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Particulate Gastric Contents in Patients Prescribed Glucagon-Like Peptide 1 Receptor Agonists After Appropriate Perioperative Fasting: A Report of 2 Cases. 服用胰高血糖素样肽1受体激动剂患者围手术期适当禁食后胃内容物颗粒化:附2例报告
IF 0.5
A&A Practice Pub Date : 2023-08-01 DOI: 10.1213/XAA.0000000000001712
Phillip Ryan Wilson, Kathryn H Bridges, Sylvia H Wilson
{"title":"Particulate Gastric Contents in Patients Prescribed Glucagon-Like Peptide 1 Receptor Agonists After Appropriate Perioperative Fasting: A Report of 2 Cases.","authors":"Phillip Ryan Wilson,&nbsp;Kathryn H Bridges,&nbsp;Sylvia H Wilson","doi":"10.1213/XAA.0000000000001712","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001712","url":null,"abstract":"<p><p>Glucagon-like peptide 1 (GLP-1) receptor agonists have surged in popularity for the treatment of both diabetes mellitus and obesity. While GLP-1 reduces proximal gastrointestinal motility and delays gastric emptying, the impact of these medications on adequate fasting before surgery is not clear. We present 2 cases of particulate gastric contents after following appropriate presurgical fasting in diabetic patients taking GLP-1 receptor agonists and review current literature regarding perioperative implications of these drugs.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10139070","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
Recovery From Acute Respiratory Distress Syndrome Is Associated With Increasing Alpha Power in the Frontal Electroencephalogram During Propofol Sedation: A Case Report. 急性呼吸窘迫综合征的恢复与丙泊酚镇静期间额叶脑电图阿尔法功率的增加有关：病例报告。
IF 0.5
A&A Practice Pub Date : 2023-07-05 eCollection Date: 2023-07-01 DOI: 10.1213/XAA.0000000000001698
Christian S Guay, Christopher D Bean, Ohyoon Kwon, Emery N Brown
{"title":"Recovery From Acute Respiratory Distress Syndrome Is Associated With Increasing Alpha Power in the Frontal Electroencephalogram During Propofol Sedation: A Case Report.","authors":"Christian S Guay, Christopher D Bean, Ohyoon Kwon, Emery N Brown","doi":"10.1213/XAA.0000000000001698","DOIUrl":"10.1213/XAA.0000000000001698","url":null,"abstract":"<p><p>The effects of critical illness on electroencephalographic (EEG) signatures of sedatives have not been described, limiting the use of EEG-guided sedation in the intensive care unit (ICU). We report the case of a 36-year-old man recovering from acute respiratory distress syndrome (ARDS). Severe ARDS was characterized by slow-delta (0.1-4 Hz) and theta (4-8 Hz) oscillations but lacked the alpha (8-14 Hz) power expected during propofol sedation in a patient of this age. The alpha power emerged as ARDS resolved. This case raises the question of whether inflammatory states can alter EEG signatures during sedation.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11198912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9860351","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: 0
Oral to Nasal Endotracheal Tube Exchange: Modification to Enable Wider Applicability of an "Old Connector" Technique-A Case Report. 经口至鼻气管内插管交换:改进以使“旧连接器”技术更广泛的适用性-一个病例报告。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001703
Mahesh Desilva, Ramneek Maan, Muhammad Eyad Helwany, Amardip S Bhuller
{"title":"Oral to Nasal Endotracheal Tube Exchange: Modification to Enable Wider Applicability of an \"Old Connector\" Technique-A Case Report.","authors":"Mahesh Desilva,&nbsp;Ramneek Maan,&nbsp;Muhammad Eyad Helwany,&nbsp;Amardip S Bhuller","doi":"10.1213/XAA.0000000000001703","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001703","url":null,"abstract":"<p><p>Nasotracheal intubation is an essential component of anesthetic management for intraoral and mandibular surgeries. Direct nasotracheal intubation can occasionally be difficult and require an initial oral endotracheal tube (ETT) placement with subsequent conversion to a nasal ETT. Numerous techniques have been described. However, execution can be challenging and limited by available resources. This report re-examines conventional oral to nasal ETT conversion techniques and describes another innovative approach utilizing equipment more readily available in the operating room or as an option when difficulty is encountered with conventional conversion techniques.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/0f/acc-17-e01703.PMC10377249.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890393","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: 0
General Anesthesia With Remimazolam and Peripheral Nerve Blocks Is Useful for Femoral Surgery in Patients With Severe Aortic Stenosis: A Case Report. 雷马唑仑全身麻醉和周围神经阻滞对严重主动脉瓣狭窄患者股骨手术的疗效:1例报告。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001702
Takahiro Kido, Yasuyuki Suzuki, Katsuko Nishida
{"title":"General Anesthesia With Remimazolam and Peripheral Nerve Blocks Is Useful for Femoral Surgery in Patients With Severe Aortic Stenosis: A Case Report.","authors":"Takahiro Kido,&nbsp;Yasuyuki Suzuki,&nbsp;Katsuko Nishida","doi":"10.1213/XAA.0000000000001702","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001702","url":null,"abstract":"<p><p>Traditional intravenous anesthetics and opioid analgesics are susceptible to inducing hemodynamic instability. Herein, we describe a case of open reduction and internal fixation of a femoral neck fracture in a patient with severe aortic stenosis. General anesthesia was accomplished using remimazolam, an intravenous anesthetic devoid of hemodynamic instability properties, in combination with a peripheral nerve block. During the surgical procedure, the need for circulatory agonist was reduced to a single dose, and satisfactory pain management was achieved. This approach represents an alternative method for patients with circulatory risk undergoing femoral surgery.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817331","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
Tacrolimus-Induced Akinetic Mutism or Epidural Catheter Migration: A Case Report. 他克莫司致不动性缄默症或硬膜外导管移位1例报告。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001699
Patrick T Hussey, Josiah Sowell, Hanna Hussey, Matthew M Townsley
{"title":"Tacrolimus-Induced Akinetic Mutism or Epidural Catheter Migration: A Case Report.","authors":"Patrick T Hussey,&nbsp;Josiah Sowell,&nbsp;Hanna Hussey,&nbsp;Matthew M Townsley","doi":"10.1213/XAA.0000000000001699","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001699","url":null,"abstract":"<p><p>Differential diagnosis of the underlying cause of new-onset total body paralysis can be challenging and unsatisfying. In akinetic mutism, a rare side effect of tacrolimus, patients become apathetic, mute, and lose voluntary muscle movement. Epidural subarachnoid migration can present with similar symptoms. Delayed emergence/paralysis after anesthesia can include the common culprits of residual operative medications, stroke, as well as tacrolimus-induced akinetic mutism and thoracic epidural migration. We present a case of new-onset total body paralysis, presenting on postoperative day 1 following a double-lung transplant in a patient started on tacrolimus with a thoracic epidural catheter in place.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898375","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
Anesthetic Considerations for an Adult With Bannayan-Riley-Ruvalcaba Syndrome: A Case Report. 成人Bannayan-Riley-Ruvalcaba综合征的麻醉考虑:1例报告。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001690
Catherine M Pivalizza, Hayden B Jefferies, Evan G Pivalizza
{"title":"Anesthetic Considerations for an Adult With Bannayan-Riley-Ruvalcaba Syndrome: A Case Report.","authors":"Catherine M Pivalizza,&nbsp;Hayden B Jefferies,&nbsp;Evan G Pivalizza","doi":"10.1213/XAA.0000000000001690","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001690","url":null,"abstract":"<p><p>Anesthetic considerations for adults with Bannayan-Riley-Ruvalcaba syndrome, part of the PTEN (phosphatase and tensin homolog) hamartoma tumor syndrome, are not well described. As patients may require surgical intervention for associated musculoskeletal, intestinal, oncologic, or soft tissue masses, knowledge of implications of anesthesia is necessary. Airway management may be challenging given macrocephaly and accumulation of lymphangiomatous tissue in the oro/hypopharynx. This report describes a patient with typical features, nonreassuring external airway anatomy, and developmental delay, which precluded an awake airway management technique. The airway was secured with the use of high-flow nasal oxygen and videolaryngoscopy.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181008","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
Problems With Magnetic Resonance Imaging-Conditional Anesthesia Machine During Routine Imaging: A Near-Miss Case Report. 磁共振成像条件麻醉机在常规成像中的问题:一个侥幸的病例报告。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001692
George Sun, Kevin J Min
{"title":"Problems With Magnetic Resonance Imaging-Conditional Anesthesia Machine During Routine Imaging: A Near-Miss Case Report.","authors":"George Sun,&nbsp;Kevin J Min","doi":"10.1213/XAA.0000000000001692","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001692","url":null,"abstract":"<p><p>Delivering safe anesthesia care in the magnetic resonance imaging (MRI) scanner presents many unique challenges. We present a case report of how an MRI-conditional anesthesia machine malfunctioned after being pulled toward an MRI scanner during routine imaging, not previously reported in the literature. This near-miss event emphasizes the continued need for staff education and vigilance.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181005","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
When Veterinary Drugs Reach Human Hospitals: A Problem-Based Learning Discussion. 当兽药进入人类医院:一个基于问题的学习讨论。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001705
Dhanesh D Binda, Mauricio Gonzalez, Victoria Rosales, William Black, Rafael Ortega
{"title":"When Veterinary Drugs Reach Human Hospitals: A Problem-Based Learning Discussion.","authors":"Dhanesh D Binda,&nbsp;Mauricio Gonzalez,&nbsp;Victoria Rosales,&nbsp;William Black,&nbsp;Rafael Ortega","doi":"10.1213/XAA.0000000000001705","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001705","url":null,"abstract":"<p><p>The delivery of drugs from the manufacturer to the hospital is a complex process. Despite numerous safeguards, lapses may occur, creating the potential for patient harm. Recently, an urban tertiary care medical center received a shipment of isoflurane bottles labeled for veterinary use. This error was not identified until the veterinary isoflurane reached the operating room automated medication dispensing system. No patients received the anesthetic. This report describes how such an error occurred, explains the differences between veterinary and human medications, and emphasizes the importance of vigilance in the drug supply chain to prevent patient harm.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898372","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
Severe Dystrophic Calcification of a Spinal Cord Stimulator Pulse Generator Pocket: A Case Report. 脊髓刺激器脉冲发生器口袋严重营养不良钙化1例报告。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001701
Jenny J Kim, Christopher M Sobey
{"title":"Severe Dystrophic Calcification of a Spinal Cord Stimulator Pulse Generator Pocket: A Case Report.","authors":"Jenny J Kim,&nbsp;Christopher M Sobey","doi":"10.1213/XAA.0000000000001701","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001701","url":null,"abstract":"<p><p>A spinal cord stimulator is an important long-term treatment modality for refractory chronic pain of multiple etiologies. Hardware-related complications remain known adverse events associated with this intervention. Understanding the risk factors for development of such complications is important for optimizing the efficacy and longevity of spinal cord stimulators. This case report highlights an uncommon case of implantable pulse generator site calcification that was discovered incidentally on spinal cord stimulator explant.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814757","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
Case Report: Parental Separation by Proxy Using Video Conference Between Patient and Parent for Induction of Anesthesia. 病例报告:家长与患者通过视频会议分离诱导麻醉。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001696
Zoel A Quiñónez, Elena Brandford, Danton Char
{"title":"Case Report: Parental Separation by Proxy Using Video Conference Between Patient and Parent for Induction of Anesthesia.","authors":"Zoel A Quiñónez,&nbsp;Elena Brandford,&nbsp;Danton Char","doi":"10.1213/XAA.0000000000001696","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001696","url":null,"abstract":"<p><p>Anesthetic induction in children can have significant psychological and behavioral impacts. Strategies like premedication or parental presence for induction may reduce distress. In children who require ongoing procedural care into adulthood, like those who receive heart transplants, transitioning from these strategies toward independence may require intermediate steps. The use of parental presence by video may aid in this transition. It might also be a reasonable approach for those children who have adverse reactions to medications commonly used for anxiolysis before procedures.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10162697","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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