发布求助
文献互助 智能选刊 最新文献

A&A Case Reports 最新文献

筛选
英文 中文
Use of 23.4% Saline in Symptomatic Vasospasm and Cushing's Triad to Prevent Herniation and Death: A Case Report. 23.4%生理盐水用于症状性血管痉挛和库欣三联症预防疝出和死亡1例。
IF 0.5
A&A Case Reports Pub Date : 2017-11-01 DOI: 10.1213/XAA.0000000000000587
Lauren M Poe, Allison M Janda, Christina F Burger, Joseph J Schlesinger
{"title":"Use of 23.4% Saline in Symptomatic Vasospasm and Cushing's Triad to Prevent Herniation and Death: A Case Report.","authors":"Lauren M Poe,&nbsp;Allison M Janda,&nbsp;Christina F Burger,&nbsp;Joseph J Schlesinger","doi":"10.1213/XAA.0000000000000587","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000587","url":null,"abstract":"<p><p>A 53-year-old woman with migraines presented with Hunt-Hess grade 5 and Fisher grade 4 subarachnoid hemorrhage with intraventricular hemorrhage. She experienced severe vasospasm requiring intra-arterial medications. Continued vasospasm and edema resulted in Cushing's triad with profound tachypnea. Three percentage saline was administered twice without improvement. Despite the general practice to wait until complete neurologic deterioration before administering 23.4% saline, it was administered on 2 separate occasions, once after the failure of the 2 boluses of 3% saline and once on the reappearance of Cushing's triad 24 hours later, and on each occasion produced overall clinical improvement. The patient was subsequently discharged to a rehabilitation facility and then home. A paradigm shift to earlier intervention with 23.4% saline may improve overall outcomes in patients with severe intracranial hypertension refractory to 3% saline and impending herniation.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 9","pages":"265-267"},"PeriodicalIF":0.5,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000587","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35157128","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
Use of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Emergent Surgical Tracheostomy: A Case Report. 经鼻加湿快速充气通气交换在急诊气管切开术中的应用:1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-11-01 DOI: 10.1213/XAA.0000000000000589
Neel Desai, Anna Fowler
{"title":"Use of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Emergent Surgical Tracheostomy: A Case Report.","authors":"Neel Desai,&nbsp;Anna Fowler","doi":"10.1213/XAA.0000000000000589","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000589","url":null,"abstract":"<p><p>Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) is a novel airway technique that utilizes high-flow humidified nasal oxygen. It can extend apnea time and maintain oxygen saturation. Here we report the use of THRIVE in a 35-year-old man who required emergent surgical tracheostomy for a clinically relevant compromised airway secondary to acute supraglottic and glottic pathology. Intravenous sedation resulted in hypoventilation close to apnea. THRIVE maintained oxygen saturation for 40 minutes until transient desaturation developed after complete airway obstruction.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 9","pages":"268-270"},"PeriodicalIF":0.5,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000589","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35096344","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: 10
Malignant Hyperthermia in a Morbidly Obese Patient Depletes Community Dantrolene Resources: A Case Report. 恶性高热在病态肥胖患者耗尽社区丹trolene资源:一个病例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-11-01 DOI: 10.1213/XAA.0000000000000581
Fabio Magistris, Jonathan Gamble
{"title":"Malignant Hyperthermia in a Morbidly Obese Patient Depletes Community Dantrolene Resources: A Case Report.","authors":"Fabio Magistris,&nbsp;Jonathan Gamble","doi":"10.1213/XAA.0000000000000581","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000581","url":null,"abstract":"<p><p>During resection of a duodenal carcinoid tumor, a 28-year-old morbidly obese woman developed suspected malignant hyperthermia. This hypermetabolic state posed a diagnostic challenge given the similar intraoperative presentation of carcinoid crisis and malignant hyperthermia. The patient's weight posed therapeutic challenges as massive doses and prolonged administration of dantrolene were required that quickly depleted the available supply. Current dantrolene dosing recommendations are based on actual body weight despite a paucity of literature in obese patients. We speculate that the prolonged need for dantrolene redosing was from the continuous release of the volatile anesthetic from the patient's adipose tissue.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 9","pages":"251-253"},"PeriodicalIF":0.5,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000581","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35159526","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
Brachiocephalic Vein Perforation During Cannulation of Internal Jugular Vein: A Case Report. 颈内静脉插管时头臂静脉穿孔1例。
IF 0.5
A&A Case Reports Pub Date : 2017-11-01 DOI: 10.1213/XAA.0000000000000585
Atsushi Kainuma, Keiichi Oshima, Chiho Ota, Yu Okubo, Naoto Fukunaga, Soon Hak Suh
{"title":"Brachiocephalic Vein Perforation During Cannulation of Internal Jugular Vein: A Case Report.","authors":"Atsushi Kainuma,&nbsp;Keiichi Oshima,&nbsp;Chiho Ota,&nbsp;Yu Okubo,&nbsp;Naoto Fukunaga,&nbsp;Soon Hak Suh","doi":"10.1213/XAA.0000000000000585","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000585","url":null,"abstract":"<p><p>We report a rare complication of right brachiocephalic vein perforation during ultrasound-guided cannulation of the right internal jugular vein (IJV) in a patient with a tortuous common carotid artery (CCA). We suspect that the tortuous CCA displaced the IJV, which caused misplacement of the J-tip guidewire into the subclavian vein. The stiff dilator sheath introduced over the guidewire then perforated the wall of the brachiocephalic vein, causing massive hemothorax. This was diagnosed by videothoracoscopy. Anesthesiologists should be aware of the possibility of guidewire malposition during IJV catheterization in patients with a tortuous CCA.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 9","pages":"258-261"},"PeriodicalIF":0.5,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000585","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35096339","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
Two Consecutive Preoperative Cardiac Arrests Involving Vancomycin in a Patient Presenting for Hip Disarticulation: A Case Report. 连续两次术前心脏骤停涉及万古霉素患者髋关节脱臼:一例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-11-01 DOI: 10.1213/XAA.0000000000000586
Trip Evans, Sephalie Patel
{"title":"Two Consecutive Preoperative Cardiac Arrests Involving Vancomycin in a Patient Presenting for Hip Disarticulation: A Case Report.","authors":"Trip Evans,&nbsp;Sephalie Patel","doi":"10.1213/XAA.0000000000000586","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000586","url":null,"abstract":"<p><p>While an abundance of literature exists describing adverse reactions to vancomycin (eg, nausea, vomiting, red man syndrome, acute kidney injury), there is scarce evidence demonstrating vancomycin anaphylactic reactions requiring cardiopulmonary resuscitation. We report a case of a patient who had 2 separate preoperative episodes of cardiac arrest following vancomycin that occurred 4 weeks apart. Both episodes of anaphylaxis required cardiopulmonary resuscitation, which led to a successful patient outcome. We discuss identification and treatment of vancomycin-induced anaphylaxis.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 9","pages":"262-264"},"PeriodicalIF":0.5,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000586","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35096343","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
Incorrect Diagnosis of Type A Aortic Dissection Attributed to Motion Artifact During Computed Tomographic Angiography: A Case Report. 计算机断层血管造影中运动伪影导致的A型主动脉夹层错误诊断1例。
IF 0.5
A&A Case Reports Pub Date : 2017-11-01 DOI: 10.1213/XAA.0000000000000582
Jeremy M Bennett, Bantayehu Sileshi
{"title":"Incorrect Diagnosis of Type A Aortic Dissection Attributed to Motion Artifact During Computed Tomographic Angiography: A Case Report.","authors":"Jeremy M Bennett,&nbsp;Bantayehu Sileshi","doi":"10.1213/XAA.0000000000000582","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000582","url":null,"abstract":"<p><p>Early diagnosis of aortic dissection is important to reduce mortality, with surgical management representing standard treatment. Current methods of diagnosing type A aortic dissection include computed tomography angiography (CTA), magnetic resonance imaging, catheter-based arteriography, and transesophageal echocardiography. While each method has merits, there exists potential for false-positive findings. We present a case of a patient who was diagnosed with type A aortic dissection by CTA, but was found to not have an aortic dissection by transesophageal echocardiography under general anesthesia, preventing an unnecessary sternotomy. The echocardiographic findings suggested CTA artifact.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 9","pages":"254-257"},"PeriodicalIF":0.5,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000582","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35154985","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
Case Report of Cardiac Arrest After Succinylcholine in a Child With Muscle-Eye-Brain Disease. 小儿肌-眼-脑疾病琥珀酰胆碱后心脏骤停1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-10-15 DOI: 10.1213/XAA.0000000000000577
Thomas Hackmann, David L Skidmore, Brian MacManus
{"title":"Case Report of Cardiac Arrest After Succinylcholine in a Child With Muscle-Eye-Brain Disease.","authors":"Thomas Hackmann,&nbsp;David L Skidmore,&nbsp;Brian MacManus","doi":"10.1213/XAA.0000000000000577","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000577","url":null,"abstract":"<p><p>Muscle-eye-brain disease is a rare autosomal recessive disorder characterized by congenital muscular dystrophy, ocular abnormalities, and brain malformation. We report an intraoperative hyperkalemic cardiac arrest following the administration of succinylcholine in a child with muscle-eye-brain disease. The disease was diagnosed only after this event. Our experience suggests that preoperative determinations of serum concentrations of lactate and creatine kinase may be useful if clinical signs consistent with myopathy are present.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 8","pages":"244-247"},"PeriodicalIF":0.5,"publicationDate":"2017-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000577","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35081686","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
Occam's Razor Could Not Cut It: Tale of 2 Headaches in a Postpartum Patient: A Case Report. 奥卡姆的剃刀不能切它:产后患者的两个头痛的故事:一个病例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-10-15 DOI: 10.1213/XAA.0000000000000580
James A Dolak, Constantinos G Hadjipanayis, Linda J Demma
{"title":"Occam's Razor Could Not Cut It: Tale of 2 Headaches in a Postpartum Patient: A Case Report.","authors":"James A Dolak,&nbsp;Constantinos G Hadjipanayis,&nbsp;Linda J Demma","doi":"10.1213/XAA.0000000000000580","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000580","url":null,"abstract":"<p><p>Not all postpartum headaches are caused by dural puncture, and it is possible for postpartum patients to have >1 cause for headache. After neuraxial block with an incidental large-gauge dural puncture, our patient developed a severe, classic postdural puncture headache which initially responded to an epidural blood patch. The patient was readmitted 2 days after discharge complaining of recurrent headache less characteristic of a postdural puncture headache, now being bifrontal/retro-orbital and without clear positional component. Computerized tomography and magnetic resonance imaging revealed an enlarged pituitary gland with a possible hemorrhagic focus; all endocrine parameters were normal. The patient was ultimately diagnosed with lymphocytic adenohypophysitis, an autoimmune inflammation of the anterior pituitary gland.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 8","pages":"233-235"},"PeriodicalIF":0.5,"publicationDate":"2017-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35157125","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
Closed-Loop Control of Total Intravenous Anesthesia During Significant Intraoperative Blood Loss: A Case Report. 术中大量失血时全静脉麻醉的闭环控制1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-10-15 DOI: 10.1213/XAA.0000000000000576
Sonia M Brodie, Matthias Görges, J Mark Ansermino, Guy A Dumont, Richard N Merchant
{"title":"Closed-Loop Control of Total Intravenous Anesthesia During Significant Intraoperative Blood Loss: A Case Report.","authors":"Sonia M Brodie,&nbsp;Matthias Görges,&nbsp;J Mark Ansermino,&nbsp;Guy A Dumont,&nbsp;Richard N Merchant","doi":"10.1213/XAA.0000000000000576","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000576","url":null,"abstract":"<p><p>Closed-loop control of anesthesia based on continuous feedback from processed electroencephalography adjusts drug dosing to target a desired depth of hypnosis during dynamic clinical circumstances, freeing the anesthesiologist to focus on more complex tasks. We describe a case of closed-loop control of total intravenous anesthesia in which a sudden loss of blood required immediate intervention. This case illustrates that closed-loop control of drug delivery maintained an appropriate depth of hypnosis during a rapidly changing surgical situation, and that processed electroencephalography may be a useful adjunct indicator for cerebral hypoperfusion.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 8","pages":"239-243"},"PeriodicalIF":0.5,"publicationDate":"2017-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000576","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35180408","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
To the Editor. 致编辑。
IF 0.5
A&A Case Reports Pub Date : 2017-10-15 DOI: 10.1213/XAA.0000000000000574
Laura V Duggan, J Adam Law, Ian R Morris
{"title":"To the Editor.","authors":"Laura V Duggan,&nbsp;J Adam Law,&nbsp;Ian R Morris","doi":"10.1213/XAA.0000000000000574","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000574","url":null,"abstract":"","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 8","pages":"248"},"PeriodicalIF":0.5,"publicationDate":"2017-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35605205","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信