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High-Flow Nasal Oxygen in Patient With Obstructive Sleep Apnea Undergoing Awake Craniotomy: A Case Report. 高流量鼻吸氧在阻塞性睡眠呼吸暂停患者清醒开颅术中的应用:1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-12-15 DOI: 10.1213/XAA.0000000000000615
Jaclyn W M Wong, Amy H S Kong, Sau Yee Lam, Peter Y M Woo
{"title":"High-Flow Nasal Oxygen in Patient With Obstructive Sleep Apnea Undergoing Awake Craniotomy: A Case Report.","authors":"Jaclyn W M Wong,&nbsp;Amy H S Kong,&nbsp;Sau Yee Lam,&nbsp;Peter Y M Woo","doi":"10.1213/XAA.0000000000000615","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000615","url":null,"abstract":"<p><p>Patients with obstructive sleep apnea are frequently considered unsuitable candidates for awake craniotomy due to anticipated problems with oxygenation, ventilation, and a potentially difficult airway. At present, only a handful of such accounts exist in the literature. Our report describes the novel use of high-flow nasal oxygen therapy for a patient with moderate obstructive sleep apnea who underwent an awake craniotomy under deep sedation. The intraoperative application of high-flow nasal oxygen therapy achieved satisfactory oxygenation, maintained the partial carbon dioxide pressure within a reasonable range even during periods of deep sedation, permitted responsive patient monitoring during mapping, and provided excellent patient and surgeon satisfaction.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 12","pages":"353-356"},"PeriodicalIF":0.5,"publicationDate":"2017-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000615","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35236673","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: 6
Acquired Hemophilia A After Hepatic Yttrium-90 Radioembolization: A Case Report. 肝钇-90放射栓塞后获得性血友病A 1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-12-15 DOI: 10.1213/XAA.0000000000000611
Susanna Tribuzi, Alessia Naccarato, Lorella Pelagalli, Marco Covotta, Giulia Torregiani, Claudia Claroni, Ester Forastiere
{"title":"Acquired Hemophilia A After Hepatic Yttrium-90 Radioembolization: A Case Report.","authors":"Susanna Tribuzi,&nbsp;Alessia Naccarato,&nbsp;Lorella Pelagalli,&nbsp;Marco Covotta,&nbsp;Giulia Torregiani,&nbsp;Claudia Claroni,&nbsp;Ester Forastiere","doi":"10.1213/XAA.0000000000000611","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000611","url":null,"abstract":"<p><p>Acquired hemophilia is a rare but potentially life-threatening bleeding disorder caused by the development of autoantibodies (inhibitors) directed against plasma coagulation factors, most frequently factor VIII. We report a case of a 65-year-old man with hepatocellular carcinoma who bled massively after a hepatic Yttrium-90 radioembolization procedure (Selective Internal Radiation Therapy with Yttrium-90 Resin Microspheres [SIRTex]). An acquired deficiency of factor VIII was diagnosed and successfully treated with recombinant activated factor VII and immunosuppression.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 12","pages":"344-345"},"PeriodicalIF":0.5,"publicationDate":"2017-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000611","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35236675","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
Loss of Smell and Taste After General Anesthesia: A Case Report. 全身麻醉后嗅觉和味觉丧失1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-12-15 DOI: 10.1213/XAA.0000000000000612
Jason Joe Baker, Stina Öberg, Jacob Rosenberg
{"title":"Loss of Smell and Taste After General Anesthesia: A Case Report.","authors":"Jason Joe Baker,&nbsp;Stina Öberg,&nbsp;Jacob Rosenberg","doi":"10.1213/XAA.0000000000000612","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000612","url":null,"abstract":"<p><p>This case report describes a patient, who lost the ability to smell and taste after receiving a propofol-based general anesthesia for a laparoscopic inguinal hernia repair. Immediately after the procedure, the patient had anosmia (loss of smell), ageusia (loss of taste), and light dysphagia. Assessment by an otorhinolaryngologist and the results of a magnetic resonance imaging could not clarify the pathology behind these symptoms. Although there are several plausible explanations for the patient's anosmia and ageusia (eg, cerebral infarcts, nerve damage, chronic sinusitis), the most likely explanation is an uncommon adverse drug reaction to the anesthetic agents used during the procedure.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 12","pages":"346-348"},"PeriodicalIF":0.5,"publicationDate":"2017-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000612","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35236672","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: 6
Intrathecal Migration of an Epidural Catheter While Using a Programmed Intermittent Epidural Bolus Technique for Labor Analgesia Maintenance: A Case Report. 硬膜外导管鞘内移位同时使用程序间歇硬膜外灌注技术维持分娩镇痛:1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-12-15 DOI: 10.1213/XAA.0000000000000616
Francesca Betti, Brendan Carvalho, Edward T Riley
{"title":"Intrathecal Migration of an Epidural Catheter While Using a Programmed Intermittent Epidural Bolus Technique for Labor Analgesia Maintenance: A Case Report.","authors":"Francesca Betti,&nbsp;Brendan Carvalho,&nbsp;Edward T Riley","doi":"10.1213/XAA.0000000000000616","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000616","url":null,"abstract":"<p><p>We describe a case of intrathecal migration of a wire-reinforced epidural catheter in a parturient who received epidural labor analgesia. Epidural analgesia was initiated with a combined-spinal epidural technique and maintained by programmed intermittent epidural boluses. Epidural catheter aspiration after insertion was negative for cerebrospinal fluid. The patient's response to the first four doses of local anesthetic was consistent with epidural drug delivery. After the fifth dose, she developed a complete lower extremity motor block, hypotension, and high sensory blockade. Catheter aspiration was then positive for cerebrospinal fluid. After symptom resolution, labor pain was successfully managed with this inadvertent intrathecal catheter.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 12","pages":"357-359"},"PeriodicalIF":0.5,"publicationDate":"2017-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35236674","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: 6
Combined Selective Nerve Blockade and Local Infiltration Analgesia in a Total Shoulder Arthroplasty Patient With Chronic Pain and Severe Restrictive Lung Disease: A Case Report. 选择性神经阻滞联合局部浸润镇痛治疗慢性疼痛合并严重限制性肺疾病全肩关节置换术1例
IF 0.5
A&A Case Reports Pub Date : 2017-12-15 DOI: 10.1213/XAA.0000000000000617
Jason K Panchamia, David A Olsen, Joaquin Sanchez-Sotelo, Adam W Amundson
{"title":"Combined Selective Nerve Blockade and Local Infiltration Analgesia in a Total Shoulder Arthroplasty Patient With Chronic Pain and Severe Restrictive Lung Disease: A Case Report.","authors":"Jason K Panchamia,&nbsp;David A Olsen,&nbsp;Joaquin Sanchez-Sotelo,&nbsp;Adam W Amundson","doi":"10.1213/XAA.0000000000000617","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000617","url":null,"abstract":"<p><p>Interscalene brachial plexus block is considered the most complete postoperative analgesia after total shoulder arthroplasty. Interscalene brachial plexus block-induced ipsilateral hemidiaphragmatic paralysis may not be tolerated in patients with preexisting pulmonary disease. Selective distal nerve blocks avoid the risk of phrenic nerve block; however, they may provide incomplete analgesia to the glenohumeral joint. We report a case of combined selective suprascapular and axillary nerve blockade in combination with local infiltration analgesia in a patient with severe lung disease undergoing total shoulder arthroplasty. This case highlights the local infiltration analgesia technique of the shoulder joint and current diaphragm-sparing regional anesthesia blocks.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 12","pages":"360-363"},"PeriodicalIF":0.5,"publicationDate":"2017-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000617","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35375661","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: 5
Intraoperative Pulmonary Embolism: A Case Report Emphasizing the Utility of Electrocardiogram. 术中肺栓塞1例，强调心电图的作用。
IF 0.5
A&A Case Reports Pub Date : 2017-12-15 DOI: 10.1213/XAA.0000000000000613
Josef Pleticha, Evan M Sutton
{"title":"Intraoperative Pulmonary Embolism: A Case Report Emphasizing the Utility of Electrocardiogram.","authors":"Josef Pleticha,&nbsp;Evan M Sutton","doi":"10.1213/XAA.0000000000000613","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000613","url":null,"abstract":"<p><p>Pulmonary embolism (PE) is an important cause of perioperative morbidity and mortality. In patients with suspected PE, electrocardiogram (ECG) alone is thought to have a limited utility due to its low sensitivity and specificity. This case report describes a patient with intraoperative PE presenting with hypotension and hypoxemia for whom the ECG finding of SIQIIITIII was key in identifying acute cor pulmonale. The ECG was paramount in our decision to acquire computed tomography angiography to confirm the diagnosis, reinforcing its invaluable role in early detection of intraoperative PE.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 12","pages":"349-352"},"PeriodicalIF":0.5,"publicationDate":"2017-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000613","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35236677","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
Atypical Neuroleptic Malignant Syndrome: Diagnosis and Proposal for an Expanded Treatment Algorithm: A Case Report. 非典型抗精神病药恶性综合征:诊断和扩大治疗算法的建议:一个病例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-12-15 DOI: 10.1213/XAA.0000000000000610
Nicole M Schreiner, Samuel Windham, Andrew Barker
{"title":"Atypical Neuroleptic Malignant Syndrome: Diagnosis and Proposal for an Expanded Treatment Algorithm: A Case Report.","authors":"Nicole M Schreiner,&nbsp;Samuel Windham,&nbsp;Andrew Barker","doi":"10.1213/XAA.0000000000000610","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000610","url":null,"abstract":"<p><p>Neuroleptic malignant syndrome (NMS) in the absence of an elevated creatine kinase is atypical and more difficult to diagnose. We present a patient with NMS significant risk factors who developed atypical NMS 6 days after a liver transplant. Symptoms of hyperthermia, altered mental status, dyskinesia, and autonomic instability (hypertension and tachycardia) coincided with promethazine administration, with rapid progression to fulminant NMS with lead pipe rigidity after a single injection of intramuscular ziprasidone. Rapid diagnosis and management resulted in full patient recovery. Differential diagnoses for NMS are discussed and a treatment algorithm is proposed.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 12","pages":"339-343"},"PeriodicalIF":0.5,"publicationDate":"2017-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000610","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35375656","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: 4
A Simple and Effective Way to Secure a Laryngeal Mask Airway in Place. 一种简单有效的固定喉罩气道的方法。
IF 0.5
A&A Case Reports Pub Date : 2017-12-15 DOI: 10.1213/XAA.0000000000000614
Shahram Shokohi, Mir Mousa Aghdashi
{"title":"A Simple and Effective Way to Secure a Laryngeal Mask Airway in Place.","authors":"Shahram Shokohi,&nbsp;Mir Mousa Aghdashi","doi":"10.1213/XAA.0000000000000614","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000614","url":null,"abstract":"","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 12","pages":"364"},"PeriodicalIF":0.5,"publicationDate":"2017-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000614","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35375657","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
Exaggerated Oculocardiac Reflex Elicited by Local Anesthetic Injection of an Empty Orbit: A Case Report. 空眶局麻注射引起心房反射增强1例。
IF 0.5
A&A Case Reports Pub Date : 2017-12-15 DOI: 10.1213/XAA.0000000000000609
David Nicholson, Andrea Kossler, Katie Topping, Creed M Stary
{"title":"Exaggerated Oculocardiac Reflex Elicited by Local Anesthetic Injection of an Empty Orbit: A Case Report.","authors":"David Nicholson,&nbsp;Andrea Kossler,&nbsp;Katie Topping,&nbsp;Creed M Stary","doi":"10.1213/XAA.0000000000000609","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000609","url":null,"abstract":"<p><p>We report the first description of oculocardiac reflex elicited with injection of local anesthetic in an empty orbit, and highlight clinical indicators for patients that may be at risk for an exaggerated oculocardiac reflex. We describe a patient with prior head and eye trauma treated for anophthalmic socket reconstruction at an outpatient eye surgery center. Injection of local anesthetic into the empty orbit induced an extended sinus arrest. This exaggerated response was avoided in a subsequent surgery by pretreatment with high-dose anticholinergics.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 12","pages":"337-338"},"PeriodicalIF":0.5,"publicationDate":"2017-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35375655","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: 3
Bilateral Continuous Erector Spinae Plane Block Contributes to Effective Postoperative Analgesia After Major Open Abdominal Surgery: A Case Report. 双侧连续竖肌脊柱平面阻滞有助于腹部大开腹手术后有效的术后镇痛:1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-12-01 DOI: 10.1213/XAA.0000000000000605
Carlos Eduardo Restrepo-Garces, Ki Jinn Chin, Patricia Suarez, Alejandro Diaz
{"title":"Bilateral Continuous Erector Spinae Plane Block Contributes to Effective Postoperative Analgesia After Major Open Abdominal Surgery: A Case Report.","authors":"Carlos Eduardo Restrepo-Garces,&nbsp;Ki Jinn Chin,&nbsp;Patricia Suarez,&nbsp;Alejandro Diaz","doi":"10.1213/XAA.0000000000000605","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000605","url":null,"abstract":"<p><p>The erector spinae plane (ESP) block is a regional anesthetic technique involving local anesthetic injection in a paraspinal plane deep to the erector spinae muscle. Originally described for thoracic analgesia when performed at the T5 transverse process, the ESP block can provide abdominal analgesia if performed at lower thoracic levels because the erector spinae muscles extend to the lumbar spine. A catheter inserted into this plane can extend analgesic duration and can be an alternative to epidural analgesia. In this report, we describe using bilateral ESP catheters inserted at the T8 level to provide effective perioperative analgesia for major open lower abdominal surgery.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 11","pages":"319-321"},"PeriodicalIF":0.5,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000605","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35187649","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: 100
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