administered for Remimazolam Antagonism. 氟马西尼抗雷马唑仑致保留射血分数的术后心力衰竭。

Case Reports in Anesthesiology Pub Date : 2022-11-12 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8923008

Keito Koh, Takeshi Omae, Sonoko Sakuraba, Masateru Kumemura, Sho Yamazaki, Hiroshi Yunoki

{"title":"Postoperative Heart Failure with Preserved Ejection Fraction Induced by Flumazenil Administered for Remimazolam Antagonism.","authors":"Keito Koh, Takeshi Omae, Sonoko Sakuraba, Masateru Kumemura, Sho Yamazaki, Hiroshi Yunoki","doi":"10.1155/2022/8923008","DOIUrl":"https://doi.org/10.1155/2022/8923008","url":null,"abstract":"Remimazolam is an ultrashort-acting benzodiazepine intravenous anesthetic characterized by rapid awakening after anesthesia. However, the method for administering remimazolam in clinical practice remains unclear. Here, we report a case of postoperative heart failure with preserved ejection fraction (HFpEF) after antagonizing remimazolam with flumazenil. An 82-year-old woman was scheduled to undergo lumbar laminectomy for lumbar spinal canal stenosis. Preoperative echocardiography revealed normal left ventricular systolic function, left atrial enlargement, and impaired left ventricular diastolic function. General anesthesia was induced with 10 mg/kg/h remimazolam and maintained with 0.8 mg/kg/h remimazolam intraoperatively. Before extubation, a total of 1.0 mg of flumazenil was administered. After extubation, the patient developed pulmonary edema due to HFpEF. When remimazolam is administered in elderly patients with cardiac dysfunction, the maintenance dose should be customized according to the patient's general condition to minimize the dosage of flumazenil.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":" ","pages":"8923008"},"PeriodicalIF":0.0,"publicationDate":"2022-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9675602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40718989","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: 2

Orthotopic Liver Transplantation in a Patient with Acutely Decompensated Liver Disease and Personal History of Malignant Hyperthermia. 急性失代偿性肝病及个人恶性高热史患者的原位肝移植。

Case Reports in Anesthesiology Pub Date : 2022-09-17 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4996977

Elizabeth A Townsend, Manuchehr Habibi, Molly Groose, Thomas McDowell

{"title":"Orthotopic Liver Transplantation in a Patient with Acutely Decompensated Liver Disease and Personal History of Malignant Hyperthermia.","authors":"Elizabeth A Townsend, Manuchehr Habibi, Molly Groose, Thomas McDowell","doi":"10.1155/2022/4996977","DOIUrl":"https://doi.org/10.1155/2022/4996977","url":null,"abstract":"Introduction: Orthotopic liver transplants are characterized by sudden changes in hemodynamics, intraoperative hemorrhage, metabolic and electrolyte derangements, and arrhythmias. Many of these features are also hallmarks of malignant hyperthermia episodes and make differentiation difficult intraoperatively. Additionally, the treatment for malignant hyperthermia, dantrolene, can cause hepatotoxicity in already damaged native livers and newly reperfused organ allografts. Thus, it is imperative to avoid a triggering anesthetic in these patients. Here we report on a successful total intravenous anesthetic in a malignant hyperthermia susceptible individual undergoing an orthotopic liver transplant for acutely decompensated end-stage liver disease. Case Presentation. A 49-year-old male with a past medical history significant for malignant hyperthermia episodes as a child was admitted with decompensated alcoholic cirrhosis. He underwent uneventful total intravenous general anesthesia with propofol and sufentanil continuous infusions for an orthotopic liver transplant. He required minimal vasoactive agents to maintain a mean arterial blood pressure >65 mmHg and was extubated on postoperative day 1.Conclusions: Total intravenous anesthesia is necessary for patients with a personal history of malignant hyperthermia. However, this type of general anesthesia is difficult in the setting of fluctuating hemodynamics, hemorrhage, and changes in drug metabolism and clearance during the anhepatic and reperfusion phases of an orthotopic liver transplant. Propofol and sufentanil continuous infusions provided stable hemodynamics and an excellent plane of anesthesia throughout the case and should be considered in other individuals undergoing this procedure who require a total intravenous anesthetic.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":" ","pages":"4996977"},"PeriodicalIF":0.0,"publicationDate":"2022-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9509212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40377410","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

Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia. 食管闭锁、气管食管瘘合并肛门闭锁的气道管理。

Case Reports in Anesthesiology Pub Date : 2022-09-05 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3775140

Jieshu Zhou, Hao Li, Xuemei Lin

引用次数: 0