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A Case Report of Hypotension and Methemoglobinemia Associated With Gunshot Residue Poisoning: Nitrite-Induced Methemoglobinemia. 低血压和高铁血红蛋白血症伴枪弹残留物中毒1例:亚硝酸盐引起的高铁血红蛋白血症。
IF 0.5
A&A Practice Pub Date : 2022-10-01 DOI: 10.1213/XAA.0000000000001631
David B Pugh, Aakash Saxena, Lauren E Barta, Carolyn Pinkerton, Jurica Bajic, Brent T Boettcher, Harvey J Woehlck
{"title":"A Case Report of Hypotension and Methemoglobinemia Associated With Gunshot Residue Poisoning: Nitrite-Induced Methemoglobinemia.","authors":"David B Pugh,&nbsp;Aakash Saxena,&nbsp;Lauren E Barta,&nbsp;Carolyn Pinkerton,&nbsp;Jurica Bajic,&nbsp;Brent T Boettcher,&nbsp;Harvey J Woehlck","doi":"10.1213/XAA.0000000000001631","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001631","url":null,"abstract":"<p><p>A patient with gunshots within inches of the skin developed intraoperative vasodilatory hypotension and methemoglobinemia, both recognized consequences of nitrite poisoning. A 1- mg/kg dose of methylene blue transiently and partially reversed methemoglobinemia, but the color of the methylene blue faded rapidly, consistent with bleaching of methylene blue by nitrite in vivo. Methylene blue did not raise blood pressure, consistent with inhibition of nitric oxide (NO) synthase. Because NO production from nitrite uses an NO synthase (NOS)-independent pathway, methylene blue is expected to have little effect on reversing hypotension from nitrite poisoning. Consider nitrite toxicity in gunshot patients with refractory vasodilatory hypotension and elevated methemoglobin.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10480513","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
Case Report: Anesthesia for a Neonate With Cutis Aplasia. 病例报告:新生儿皮肤发育不全的麻醉。
IF 0.5
A&A Practice Pub Date : 2022-10-01 DOI: 10.1213/XAA.0000000000001628
Su Min Quak, Shin Yuet Chong
{"title":"Case Report: Anesthesia for a Neonate With Cutis Aplasia.","authors":"Su Min Quak,&nbsp;Shin Yuet Chong","doi":"10.1213/XAA.0000000000001628","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001628","url":null,"abstract":"<p><p>Cutis aplasia is a rare condition characterized by skin and subcutaneous tissue defects. Researchers have previously described both conservative and surgical management methods. We report herein the case of a neonate with extensive cutis aplasia involving 37% of the total body surface area. Due to the risk of meningitis and catastrophic hemorrhage associated with scalp defects, she underwent staged surgical procedures with skin harvesting and synthetic skin application, followed by the application of cultured epithelial autografts. This report highlights the challenges in temperature and fluid management as well as intraoperative positioning in a neonate with cutis aplasia.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192877","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
Pulsatile Femoral Vein Doppler and Congestive Delirium, What Is the Relationship?: A Case Report. 脉搏股静脉多普勒与充血性谵妄有何关系?:病例报告。
IF 0.5
A&A Practice Pub Date : 2022-10-01 DOI: 10.1213/XAA.0000000000001627
Ali Hammoud, Elena Saade, Stéphanie Jarry, Sophie Baelen, Etienne J Couture, William Beaubien-Souligny, André Y Denault
{"title":"Pulsatile Femoral Vein Doppler and Congestive Delirium, What Is the Relationship?: A Case Report.","authors":"Ali Hammoud,&nbsp;Elena Saade,&nbsp;Stéphanie Jarry,&nbsp;Sophie Baelen,&nbsp;Etienne J Couture,&nbsp;William Beaubien-Souligny,&nbsp;André Y Denault","doi":"10.1213/XAA.0000000000001627","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001627","url":null,"abstract":"<p><p>Delirium is common in patients undergoing cardiac surgery, and venous congestion has been reported as an important risk factor. We report a 69-year-old patient who developed postoperative delirium in the intensive care unit following aortic valve replacement surgery. The postoperative course was complicated by delirium for which echographic signs of venous congestion on the portal and the renal but also the femoral veins and their resolution correlated with the course of delirium. The use of common femoral vein Doppler as a simple bedside technique to predict and identify congestive delirium has not been reported before.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10480949","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
Cardiac Arrest Following Remimazolam-Induced Anaphylaxis: A Case Report. 雷马唑仑致过敏反应后心脏骤停1例报告。
IF 0.5
A&A Practice Pub Date : 2022-09-23 eCollection Date: 2022-09-01 DOI: 10.1213/XAA.0000000000001616
Yudai Hasushita, Megumi Nagao, Yoshihide Miyazawa, Kazuma Yunoki, Hiroyuki Mima
{"title":"Cardiac Arrest Following Remimazolam-Induced Anaphylaxis: A Case Report.","authors":"Yudai Hasushita, Megumi Nagao, Yoshihide Miyazawa, Kazuma Yunoki, Hiroyuki Mima","doi":"10.1213/XAA.0000000000001616","DOIUrl":"10.1213/XAA.0000000000001616","url":null,"abstract":"<p><p>Remimazolam is a recently approved benzodiazepine sedative. We report a case of a 72-year-old man who experienced a cardiac arrest due to severe anaphylaxis immediately after general anesthesia induction. Based on the results of skin tests, including those for dextran 40, an excipient in the remimazolam solution, and a review of drugs given during 3 anesthetics, remimazolam was identified as the probable causative agent. Although remimazolam is structurally similar to midazolam, the patient was not allergic to midazolam as demonstrated before and after anaphylaxis. This report highlights the potential risk of allergic reactions to remimazolam.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/e6/acc-16-e01616.PMC9521581.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33479801","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: 8
Dehiscence and Deep Wound Infection After Spinal Cord Stimulator Implant Managed Without Explantation: A Case Report. 脊髓刺激器植入后无外植处理致裂孔及深部伤口感染1例。
IF 0.5
A&A Practice Pub Date : 2022-09-21 eCollection Date: 2022-09-01 DOI: 10.1213/XAA.0000000000001623
Hank C Wang, Andrew Auyeung, Tabish Aijaz, Kenneth D Candido, Nebojsa Nick Knezevic
{"title":"Dehiscence and Deep Wound Infection After Spinal Cord Stimulator Implant Managed Without Explantation: A Case Report.","authors":"Hank C Wang,&nbsp;Andrew Auyeung,&nbsp;Tabish Aijaz,&nbsp;Kenneth D Candido,&nbsp;Nebojsa Nick Knezevic","doi":"10.1213/XAA.0000000000001623","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001623","url":null,"abstract":"<p><p>Deep infections of spinal cord stimulator devices usually result in explantation, as recommended by some professional societies. However, alternative options should be explored to avoid potential complications that are associated with explantation, and possibly additional procedures required in consideration of reimplantation. In this case, the patient presented with wound dehiscence after implantation. There was suspicion for deep wound infection based on a wound culture that was positive for Staphylococcus aureus, but no purulent material was noted on further inspection. The patient was treated with standard wound-care management and oral antibiotics without removing the device, and recovered while preserving the original system.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33469795","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
A Software-Guided Approach to Hemodynamic Management in a Renal Transplant Recipient: A Case Report. 软件引导下肾移植受者血流动力学管理:1例报告。
IF 0.5
A&A Practice Pub Date : 2022-09-21 eCollection Date: 2022-09-01 DOI: 10.1213/XAA.0000000000001622
Stephen F Woodford, Lachlan F Miles, Dong-Kyu Lee, Laurence Weinberg
{"title":"A Software-Guided Approach to Hemodynamic Management in a Renal Transplant Recipient: A Case Report.","authors":"Stephen F Woodford, Lachlan F Miles, Dong-Kyu Lee, Laurence Weinberg","doi":"10.1213/XAA.0000000000001622","DOIUrl":"10.1213/XAA.0000000000001622","url":null,"abstract":"<p><p>The function of renal allografts in the perioperative period is partly dependent on minimizing hemodynamic instability. We have developed hemodynamic monitoring software-named the \"pressure field\"-that was utilized in a 68-year-old high-risk kidney transplant recipient. The \"pressure field\" was used to individualize fluid and drug administration and replicate the preoperative hemodynamics. The patient received net zero fluid intraoperatively and had an uneventful postoperative course. We found the pressure field method helpful to manage perioperative hemodynamics in this high-risk patient.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/31/acc-16-e01622.PMC9521586.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33479036","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: 1
Ultrasound-Guided Scalp Blocks for an Awake Craniotomy: A Case Report. 超声引导头皮阻滞用于清醒开颅术:1例报告。
IF 0.5
A&A Practice Pub Date : 2022-09-20 eCollection Date: 2022-09-01 DOI: 10.1213/XAA.0000000000001618
Samuel Ern Hung Tsan, Chin H Goh, Peter C S Tan
{"title":"Ultrasound-Guided Scalp Blocks for an Awake Craniotomy: A Case Report.","authors":"Samuel Ern Hung Tsan,&nbsp;Chin H Goh,&nbsp;Peter C S Tan","doi":"10.1213/XAA.0000000000001618","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001618","url":null,"abstract":"<p><p>Ultrasound-guided scalp blocks may revolutionize regional anesthesia for neurosurgery. In this report, we demonstrate that ultrasound-guided scalp blocks can be used effectively for a craniotomy. A 48-year-old patient with a brain tumor at the motor cortex was scheduled for an awake craniotomy. Ultrasound-guided scalp blocks targeting the bilateral supraorbital, supratrochlear, zygomaticotemporal, auriculotemporal, greater auricular, lesser occipital, greater occipital, and third occipital nerves were performed. A total of 29 mL of levobupivacaine 0.3% was used. No additional local anesthetic agent was given for skull pinning, skin incision, or the craniotomy. Postoperatively, the patient remained pain-free, and she was discharged without complications.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33470469","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
VivaSight Single-Lumen Tube Combined With Hyperangulated Videolaryngoscopy to Rescue Failed Tracheal Intubation in a Patient With Goldenhar Syndrome: A Case Report. VivaSight单腔管联合高角度视频喉镜检查抢救Goldenhar综合征气管插管失败1例报告。
IF 0.5
A&A Practice Pub Date : 2022-09-09 eCollection Date: 2022-09-01 DOI: 10.1213/XAA.0000000000001615
Emma Möhlenkamp, Eva K Kohse, Phillip B Sasu, Tanja Peters, Jörn Grensemann, Philipp Breitfeld, Martin Petzoldt
{"title":"VivaSight Single-Lumen Tube Combined With Hyperangulated Videolaryngoscopy to Rescue Failed Tracheal Intubation in a Patient With Goldenhar Syndrome: A Case Report.","authors":"Emma Möhlenkamp,&nbsp;Eva K Kohse,&nbsp;Phillip B Sasu,&nbsp;Tanja Peters,&nbsp;Jörn Grensemann,&nbsp;Philipp Breitfeld,&nbsp;Martin Petzoldt","doi":"10.1213/XAA.0000000000001615","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001615","url":null,"abstract":"<p><p>This report describes a patient with Goldenhar syndrome undergoing anesthesia for whom Macintosh videolaryngoscopy failed, as the epiglottis was adhered to the posterior pharynx and could not be lifted with a tracheal introducer (Cormack-Lehane grade 3B). Hyperangulated videolaryngoscopy revealed only the arytenoids (Cormack-Lehane grade 2B), even after direct lifting of the epiglottis, and endotracheal tube advancement failed due to unclear tissue resistance. Hyperangulated videolaryngoscopy was combined with a tube-mounted camera (VivaSight single lumen tube). The combination of both camera perspectives was successfully used to allow placement of the endotracheal tube underneath the epiglottis and through the vocal cords.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33464954","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
An Unexpected Magnet Response of a Biotronik Pacemaker in Automatic Mode: A Case Report. 生物起搏器在自动模式下的意外磁响应:一例报告。
IF 0.5
A&A Practice Pub Date : 2022-09-02 eCollection Date: 2022-09-01 DOI: 10.1213/XAA.0000000000001617
Christabel Jaiyeola, Amy Y Chen, Philip L Kalarickal, Binoy Praful Bhatt
{"title":"An Unexpected Magnet Response of a Biotronik Pacemaker in Automatic Mode: A Case Report.","authors":"Christabel Jaiyeola, Amy Y Chen, Philip L Kalarickal, Binoy Praful Bhatt","doi":"10.1213/XAA.0000000000001617","DOIUrl":"10.1213/XAA.0000000000001617","url":null,"abstract":"In patients with cardiovascular implantable electronic devices, asynchronous pacing is necessary for surgeries with a risk of electromagnetic interference. Magnets are often used for asynchronous pacing. In this case report, magnet application to a Biotronik Evia DR-T pacemaker (Biotronik) programmed to a magnet response mode called automatic magnet mode (AUTO) led to a brief period of asynchronous pacing before reverting to prior settings, an unexpected response that was not revealed on the preoperative interrogation report. For Biotronik pacemakers programmed to the AUTO mode, changes in programming are needed for asynchronous pacing.","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40353891","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
In-Circuit High-Frequency Jet Ventilation for Radiological Tumor Ablation: A Case Series. 在线高频射流通气用于放射肿瘤消融:一个病例系列。
IF 0.5
A&A Practice Pub Date : 2022-08-12 eCollection Date: 2022-08-01 DOI: 10.1213/XAA.0000000000001608
Tom Salih, Laura Elgie, Bindiya Hari, Bryn Williams, Richard M Thomas, Steve Bandula, Miles Walkden, Pervez Sultan, Kirstie McPherson, Kathryn Jenkins
{"title":"In-Circuit High-Frequency Jet Ventilation for Radiological Tumor Ablation: A Case Series.","authors":"Tom Salih,&nbsp;Laura Elgie,&nbsp;Bindiya Hari,&nbsp;Bryn Williams,&nbsp;Richard M Thomas,&nbsp;Steve Bandula,&nbsp;Miles Walkden,&nbsp;Pervez Sultan,&nbsp;Kirstie McPherson,&nbsp;Kathryn Jenkins","doi":"10.1213/XAA.0000000000001608","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001608","url":null,"abstract":"<p><p>High-frequency jet ventilation (HFJV) can reduce organ movement that otherwise complicates percutaneous image-guided ablation (IGA) procedures. This study describes feasibility and safety of the technique in routine use. We describe our method for the use of HFJV and present 169 consecutive cases, including IGA of tumors of the lung, liver, kidney, and pancreas. Intended oncological treatment was delivered in all cases and HFJV used for the duration of treatment in all except one case. We describe the characteristics of patients, procedures, and adverse events. It is feasible to use HFJV as the routine standard of care for IGA.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40607246","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
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