Case Reports in Anesthesiology最新文献_第6页

Diagnosis and Management of a Unique Iatrogenic Biatrial Gerbode Defect. 一种独特的医源性双房Gerbode缺陷的诊断和治疗。

Case Reports in Anesthesiology Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6998632

Karim Shuaib, Giacomo Scorsese, Christopher Seiter, Eric Zabirowicz, Jeremy Poppers

引用次数: 0

Labor Analgesia in Brugada Syndrome and the Importance of Contingency Planning. Brugada 综合征的分娩镇痛和应急计划的重要性。

Case Reports in Anesthesiology Pub Date : 2022-07-15 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8940704

Shayla Mena, Ana Costa, Michelle DeLemos, Joy Schabel, Morgane Factor

引用次数: 0

The Successful Anesthetic Management of a Cesarean Delivery in a Patient with Fanconi-Bickel Syndrome. Fanconi-Bickel综合征患者剖宫产的成功麻醉处理。

Case Reports in Anesthesiology Pub Date : 2022-07-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3220486

Alexander M DeLeon, Rishi D Gaiha, Feyce M Peralta

{"title":"The Successful Anesthetic Management of a Cesarean Delivery in a Patient with Fanconi-Bickel Syndrome.","authors":"Alexander M DeLeon, Rishi D Gaiha, Feyce M Peralta","doi":"10.1155/2022/3220486","DOIUrl":"https://doi.org/10.1155/2022/3220486","url":null,"abstract":"Introduction: Fanconi-Bickel syndrome (FBS) is a rare genetic condition characterized by extremely short stature, renal tubular dysfunction, osteoporosis, and rickets. The literature is scant regarding the successful reproduction of women with FBS. Cesarean delivery is indicated due to the risk of pelvic fracture from vaginal delivery in a patient with FBS and rickets, yet no case describing the anesthetic has been reported. Clinical Findings. We present a 39-inch-tall, 46.47 kg/m2 BMI woman with FBS who was scheduled for cesarean delivery and requesting neuraxial anesthesia. A low-dose, combined spinal-epidural technique (CSE) was employed to account for her extreme short stature yet allow for additional dosing if needed. The cesarean delivery, hospital course, and follow-up were all uneventful.Conclusion: A single case of an FBS patient's successful pregnancy was previously reported in the literature without describing the anesthetic technique. Our case is unique in that it is the first case in the literature that we are aware of describing the anesthetic technique. This case may provide a template for clinicians treating FBS patients and patients with extremely short stature.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":" ","pages":"3220486"},"PeriodicalIF":0.0,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40600217","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

When Left Is Right and Right Is Wrong: A Case Report of Two Near-Miss Wrong-Sided Peripheral Nerve Blocks. 当左为右，右为错:两例险些脱险的错误侧周围神经阻滞。

Case Reports in Anesthesiology Pub Date : 2022-06-15 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1541827

Alexander M DeLeon, Alexander G Samworth, Bashar F Kazanji

引用次数: 0

Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements. 双侧金属对金属髋关节置换术后钴性心肌病的心脏移植。

Case Reports in Anesthesiology Pub Date : 2022-06-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3373363

Peter Szedlak, Amrik Virdi, Paul Cacciottolo, Stephen Shepherd, Stephen Pettit, Florian Falter

引用次数: 2

Reexpansion Pulmonary Edema following Tube Thoracostomy in a Pediatric Patient with Anterior Mediastinal Mass 小儿前纵隔肿块插管造胸术后再扩张肺水肿一例

Case Reports in Anesthesiology Pub Date : 2022-05-19 DOI: 10.1155/2022/8547611

S. Choi, Deborah A. Romeo, David A Gutman, Jennifer V. Smith

{"title":"Reexpansion Pulmonary Edema following Tube Thoracostomy in a Pediatric Patient with Anterior Mediastinal Mass","authors":"S. Choi, Deborah A. Romeo, David A Gutman, Jennifer V. Smith","doi":"10.1155/2022/8547611","DOIUrl":"https://doi.org/10.1155/2022/8547611","url":null,"abstract":"Reexpansion pulmonary edema (RPE) is an exceedingly rare and potentially fatal complication of a rapidly reexpanded lung following evacuation of air or fluid from the pleural space secondary to conditions such as a mediastinal mass, pleural effusion, or pneumothorax. Clinical presentations can range from mild radiographic changes to acute respiratory failure and hemodynamic instability. The rapidly progressive nature of the disease makes it important for clinicians to appropriately diagnose and manage patients who develop RPE. We present a case of a child with a large malignant pleural effusion who developed severe RPE after tube thoracostomy and ultimately required venoarterial extracorporeal membrane oxygenation (VA-ECMO). The patient was 7-year-old Caucasian male with newly diagnosed ambiguous T cell myeloid leukemia. A chest computerized tomography (CT) demonstrated a large pleural effusion causing tracheal shift and left bronchus compression as well as an anterior mediastinal mass causing compression of the right atria and right ventricle. Tube thoracostomy was performed in the operating room (OR) with deep sedation. The procedure was complicated with hypoxemia, bradycardia, and pulseless cardiac arrest. After return of spontaneous circulation, the child continued to have refractory hypoxemia, profound hypotension, and frothy secretions. Endotracheal intubation was performed with a size 5.0 cuffed endotracheal tube. Chest radiograph demonstrated opacification of the left hemithorax with chest infiltrates. Patient required VA-ECMO for circulatory support. Supportive therapy of RPE was continued and decannulation was done on day three. Tracheal extubation was performed on day five.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83960987","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: 1

A New Anesthetic, Remimazolam, Is Useful in the Management of Anesthesia in Patients with Liver Cirrhosis 一种新的麻醉剂雷马唑仑在肝硬化患者麻醉管理中的应用

Case Reports in Anesthesiology Pub Date : 2022-05-07 DOI: 10.1155/2022/9268454

A. Onoda, Yasuyuki Suzuki

引用次数: 6

Intraoperative Capnothorax during Robotic Diaphragmatic Endometriosis Excision 机器人横膈膜子宫内膜异位症切除术中的术中capno胸

Case Reports in Anesthesiology Pub Date : 2022-04-26 DOI: 10.1155/2022/5935312

Tyler Dunn, Lopa Misra

引用次数: 0

Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff Repair 神经刺激作为关节镜下肩袖修复后有效的非药物止痛剂

Case Reports in Anesthesiology Pub Date : 2022-04-15 DOI: 10.1155/2022/2133998

Ryan B Juncker, J. Gagnier, Faisal M Mirza

引用次数: 0

Nephrogenic Diabetes Insipidus following an Off-Label Administration of Sevoflurane for Prolonged Sedation in a COVID-19 Patient and Possible Influence on Aquaporin-2 Renal Expression. 1例COVID-19患者非标签用药七氟醚延长镇静后发生肾源性尿崩症及其对水通道蛋白-2肾脏表达的可能影响

Case Reports in Anesthesiology Pub Date : 2022-03-11 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3312306

Camie Dupuis, Arnaud Robert, Ludovic Gerard, Johann Morelle, Pierre-François Laterre, Philippe Hantson

{"title":"Nephrogenic Diabetes Insipidus following an Off-Label Administration of Sevoflurane for Prolonged Sedation in a COVID-19 Patient and Possible Influence on Aquaporin-2 Renal Expression.","authors":"Camie Dupuis, Arnaud Robert, Ludovic Gerard, Johann Morelle, Pierre-François Laterre, Philippe Hantson","doi":"10.1155/2022/3312306","DOIUrl":"https://doi.org/10.1155/2022/3312306","url":null,"abstract":"During the recent COVID-19 pandemic, the rapidly progressive shortage of intravenous sedative drugs led numerous intensive care units to look for potential alternatives in patients requiring mechanical ventilation for severe acute respiratory distress syndrome (ARDS). Inhalational sedation using the AnaConDa® device for sevoflurane administration is a possible option. In a 54-year-old COVID-19 patient with severe ARDS requiring extracorporeal membranous oxygenation (ECMO), sevoflurane on AnaConDa® device was administered for 8 days but was complicated by the development of nephrogenic diabetes insipidus (NDI). Other causes of NDI or central diabetes insipidus were reasonably excluded, as in other previously published cases of NDI in ICU patients receiving prolonged sevoflurane-based sedation. In addition, the postmortem examination suggested a lower expression of aquaporin-2 in renal tubules. This observation should prompt further investigations to elucidate the role of aquaporin-2 in sevoflurane-related NDI. Inhaled isoflurane sedation is a possible alternative.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":" ","pages":"3312306"},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40306889","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: 3