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Short-term Vision Loss Following Whipple Surgery: A Case Report. 惠普尔手术后短期视力丧失1例报告。
A&A Case Reports Pub Date : 2017-04-01 DOI: 10.1213/XAA.0000000000000470
Lakshman Gollapalli, Aashish J Kumar, K. Sood, Rudram Muppuri
{"title":"Short-term Vision Loss Following Whipple Surgery: A Case Report.","authors":"Lakshman Gollapalli, Aashish J Kumar, K. Sood, Rudram Muppuri","doi":"10.1213/XAA.0000000000000470","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000470","url":null,"abstract":"Occipital seizures may result in visual deficits and may be an ictal or postictal phenomenon. A 71-year-old woman underwent pancreatoduodenectomy (Whipple procedure). During recovery in the postanesthesia care unit, the patient complained of blindness. Upon transfer to the intensive care unit, an electroencephalogram indicated bilateral occipital and hemispheric seizure activity. The patient was treated with antiseizure medication, and vision normalized within 3 days. Subtherapeutic concentration of free phenytoin was confirmed. Our experience suggests that electroencephalogram evaluation should be considered in the workup of postoperative patients who present with acute-onset blindness and in whom the cause remains ambiguous even in the absence of obvious clinical signs of seizures.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85651383","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
Postoperative Hemiplegic Migraine After a Laparoscopic Cholecystectomy: A Case Report. 腹腔镜胆囊切除术后偏瘫性偏头痛1例报告。
A&A Case Reports Pub Date : 2017-04-01 DOI: 10.1213/XAA.0000000000000454
J. Happel, Albin S Quiko, H. Phun, Martin Collier, A. Mortensen
{"title":"Postoperative Hemiplegic Migraine After a Laparoscopic Cholecystectomy: A Case Report.","authors":"J. Happel, Albin S Quiko, H. Phun, Martin Collier, A. Mortensen","doi":"10.1213/XAA.0000000000000454","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000454","url":null,"abstract":"We report the case of a 35-year-old woman who developed severe right-sided hemiplegia and hemisensory loss shortly after emergence from general anesthesia for a laparoscopic cholecystectomy. Her medical history was significant for migraine with aura and a family history of transient hemiparesis thought to be a result of a transient ischemic attack. The patient's deficits slowly resolved, and she was ultimately diagnosed with familial hemiplegic migraine after a negative workup for cerebrovascular accidents.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78385372","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
Delayed Anaphylaxis to Mammalian Meat Following Tick Exposure and Its Impact on Anesthetic Management for Cardiac Surgery: A Case Report. 接触蜱虫后对哺乳动物肉类的延迟过敏反应及其对心脏手术麻醉管理的影响:一个病例报告。
A&A Case Reports Pub Date : 2017-04-01 DOI: 10.1213/XAA.0000000000000457
A. Kleiman, K. Littlewood, D. Groves
{"title":"Delayed Anaphylaxis to Mammalian Meat Following Tick Exposure and Its Impact on Anesthetic Management for Cardiac Surgery: A Case Report.","authors":"A. Kleiman, K. Littlewood, D. Groves","doi":"10.1213/XAA.0000000000000457","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000457","url":null,"abstract":"Hypersensitivity reactions to mammalian meat following tick exposure are increasing in prevalence and provide a unique challenge to anesthesiologists. The reactions, including anaphylaxis, are delayed and therefore may not be easily recognized and treated. The risk is especially high in cardiac surgery, where several potential triggers, including biological valves as well as heparin, are used frequently. In the presence of such hypersensitivity, prophylactic measures including preoperative testing and pharmacologic prophylaxis may be useful in modulating the immune response such that triggering agents may be used relatively safely. We present 3 patients with previous sensitization to meat protein following a tick bite with known allergic reactions to mammalian meat who presented for cardiac surgery involving exposure to potential allergens and discuss the perioperative management including possible prevention.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"201 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90236044","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: 12
Mitral Inflow Obstruction Resulting From a Dilated Coronary Sinus: Role of Intraoperative Transesophageal Echocardiography in Diagnosis and Surgical Repair: A Case Report. 冠状窦扩张导致二尖瓣流入阻塞:术中经食管超声心动图在诊断和手术修复中的作用:1例报告。
A&A Case Reports Pub Date : 2017-04-01 DOI: 10.1213/XAA.0000000000000456
Saravana Babu, S. Gadhinglajkar, M. Kumar, Subin Sukesan, B. Dharan, R. Sreedhar, N. Aggarwal
{"title":"Mitral Inflow Obstruction Resulting From a Dilated Coronary Sinus: Role of Intraoperative Transesophageal Echocardiography in Diagnosis and Surgical Repair: A Case Report.","authors":"Saravana Babu, S. Gadhinglajkar, M. Kumar, Subin Sukesan, B. Dharan, R. Sreedhar, N. Aggarwal","doi":"10.1213/XAA.0000000000000456","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000456","url":null,"abstract":"Mitral inflow obstruction caused by dilated coronary sinus is a rare congenital cardiac anomaly that must be differentiated from other causes of left ventricular inflow obstruction such as cor triatriatum, supramitral membrane, and supramitral ridge, because their surgical repair is different. Although preoperative transthoracic echocardiography is the primary imaging modality for diagnosis, intraoperative transesophageal echocardiography has a higher sensitivity and specificity over transthoracic echocardiography in differentiating these lesions. We report 2 cases of supramitral obstruction where the intraoperative transesophageal echocardiography has refined the preoperative diagnosis and changed the course of surgical repair.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89084599","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
Perioperative Surface Ultrasound for Placement and Confirmation of Central Venous Access: A Case Report. 围术期表面超声用于中心静脉通路的放置和确认:1例报告。
A&A Case Reports Pub Date : 2017-04-01 DOI: 10.1213/XAA.0000000000000463
Jeffrey Bortman, Ziyad O. Knio, Rabia Amir, K. Hamid, Feroze Mahmood, R. Matyal
{"title":"Perioperative Surface Ultrasound for Placement and Confirmation of Central Venous Access: A Case Report.","authors":"Jeffrey Bortman, Ziyad O. Knio, Rabia Amir, K. Hamid, Feroze Mahmood, R. Matyal","doi":"10.1213/XAA.0000000000000463","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000463","url":null,"abstract":"We present a case highlighting that the real-time visualization of the guidewire in the internal jugular vein with ultrasound, and confirmation of correct position of the guidewire tip at the superior vena cava to right atrial junction with surface ultrasound, is possibly the safest method of central venous catheter insertion.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76706219","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
Increased Resistance to Flow and Ventilator Failure Secondary to Faulty CO2 Absorbent Insert Not Detected During Automated Anesthesia Machine Check: A Case Report. 在自动麻醉机检查中未检测到错误的CO2吸收剂插入物导致的流动阻力增加和呼吸机故障:一例报告。
A&A Case Reports Pub Date : 2017-04-01 DOI: 10.1213/XAA.0000000000000464
Ingrid Moreno-Duarte, J. Montenegro, K. Balonov, R. Schumann
{"title":"Increased Resistance to Flow and Ventilator Failure Secondary to Faulty CO2 Absorbent Insert Not Detected During Automated Anesthesia Machine Check: A Case Report.","authors":"Ingrid Moreno-Duarte, J. Montenegro, K. Balonov, R. Schumann","doi":"10.1213/XAA.0000000000000464","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000464","url":null,"abstract":"Most modern anesthesia workstations provide automated checkout, which indicates the readiness of the anesthesia machine. In this case report, an anesthesia machine passed the automated machine checkout. Minutes after the induction of general anesthesia, we observed a mismatch between the selected and delivered tidal volumes in the volume auto flow mode with increased inspiratory resistance during manual ventilation. Endotracheal tube kinking, circuit obstruction, leaks, and patient-related factors were ruled out. Further investigation revealed a broken internal insert within the CO2 absorbent canister that allowed absorbent granules to cause a partial obstruction to inspiratory and expiratory flow triggering contradictory alarms. We concluded that even when the automated machine checkout indicates machine readiness, unforeseen equipment failure due to unexpected events can occur and require providers to remain vigilant.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84735781","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
Anesthetic Management of a Patient With Antimuscle-Specific Kinase Antibody-Positive Myasthenia Gravis Undergoing an Open Cholecystectomy: A Case Report. 1例抗肌肉特异性激酶抗体阳性重症肌无力开放性胆囊切除术患者的麻醉处理
A&A Case Reports Pub Date : 2017-03-15 DOI: 10.1213/XAA.0000000000000453
M. Akatsu, Y. Ikegami, C. Tase, K. Nishikawa
{"title":"Anesthetic Management of a Patient With Antimuscle-Specific Kinase Antibody-Positive Myasthenia Gravis Undergoing an Open Cholecystectomy: A Case Report.","authors":"M. Akatsu, Y. Ikegami, C. Tase, K. Nishikawa","doi":"10.1213/XAA.0000000000000453","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000453","url":null,"abstract":"Myasthenia gravis (MG) is an autoimmune disease characterized by the production of antibodies against the acetylcholine receptor, muscle-specific kinase (MuSK), or other proteins at the neuromuscular junction. MG with antibodies against MuSK (MuSK-MG) has been described recently. Here, we report the first case of anesthetic management of a patient with MuSK-MG undergoing an open cholecystectomy. In our case, propofol and remifentanil-based anesthesia were used for successful management without using muscle relaxants. Patients with MuSK-MG have predominantly ocular, bulbar, and respiratory symptoms that may increase the risk of aspiration. Anesthesiologists need to pay attention to perioperative respiratory failure and respiratory crisis.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75265905","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
Lateral Position for Cesarean Delivery Because of Severe Aortocaval Compression in a Patient With Marfan Syndrome: A Case Report. 马凡氏综合征患者因严重主动脉腔静脉压迫而剖宫产侧卧位1例报告。
A&A Case Reports Pub Date : 2017-03-01 DOI: 10.1213/XAA.0000000000000437
J. Coffman, Russell L Legg, C. F. Coffman, Kenneth R. Moran
{"title":"Lateral Position for Cesarean Delivery Because of Severe Aortocaval Compression in a Patient With Marfan Syndrome: A Case Report.","authors":"J. Coffman, Russell L Legg, C. F. Coffman, Kenneth R. Moran","doi":"10.1213/XAA.0000000000000437","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000437","url":null,"abstract":"Prompt recognition and management of hypotension resulting from aortocaval compression syndrome are essential to optimize the maternal and fetal outcomes. Management involves increasing leftward uterine displacement and sometimes full lateral positioning, although lateral position during cesarean delivery is typically considered to be impractical. We report an obstetric patient case of severe aortocaval compression syndrome resulting in hypotension and loss of consciousness that ultimately underwent cesarean delivery under general anesthesia in the lateral position. Performing cesarean delivery in the lateral position is virtually unreported, and this unique strategy prevented further symptoms of aortocaval compression and enabled safe delivery.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75963676","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: 8
Suspected Malignant Hyperthermia in the Setting of Hypothermic Circulatory Arrest for Type A Aortic Dissection Repair: A Case Report A型主动脉夹层修复术中低温循环停止时疑似恶性高热1例报告
A&A Case Reports Pub Date : 2017-03-01 DOI: 10.1213/XAA.0000000000000442
Bryant Bunting, Joshua Knight, Stephen M. McHugh
{"title":"Suspected Malignant Hyperthermia in the Setting of Hypothermic Circulatory Arrest for Type A Aortic Dissection Repair: A Case Report","authors":"Bryant Bunting, Joshua Knight, Stephen M. McHugh","doi":"10.1213/XAA.0000000000000442","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000442","url":null,"abstract":"Malignant Hyperthermia (MH) is a life-threatening biochemical process of hypermetabolism brought about in susceptible individuals by a triggering drug or event. Type A aortic dissections are surgical emergencies requiring cardiopulmonary bypass and frequently deep hypothermic circulatory arrest. We present a case of suspected MH in a patient undergoing emergent repair of a type A aortic dissection. Upon arrival at our institution, the patient had multiple signs of MH. However, no known triggering agent had been administered. Eventually, the unique physiologic changes of cardiopulmonary bypass provided strong support for the diagnosis of MH and dantrolene was administered, effectively treating the episode.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"2014 1","pages":"116–118"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89531817","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
Capnoperitoneum During Peroral Endoscopic Myotomy-Recognition and Management: A Case Report. 经口内窥镜下肌切开术中的腹膜-识别和处理:1例报告。
A&A Case Reports Pub Date : 2017-03-01 DOI: 10.1213/XAA.0000000000000449
Eric Lee, J. Brodsky, H. Rivas, Karl Zheng, J. Brock‐Utne
{"title":"Capnoperitoneum During Peroral Endoscopic Myotomy-Recognition and Management: A Case Report.","authors":"Eric Lee, J. Brodsky, H. Rivas, Karl Zheng, J. Brock‐Utne","doi":"10.1213/XAA.0000000000000449","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000449","url":null,"abstract":"Peroral endoscopic myotomy (POEM) is a minimally invasive procedure for treating esophageal achalasia. During POEM, carbon dioxide is insufflated under pressure into the esophagus and stomach, which can cause clinically significant capnoperitoneum, capnomediastinum, or capnothorax. We present a case in which gas accumulation in the abdomen during POEM had adverse effects on ventilation. Once the cause was recognized, needle decompression of the abdomen led to immediate improvement in ventilation.","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"49 1","pages":"145-146"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77886578","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: 7
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