发布求助
文献互助 智能选刊 最新文献

A&A Practice最新文献

筛选
英文 中文
Postoperative Catatonia After Fentanyl, Hydromorphone, and Ketamine Administration in a Patient Taking Sertraline: A Case Report. 芬太尼、氢吗啡酮和氯胺酮治疗舍曲林患者术后紧张症1例。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001695
Laura A Ketigian, Shantanu S Kidambi
{"title":"Postoperative Catatonia After Fentanyl, Hydromorphone, and Ketamine Administration in a Patient Taking Sertraline: A Case Report.","authors":"Laura A Ketigian,&nbsp;Shantanu S Kidambi","doi":"10.1213/XAA.0000000000001695","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001695","url":null,"abstract":"<p><p>Opioid-induced catatonia is underrecognized and poorly understood in the literature. An 81-year-old woman with chronic kidney disease stage III taking sertraline underwent surgery with general anesthesia, receiving fentanyl, hydromorphone, and ketamine. Postoperatively, she was unresponsive, rigid, and cataleptic with pinpoint pupils. Symptoms resolved with a naloxone infusion suggesting opioid-induced catatonia as the leading diagnosis. Differential diagnoses and etiologies discussed reveal a possible multifactorial catatonia mechanism involving opioids, ketamine, and serotonin. Anesthesiologists should consider these potential interactions when using opioids for management of vulnerable patients.</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/50/dc/acc-17-e01695.PMC10377245.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9892858","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
The Tritube: Facilitating Upper Airway Surgery With an Ultrathin Cuffed Airway Device. Tritube:用超薄袖口气道装置促进上呼吸道手术。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001697
Stuart Morrison, Claire Van Oostende, Sophie Aerts, Vera Saldien
{"title":"The Tritube: Facilitating Upper Airway Surgery With an Ultrathin Cuffed Airway Device.","authors":"Stuart Morrison,&nbsp;Claire Van Oostende,&nbsp;Sophie Aerts,&nbsp;Vera Saldien","doi":"10.1213/XAA.0000000000001697","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001697","url":null,"abstract":"<p><p>The Tritube is a narrow-bore cuffed tracheal tube (outer diameter 4.4 mm and inner diameter ~2.4 mm) that permits effective alveolar gas exchange using flow-controlled ventilation. Constant gas flow delivers physiological minute volumes, within preset pressure limits, and applies suction to the airway during expiration. The technique has attracted interest for laryngotracheal microsurgery as it provides superior surgical exposure and avoids many of the complications associated with high-frequency jet ventilation. Cuff inflation protects the lower airway and produces a motionless operating field. We describe the structure of the device, discuss its benefits, and suggest how it should be used clinically.</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":"9817332","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
Acute Cricoarytenoid Joint Fixation Following Routine Intubation: A Case Report. 常规插管后急性环杓关节固定1例。
IF 0.5
A&A Practice Pub Date : 2023-07-01 DOI: 10.1213/XAA.0000000000001706
Jay S Saggu, Janice L Farlow, Robert J Morrison, Michael D Maile
{"title":"Acute Cricoarytenoid Joint Fixation Following Routine Intubation: A Case Report.","authors":"Jay S Saggu,&nbsp;Janice L Farlow,&nbsp;Robert J Morrison,&nbsp;Michael D Maile","doi":"10.1213/XAA.0000000000001706","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001706","url":null,"abstract":"<p><p>Prolonged intubation is a common cause of injury to the posterior larynx often resulting in cricoarytenoid joint (CAJ) fixation and posterior glottic stenosis (PGS). We present a case of respiratory failure due to acute bilateral CAJ fixation and PGS following only 2 days of intubation for routine cardiac surgery. A tracheostomy was placed due to critical airway obstruction. Clinicians should remain vigilant for laryngeal injury presenting as CAJ fixation and PGS. Prompt surgical consultation is advised as early intervention is associated with reduced morbidity.</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":"10234084","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 Patient Expectations Are Not Met: A Case Report. 当病人的期望没有得到满足:一个病例报告。
IF 0.5
A&A Practice Pub Date : 2023-06-19 eCollection Date: 2023-06-01 DOI: 10.1213/XAA.0000000000001686
Aaron Sadowsky, Yoad Porat, Adeel A Faruki, Jillian S Vitter
{"title":"When Patient Expectations Are Not Met: A Case Report.","authors":"Aaron Sadowsky, Yoad Porat, Adeel A Faruki, Jillian S Vitter","doi":"10.1213/XAA.0000000000001686","DOIUrl":"10.1213/XAA.0000000000001686","url":null,"abstract":"<p><p>Successful anesthetics occur when safe, effective perioperative care is coupled with patient satisfaction. We present the case of a 63-year-old woman with advanced Parkinson's disease who presented for a deep brain stimulation (DBS) device battery change under monitored anesthesia care (MAC). While MAC is commonly utilized for a DBS battery change, our patient reported previously experiencing intraoperative pain, anxiety, and the inability to communicate discomfort under MAC, leading to posttraumatic stress disorder. This case report highlights the importance of preoperative informed consent, discussion of patient expectations, and proactive planning for intraoperative communication strategies when MAC is the chosen method.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9672419","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
Emergency Cricothyrotomy in a Harsh Environment: A Case Report of Complete Airway Obstruction Following a Lightning Strike. 恶劣环境下紧急环甲环甲切开术:雷击后气道完全阻塞1例报告。
IF 0.5
A&A Practice Pub Date : 2023-06-19 eCollection Date: 2023-06-01 DOI: 10.1213/XAA.0000000000001688
Barbara Pizzi, Emiliano Petrucci, Franco Marinangeli
{"title":"Emergency Cricothyrotomy in a Harsh Environment: A Case Report of Complete Airway Obstruction Following a Lightning Strike.","authors":"Barbara Pizzi, Emiliano Petrucci, Franco Marinangeli","doi":"10.1213/XAA.0000000000001688","DOIUrl":"10.1213/XAA.0000000000001688","url":null,"abstract":"<p><p>A lightning strike is an extreme event with the highest mortality rate among electrical injuries. Death from a lightning strike is caused by either cardiac arrest or respiratory arrest. It is rare for upper airway damage to occur, but in these cases, airway control is recommended. If transoral intubation is unsuccessful, an emergency cricothyrotomy should be considered. Our case report describes an emergency cricothyroidotomy performed in a harsh environment on a mountain 2300 m above sea level on a patient with extensive burns of his supraglottic structures, after being directly hit by a lightning strike.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10977055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9672418","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
Virtual Reality Treatment of Severe Neuropathic Pain in an Adolescent Child: A Case Report. 虚拟现实治疗严重神经性疼痛的青少年儿童:一个案例报告。
IF 0.5
A&A Practice Pub Date : 2023-06-19 eCollection Date: 2023-06-01 DOI: 10.1213/XAA.0000000000001689
Jens Christian Hedemann Sørensen, Maria Vlachou, Ioanna Milidou, Anne Lene Knudsen, Kaare Meier
{"title":"Virtual Reality Treatment of Severe Neuropathic Pain in an Adolescent Child: A Case Report.","authors":"Jens Christian Hedemann Sørensen, Maria Vlachou, Ioanna Milidou, Anne Lene Knudsen, Kaare Meier","doi":"10.1213/XAA.0000000000001689","DOIUrl":"10.1213/XAA.0000000000001689","url":null,"abstract":"<p><p>We describe virtual reality (VR) used as an effective intervention to treat severe chronic neuropathic pain in an otherwise healthy adolescent boy. The patient presented with severe pain and allodynia in the right foot after calcaneus extension surgery. Multiple medical and psychological interventions were unsuccessful over 3 years, with the pain leading the patient to drop out of school. VR gaming intervention provided the patient with significant pain relief and substantial improvement in functionality. This case report details the VR intervention and its effect on the patient's severe, medically refractory pain syndrome.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/36/acc-17-e01689.PMC10306331.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9711533","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
Introducing the First Distal Pharyngeal Airway. 介绍第一咽部远端气道。
IF 0.5
A&A Practice Pub Date : 2023-06-19 eCollection Date: 2023-06-01 DOI: 10.1213/XAA.0000000000001691
Roxanne R McMurray, Megan R McMurray
{"title":"Introducing the First Distal Pharyngeal Airway.","authors":"Roxanne R McMurray, Megan R McMurray","doi":"10.1213/XAA.0000000000001691","DOIUrl":"10.1213/XAA.0000000000001691","url":null,"abstract":"<p><p>Airway obstruction during anesthesia is a common occurrence with potentially serious outcomes. Increasingly, patients are older, heavier, and more likely to have obstructive sleep apnea-all heightened risk factors for airway complications. These patients undergo procedures where distal pharyngeal tissues can relax, obstructing the airway. As a result, there is a need for airway devices that can stent open distal pharyngeal tissues to maintain adequate ventilation. To physically address this problem, the new distal pharyngeal airway (DPA) prevents airway obstruction and enables providers to maintain ventilation.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b7/8e/acc-17-e01691.PMC10306336.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706655","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
Case Report of Ascending Aortitis Mimicking Type A Intramural Hematoma by Multiple Imaging Modalities. 多种影像学表现模拟A型腹壁血肿的升主动脉1例。
IF 0.5
A&A Practice Pub Date : 2023-06-01 DOI: 10.1213/XAA.0000000000001684
Daniel J Ridley, Joshua K Roach, Christopher D Spencer, Karen E Singh
{"title":"Case Report of Ascending Aortitis Mimicking Type A Intramural Hematoma by Multiple Imaging Modalities.","authors":"Daniel J Ridley,&nbsp;Joshua K Roach,&nbsp;Christopher D Spencer,&nbsp;Karen E Singh","doi":"10.1213/XAA.0000000000001684","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001684","url":null,"abstract":"","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9672421","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
Pulmonary Injury Causing a Massive Air Leak During Liver Transplantation: A Case Report and Discussion of Decision-Making. 肝移植术中肺损伤引起大量漏气一例报告及决策讨论。
IF 0.5
A&A Practice Pub Date : 2023-06-01 DOI: 10.1213/XAA.0000000000001694
Orestes Mavrothalassitis, Sivan Goldenberg Marcus, Garrett R Roll, Roberta Teixeira Tallarico, Michael P Bokoch
{"title":"Pulmonary Injury Causing a Massive Air Leak During Liver Transplantation: A Case Report and Discussion of Decision-Making.","authors":"Orestes Mavrothalassitis,&nbsp;Sivan Goldenberg Marcus,&nbsp;Garrett R Roll,&nbsp;Roberta Teixeira Tallarico,&nbsp;Michael P Bokoch","doi":"10.1213/XAA.0000000000001694","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001694","url":null,"abstract":"<p><p>Pulmonary injury can occur during liver transplantation in patients with prior liver surgery, infection, or hepatocellular carcinoma treatments. Compromise of gas exchange during liver transplantation mandates rapid, multidisciplinary decision-making. We present a case of lung parenchymal injury causing a massive air leak during the dissection phase of a liver transplant. An endobronchial blocker was used for emergency lung isolation. Since oxygenation and pH were stable, we proceeded with liver transplantation to minimize graft ischemic time, followed by thoracic repair. The postoperative course was notable for adequate early liver function and discharge after prolonged postoperative ventilation and tube thoracostomy drainage.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9672423","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
Removal of an Epidural Catheter in a Patient Receiving Ticagrelor: A Case Report. 替格瑞洛患者硬膜外导管拔除一例报告。
IF 0.5
A&A Practice Pub Date : 2023-06-01 DOI: 10.1213/XAA.0000000000001693
Harshal D Wagh, Prashant K Nair, Deepak B Bhushan
{"title":"Removal of an Epidural Catheter in a Patient Receiving Ticagrelor: A Case Report.","authors":"Harshal D Wagh,&nbsp;Prashant K Nair,&nbsp;Deepak B Bhushan","doi":"10.1213/XAA.0000000000001693","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001693","url":null,"abstract":"<p><p>We report a case of a patient who had a coronary angioplasty and received heparin, clopidogrel, and ticagrelor on the evening of bilateral total knee arthroplasties performed under combined spinal epidural anesthesia. After a multidisciplinary meeting, the epidural catheter was removed 5 days after the dose of clopidogrel. With the catheter still in place, ticagrelor was continued to prevent stent thrombosis. Removing an epidural catheter in a patient on antiplatelet therapy must be done after a risk-benefit assessment, multidisciplinary collaboration, and stringent neurologic monitoring. The focus should be on prevention of a spinal hematoma, and rapid diagnosis and treatment to optimize the neurologic outcome.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9672420","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：481959085
Book学术官方微信