Case Reports in Anesthesiology最新文献_第9页

Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair. 开放式胎儿脊膜膨出修复术后产妇肺水肿和子宫亢进的成功麻醉管理。

Case Reports in Anesthesiology Pub Date : 2021-03-05 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6679845

Denis Snegovskikh, Konstantina Svokos, Dmitri Souza, Elizabeth Renaud, Stephen R Carr, Mark C Kendall, Francois I Luks

引用次数: 1

Continuous Erector Spinae Plane Block for Analgesia after Thoracotomy for Lung Transplantation in an Anticoagulated Patient. 连续竖脊肌平面阻滞在抗凝患者开胸肺移植术后镇痛中的应用。

Case Reports in Anesthesiology Pub Date : 2021-02-26 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6664712

Mark Mudarth, Veena Satyapriya, John Coffman, Peter DeSocio, Alec Lawrence, Shana Schwartz, Michael Kushelev

{"title":"Continuous Erector Spinae Plane Block for Analgesia after Thoracotomy for Lung Transplantation in an Anticoagulated Patient.","authors":"Mark Mudarth, Veena Satyapriya, John Coffman, Peter DeSocio, Alec Lawrence, Shana Schwartz, Michael Kushelev","doi":"10.1155/2021/6664712","DOIUrl":"https://doi.org/10.1155/2021/6664712","url":null,"abstract":"Lung transplant recipients are at particular high risk for postoperative respiratory failure as a result of poorly controlled pain, inadequate graft expansion, decreased cough, and reliance on systemic opioid therapy. Thoracic epidural and paravertebral blocks have been employed with the goal of improving postoperative pain control, improving pulmonary mechanics, and limiting the need for narcotic administration. These approaches require a needle position in proximity to the neuraxis and may cause significant hypotension that is poorly tolerated in transplant patients. Additionally, the use of anticoagulation or underlying clotting disorder limits the use of these regional blocks because of the concern of hematoma and subsequent neurologic injury. Ultrasound-guided continuous erector spinae plane (ESP) block has been shown to be efficacious for pain control following thoracotomy but has had minimal investigations following lung transplantation. In this study, we describe the effective use of a continuous erector spinae plane block to provide analgesia in a postoperative lung transplant recipient receiving systemic anticoagulation. The use of an ESP block with a more superficial needle tract that is further removed from the neuraxis allowed for a greater safety profile while providing efficacious pain control, decreased reliance on systemic narcotics, and improved oxygen saturation. The ESP block was effective in this case and thus may be a valuable alternative following lung transplantation for patients who are not candidates for thoracic epidural or paravertebral approaches.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2021 ","pages":"6664712"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7936898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25486901","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: 7

Unilateral Hypoglossal Nerve Palsy in a Patient with a Difficult Airway Requiring Prolonged Intubation. 单侧舌下神经麻痹患者气道困难需要长时间插管。

Case Reports in Anesthesiology Pub Date : 2021-02-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8842503

Kahlin Leuzinger, Lopa Misra

{"title":"Unilateral Hypoglossal Nerve Palsy in a Patient with a Difficult Airway Requiring Prolonged Intubation.","authors":"Kahlin Leuzinger, Lopa Misra","doi":"10.1155/2021/8842503","DOIUrl":"https://doi.org/10.1155/2021/8842503","url":null,"abstract":"Isolated cranial nerve injury is a very rare complication of anesthesia. Specifically, hypoglossal nerve palsy affects mobility of the tongue and basic functions of swallowing and speech, and injury can be associated with placement and/or positioning of the endotracheal tube. Many etiologies are described that are unrelated to anesthesia such as tumors, stroke, trauma, or surgical dissection. Identification of hypoglossal neuropraxic-type injury from compression or stretching during anesthetic procedures can be difficult and tends to be a diagnosis of exclusion. Here, we present a case of a unilateral isolated hypoglossal nerve palsy following prolonged intubation in a surgery that involved large fluid shifts resulting in tongue swelling, in which establishment of the airway was initially difficult requiring two attempts. We suggest it is equally as possible that stretch injury occurred during airway instrumentation versus prolonged compression of the nerve between the endotracheal tube and the hyoid bone, possibly relating to a swollen tongue. We outline some treatments that have been used in previous reports and analyze their relation to improvements in symptoms. We conclude that instrumentation of the airway and prolonged intubation are both potential risk factors for hypoglossal nerve palsy, and identification of these risk factors can improve patient care by prompting patient discussions, guiding intraoperative management, and initiating earlier therapies.","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2021 ","pages":"8842503"},"PeriodicalIF":0.0,"publicationDate":"2021-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7906798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25453652","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

Ultrasound to the Rescue: Axillary Clearance under Complete Regional Blockade. 超声救援:完全区域封锁下的腋窝清除。

Case Reports in Anesthesiology Pub Date : 2021-02-11 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6655930

B M Munasinghe, N Subramaniam, S Nimalan, P Sivamayuran

引用次数: 2

Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula. 动脉内利多卡因在颈海绵状瘘血管内治疗过程中减弱三叉心反射。

Case Reports in Anesthesiology Pub Date : 2021-01-05 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2342347

Renee L Coleman, Dmitri Bezinover, Douglas C Jones, Kevin M Cockroft, Uma R Parekh

引用次数: 6

Management of Neuraxial Analgesia in a Parturient with Factor XIII Deficiency: A Case Report and Proposed Management Algorithm. 因子XIII缺乏产妇的神经轴镇痛管理：一例病例报告和建议的管理算法。

Case Reports in Anesthesiology Pub Date : 2020-12-31 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8892225

David B Carroll, Conrad Myler, Natthapol Songdej, Khaled Sedeek, Dmitri Bezinover

引用次数: 0

Anesthetic Management for Inclusion Body Myositis in Coronary Artery Bypass Graft Surgery. 冠状动脉搭桥术中包涵体肌炎的麻醉处理。

Case Reports in Anesthesiology Pub Date : 2020-12-24 eCollection Date: 2020-01-01 DOI: 10.1155/2020/6679156

Uoo Kim

引用次数: 0

Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus. 右心逆位患者冠状动脉旁路移植术1例。

Case Reports in Anesthesiology Pub Date : 2020-12-14 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8885881

Kaitlin E Woods, J W Awori Hayanga, Daniel Sloyer, Roy E Henrickson, Lawrence M Wei, Heather K Hayanga

引用次数: 0

Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia. 区域麻醉下肱骨转移性副神经节瘤-嗜铬细胞瘤的围手术期治疗。

Case Reports in Anesthesiology Pub Date : 2020-12-11 eCollection Date: 2020-01-01 DOI: 10.1155/2020/2482793

Iyabo O Muse, Kumar Vivek, Noah A Bloomgarden, Amit Singla, David S Geller

引用次数: 1

Perioperative Management and Preemptive ECMO Cannulation of a Parturient with Cystic Fibrosis Undergoing Cesarean Delivery. 1例囊性纤维化剖宫产患者的围手术期管理及预防性ECMO插管。

Case Reports in Anesthesiology Pub Date : 2020-12-04 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8814729

Thais Franklin Dos Santos, Andrea Rabassa, Oscar Aljure, Reine Zbeidy

引用次数: 2