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Two Cases of Duchenne Muscular Dystrophy That Showed Different Reactions to Nerve Stimulation During Peripheral Nerve Block: A Case Report. 周围神经阻滞时对神经刺激反应不同的杜氏肌萎缩症2例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-07-15 DOI: 10.1213/XAA.0000000000000524
MinHye So, Takeshi Sugiura, Saya Yoshizawa, Kazuya Sobue
{"title":"Two Cases of Duchenne Muscular Dystrophy That Showed Different Reactions to Nerve Stimulation During Peripheral Nerve Block: A Case Report.","authors":"MinHye So,&nbsp;Takeshi Sugiura,&nbsp;Saya Yoshizawa,&nbsp;Kazuya Sobue","doi":"10.1213/XAA.0000000000000524","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000524","url":null,"abstract":"<p><p>In recent years, the technique of combined ultrasound and electrical stimulation-guided nerve block has been recommended. We present 2 patients with Duchenne muscular dystrophy who exhibited different muscle responses to nerve stimulation during the performance of peripheral nerve blocks for surgeries. Whereas a 2-year-old boy without severe disability showed the expected muscle contraction to electrical nerve stimulation, a 14-year-old boy with severe disability showed no muscle response. Our experience suggests that muscle responses to electrical nerve stimulation will vary with the stage of Duchenne muscular dystrophy.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 2","pages":"52-53"},"PeriodicalIF":0.5,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000524","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34956969","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: 2
Intravenous Caffeine Rescue for Postoperative Hypoventilation in a 16-Year-Old With Trisomy 10: A Case Report. 16岁10三体患者术后低通气静脉注射咖啡因抢救1例。
IF 0.5
A&A Case Reports Pub Date : 2017-07-15 DOI: 10.1213/XAA.0000000000000523
Michael Evans, Humphrey Lam, Thomas Austin
{"title":"Intravenous Caffeine Rescue for Postoperative Hypoventilation in a 16-Year-Old With Trisomy 10: A Case Report.","authors":"Michael Evans,&nbsp;Humphrey Lam,&nbsp;Thomas Austin","doi":"10.1213/XAA.0000000000000523","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000523","url":null,"abstract":"<p><p>Trisomy 10 is a rare disorder, with only 35 cases reported in the literature. Anesthetic management may be challenging in this patient population because of craniofacial, cardiac, and renal abnormalities commonly seen in the disorder. We describe a 16-year-old male with an anesthetic history notable for prolonged emergence, postoperative hypoxia, postoperative reintubation, and unexpected hospital admission presenting for dental extraction of impacted teeth. We utilized intravenous caffeine, a respiratory stimulant used in preterm infants, to facilitate recovery from anesthesia.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 2","pages":"50-51"},"PeriodicalIF":0.5,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000523","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34957522","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: 2
Volatile Sedation in Reversible Cerebral Vasoconstriction Syndrome: A Case Report. 挥发性镇静治疗可逆性脑血管收缩综合征1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-07-15 DOI: 10.1213/XAA.0000000000000521
Michael Ramming, Joachim Bansbach, Christopher Beck, Johannes Kalbhenn
{"title":"Volatile Sedation in Reversible Cerebral Vasoconstriction Syndrome: A Case Report.","authors":"Michael Ramming,&nbsp;Joachim Bansbach,&nbsp;Christopher Beck,&nbsp;Johannes Kalbhenn","doi":"10.1213/XAA.0000000000000521","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000521","url":null,"abstract":"<p><p>Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by reversible multifocal narrowing of cerebral arteries heralded by sudden (thunderclap) headaches with or without neurological deficits, resolving within 3 months. It often occurs in the peripartum period. To date, the ideal treatment remains unclear. Here, we report the case of a 31-year-old primigravida who presented with intracranial hemorrhage and went on to develop RCVS and acute respiratory distress syndrome over the course of her illness. Her condition was further complicated by uterine atony and septic shock.We describe for the first time the use of short-acting volatile sedation for prone positioning in acute respiratory distress syndrome during RCVS.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 2","pages":"42-46"},"PeriodicalIF":0.5,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000521","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34915925","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: 2
Utilization of a Text and Translation Application for Communication With a Foreign Deaf Family: A Call for Validation of This Technology-A Case Report. 文本与翻译应用在与外国聋人家庭交流中的应用:对该技术验证的呼吁——一个案例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-07-15 DOI: 10.1213/XAA.0000000000000522
Patrick G Fernandez, Megan A Brockel, Lisa L Lipscomb, Richard J Ing, Muayyad Tailounie
{"title":"Utilization of a Text and Translation Application for Communication With a Foreign Deaf Family: A Call for Validation of This Technology-A Case Report.","authors":"Patrick G Fernandez,&nbsp;Megan A Brockel,&nbsp;Lisa L Lipscomb,&nbsp;Richard J Ing,&nbsp;Muayyad Tailounie","doi":"10.1213/XAA.0000000000000522","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000522","url":null,"abstract":"<p><p>Effective communication with patients is essential to quality care. Obviously, language barriers significantly impact this and can increase the risk of poor patient outcomes. Smartphones and mobile health technology are valuable resources that are beginning to break down language barriers in health care. We present a case of a challenging language barrier where successful perioperative communication was achieved using mobile technology. Although quite beneficial, use of technology that is not validated exposes providers to unnecessary medicolegal risk. We hope to highlight the need for validation of such technology to ensure that these tools are an effective way to accurately communicate with patients in the perioperative setting.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 2","pages":"47-49"},"PeriodicalIF":0.5,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000522","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34913989","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: 2
Obstetric Anesthesia for a Pregnant Woman With Brainstem Cavernous Malformations: A Case Report. 孕妇脑干海绵状血管瘤的产科麻醉1例。
IF 0.5
A&A Case Reports Pub Date : 2017-07-15 DOI: 10.1213/XAA.0000000000000525
Misuzu Hayashi, Manabu Kakinohana
{"title":"Obstetric Anesthesia for a Pregnant Woman With Brainstem Cavernous Malformations: A Case Report.","authors":"Misuzu Hayashi,&nbsp;Manabu Kakinohana","doi":"10.1213/XAA.0000000000000525","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000525","url":null,"abstract":"<p><p>There are no well-defined guidelines for obstetric and anesthetic management of pregnant patients with cerebral cavernous malformations (CMs). We need to pay careful attention to the attendant risks of both general and neuraxial anesthesia in this population. Here, we describe the anesthetic management of a pregnant woman with brainstem CMs who underwent cesarean delivery. We selected a general anesthetic technique because of concerns of undesirable effects of neuraxial anesthesia in the presence of cerebral CMs.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 2","pages":"54-56"},"PeriodicalIF":0.5,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000525","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34943326","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
Combined Spinal-Epidural Anesthesia With Dexmedetomidine-Based Sedation for Multiple Corrective Osteotomies in a Child With Osteogenesis Imperfecta Type III: A Case Report. 脊髓-硬膜外麻醉联合右美托咪定镇静治疗III型成骨不全儿童多次矫正性断骨术1例。
IF 0.5
A&A Case Reports Pub Date : 2017-07-15 DOI: 10.1213/XAA.0000000000000527
Anju Gupta, Geeta Kamal, Nishkarsh Gupta, Anil Aggarwal
{"title":"Combined Spinal-Epidural Anesthesia With Dexmedetomidine-Based Sedation for Multiple Corrective Osteotomies in a Child With Osteogenesis Imperfecta Type III: A Case Report.","authors":"Anju Gupta,&nbsp;Geeta Kamal,&nbsp;Nishkarsh Gupta,&nbsp;Anil Aggarwal","doi":"10.1213/XAA.0000000000000527","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000527","url":null,"abstract":"<p><p>Osteogenesis imperfecta (OI) is a rare disabling genetic connective tissue disorder. General anesthesia in these patients is associated with increased risks. Regional anesthesia is favored wherever feasible, but there are limited reports of use of a sole regional technique in OI in pediatric patients. Moreover, combined spinal-epidural anesthesia has never been described previously. We are reporting the use of combined spinal-epidural anesthesia for a prolonged surgery (multiple osteotomies) of lower limbs in a 10-year-old wheelchair-bound child with OI type III. Preoperative counseling, ultrasonography guidance, titrated local anesthetic dosage, and dexmedetomidine sedation helped establish optimum surgical conditions.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 2","pages":"60-63"},"PeriodicalIF":0.5,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34946030","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
Excessive Surgical Adhesive Mimicking Aortic Root Abscess: A Case Report. 过量手术粘接剂致主动脉根部脓肿1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-07-15 DOI: 10.1213/XAA.0000000000000526
Natalie A Silverton, David A Bull, Candice K Morrissey
{"title":"Excessive Surgical Adhesive Mimicking Aortic Root Abscess: A Case Report.","authors":"Natalie A Silverton,&nbsp;David A Bull,&nbsp;Candice K Morrissey","doi":"10.1213/XAA.0000000000000526","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000526","url":null,"abstract":"<p><p>Aortic root abscess is a complication of aortic valve endocarditis that is associated with a high morbidity and mortality. The diagnosis usually is made with transesophageal echocardiography, which is highly sensitive and specific for the disease. We present a case of suspected aortic root abscess 1 week after mechanical aortic valve replacement for native valve endocarditis. The diagnosis was made by the use of transesophageal echocardiography but surgical inspection revealed that the paravalvular fluid collection was excessive surgical adhesive. We discuss the clinical significance and differential diagnosis of aortic root abscess in the setting of infective endocarditis.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 2","pages":"57-59"},"PeriodicalIF":0.5,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000526","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35167932","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
Spinal Cord Stimulation Treatment for Persistent Pain After a Burn Injury: A Case Report. 脊髓刺激治疗烧伤后持续性疼痛1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-07-15 DOI: 10.1213/XAA.0000000000000519
Takeshi Kubota, Yuuhei Ishikawa, Rie Ishikawa
{"title":"Spinal Cord Stimulation Treatment for Persistent Pain After a Burn Injury: A Case Report.","authors":"Takeshi Kubota,&nbsp;Yuuhei Ishikawa,&nbsp;Rie Ishikawa","doi":"10.1213/XAA.0000000000000519","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000519","url":null,"abstract":"<p><p>Spinal cord stimulation (SCS) is used to treat neuropathic pain, but there are no published studies on its use to treat burn pain. We used SCS to treat a 67-year-old man suffering from burn pain that could not be managed with high-dose opioids or adjuvant neuropathic analgesics. A trial of SCS markedly reduced the visual analog scale score for pain in the left lateral abdominal and gluteal regions. He underwent permanent implantation of a SCS and achieved an opioid-free state. This case suggests that SCS treatment is a therapeutic option for burn pain refractory to conventional therapy.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 2","pages":"35-37"},"PeriodicalIF":0.5,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34823213","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
Anesthetic Management of Mitochondrial Encephalopathy With Lactic Acidosis and Stroke-Like Episodes (MELAS Syndrome) in a High-Risk Pregnancy: A Case Report. 高危妊娠线粒体脑病伴乳酸酸中毒和卒中样发作(MELAS综合征)的麻醉管理:1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-07-15 DOI: 10.1213/XAA.0000000000000520
Josh D Bell, Kushlin Higgie, Mital Joshi, Joshua Rucker, Sahar Farzi, Naveed Siddiqui
{"title":"Anesthetic Management of Mitochondrial Encephalopathy With Lactic Acidosis and Stroke-Like Episodes (MELAS Syndrome) in a High-Risk Pregnancy: A Case Report.","authors":"Josh D Bell,&nbsp;Kushlin Higgie,&nbsp;Mital Joshi,&nbsp;Joshua Rucker,&nbsp;Sahar Farzi,&nbsp;Naveed Siddiqui","doi":"10.1213/XAA.0000000000000520","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000520","url":null,"abstract":"<p><p>MELAS syndrome (mitochondrial encephalopathy, lactic acidosis, and stroke-like symptoms) is a rare and complex mitochondrial disorder. We present the in-hospital course of a 36-year-old gravida 2, para 0 with MELAS syndrome and severe preeclampsia, complicated by hyponatremia, hyperkalemia, and diabetes. A retained placenta with postpartum hemorrhage required urgent instrumental delivery under spinal anesthesia, transfusion, and intensive care unit admission for pulmonary edema, effusions, and atelectasis. Postpartum endometritis and sepsis also were encountered. This is to our knowledge the first case report of obstetric complications in MELAS syndrome and highlights the salient metabolic sequelae of this syndrome.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 2","pages":"38-41"},"PeriodicalIF":0.5,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000520","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34904129","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
Peer-Assisted Analysis of Resident Feedback Improves Clinical Teaching: A Case Report. 住院医师反馈的同伴辅助分析改善临床教学:一个案例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-07-01 DOI: 10.1213/XAA.0000000000000515
Christine L Mai, Keith Baker
{"title":"Peer-Assisted Analysis of Resident Feedback Improves Clinical Teaching: A Case Report.","authors":"Christine L Mai,&nbsp;Keith Baker","doi":"10.1213/XAA.0000000000000515","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000515","url":null,"abstract":"<p><p>Anesthesiologists play an important role in educating future clinicians. Yet few residency programs incorporate teaching skills into faculty development. Consequently, many anesthesiologists have limited training to supervise and educate residents. In turn, these attendings may receive negative feedback and poor evaluations from residents without a means to effectively improve. Peer-assisted teaching between faculty members may serve as a strategy to improve teaching skills. We report a case of peer-assisted analysis of resident feedback to identify specific areas of concern that were targeted for improvement. This approach resulted in improved teaching scores and feedback for the faculty member.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 1","pages":"24-27"},"PeriodicalIF":0.5,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000515","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34823209","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: 2
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