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The Use of a Fabricated Endotracheal Tube During an Acute Massive Pulmonary Hemorrhage: A Case Report. 人工气管内插管治疗急性肺大出血1例。
IF 0.5
A&A Practice Pub Date : 2023-06-01 DOI: 10.1213/XAA.0000000000001678
Todd A Schultz, Kathleen J Lee, Max Kohen, Todd Demmy, Nathaniel Ivanick
{"title":"The Use of a Fabricated Endotracheal Tube During an Acute Massive Pulmonary Hemorrhage: A Case Report.","authors":"Todd A Schultz,&nbsp;Kathleen J Lee,&nbsp;Max Kohen,&nbsp;Todd Demmy,&nbsp;Nathaniel Ivanick","doi":"10.1213/XAA.0000000000001678","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001678","url":null,"abstract":"<p><p>A massive pulmonary hemorrhage is an emergency that can lead to airway compromise and cardiovascular collapse. The goals of airway management are to isolate and protect the nonbleeding lung while providing a route for interventions to diagnose and control the bleeding site. We present a case of an adult male with a lung mass who underwent a bronchoscopy and cryobiopsy that was complicated by a massive pulmonary hemorrhage. We report the successful use of an elongated fabricated end-to-end endotracheal tube to manage his airway during this time-critical situation.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 6","pages":"e01678"},"PeriodicalIF":0.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707915","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
Automated Alert System of Second-Line Uterotonic Drug Administration. 子宫舒张药二线自动报警系统。
IF 0.5
A&A Practice Pub Date : 2023-05-23 eCollection Date: 2023-05-01 DOI: 10.1213/XAA.0000000000001687
Gillian Abir, Edward T Riley, Ann Marie Oakeson, Amy Judy, Ellen Wang, Brendan Carvalho
{"title":"Automated Alert System of Second-Line Uterotonic Drug Administration.","authors":"Gillian Abir, Edward T Riley, Ann Marie Oakeson, Amy Judy, Ellen Wang, Brendan Carvalho","doi":"10.1213/XAA.0000000000001687","DOIUrl":"10.1213/XAA.0000000000001687","url":null,"abstract":"<p><p>Multidisciplinary team management of postpartum hemorrhage (PPH) is needed to optimize care and improve outcomes. Lucile Packard Children's Hospital, Stanford, is a tertiary referral center with 4600 deliveries/y (>70% high-risk deliveries), and there have been times when the obstetric anesthesia team was alerted late or not at all for PPHs. Introduction of an automated alert process to the obstetric anesthesia team when a second-line uterotonic drug was administered has ensured prompt evaluation. Utilization of this automated drug alert system has improved communication and reduced failure to inform the obstetric anesthesiology team of PPH after vaginal and cesarean deliveries.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 5","pages":"e01687"},"PeriodicalIF":0.5,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569507","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 Complications in Children Undergoing Mehta Spine Casting: A Case Series. 儿童接受梅塔脊柱铸造术的麻醉并发症:一个病例系列。
IF 0.5
A&A Practice Pub Date : 2023-05-18 eCollection Date: 2023-05-01 DOI: 10.1213/XAA.0000000000001685
Rhashedah A Ekeoduru
{"title":"Anesthetic Complications in Children Undergoing Mehta Spine Casting: A Case Series.","authors":"Rhashedah A Ekeoduru","doi":"10.1213/XAA.0000000000001685","DOIUrl":"10.1213/XAA.0000000000001685","url":null,"abstract":"<p><p>Elongation-derotation flexion casting, commonly referred to as Mehta casting, is a relatively new treatment for infantile idiopathic scoliosis. Surgeons have noted remarkable, sustained improvement in scoliosis following treatment with serial Mehta plaster casts. There is scant literature regarding anesthetic complications during Mehta cast placement. This case series examines 4 children who underwent Mehta casting at a single tertiary institution. Complications included endotracheal tube obstruction, hypothermia, pressure point injuries, and prolonged exposure to general anesthesia (GA) that potentially increases the risk of long-term neurodevelopmental delay.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 5","pages":"e01685"},"PeriodicalIF":0.5,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9495902","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
Ultrasound-Guided Glossopharyngeal Nerve Block for an Awake Intubation in a Patient Predicted to Have a Difficult Airway: A Case Report. 超声引导下的舌咽神经阻滞用于预测气道困难患者的清醒插管:1例报告。
IF 0.5
A&A Practice Pub Date : 2023-05-09 eCollection Date: 2023-05-01 DOI: 10.1213/XAA.0000000000001682
Nozomi Wada, Akiko Furutani, Joho Tokumine, Harumasa Nakazawa, Keisuke Shimazu, Tomoko Yorozu
{"title":"Ultrasound-Guided Glossopharyngeal Nerve Block for an Awake Intubation in a Patient Predicted to Have a Difficult Airway: A Case Report.","authors":"Nozomi Wada, Akiko Furutani, Joho Tokumine, Harumasa Nakazawa, Keisuke Shimazu, Tomoko Yorozu","doi":"10.1213/XAA.0000000000001682","DOIUrl":"10.1213/XAA.0000000000001682","url":null,"abstract":"<p><p>A peripheral nerve block may be used to improve patient tolerance of awake intubation. During an awake intubation, the glossopharyngeal, superior laryngeal, and recurrent laryngeal nerves can mediate discomfort, pain, cough, glottic closure, and gag reflexes. We describe the use of ultrasound-guided superior laryngeal, recurrent laryngeal, and glossopharyngeal nerve blocks to facilitate awake intubation in a patient predicted to have a difficult airway. The glossopharyngeal nerve block was performed via the parapharyngeal space approach targeting the distal glossopharyngeal nerve. This procedure resulted in an uneventful awake intubation.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 5","pages":"e01682"},"PeriodicalIF":0.5,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/46/acc-17-e01682.PMC10219664.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9879994","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
Refractory Hypoxemia on VV-ECMO: Repetition of a Structured Approach Is Paramount: A Case Report. VV-ECMO难治性低氧血症:重复结构化方法是最重要的:一个病例报告。
IF 0.5
A&A Practice Pub Date : 2023-05-05 eCollection Date: 2023-05-01 DOI: 10.1213/XAA.0000000000001677
Claire de Forcrand, Chris M Cassara, John T Dollerschell, Rafal Kopanczyk, Micah T Long
{"title":"Refractory Hypoxemia on VV-ECMO: Repetition of a Structured Approach Is Paramount: A Case Report.","authors":"Claire de Forcrand, Chris M Cassara, John T Dollerschell, Rafal Kopanczyk, Micah T Long","doi":"10.1213/XAA.0000000000001677","DOIUrl":"10.1213/XAA.0000000000001677","url":null,"abstract":"<p><p>Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is increasingly used to manage severe respiratory failure. Unfortunately, refractory hypoxemia often complicates VV-ECMO support. Both circuit- and patient-related etiologies can drive this, and a structured approach is necessary to diagnose and treat the condition. We present the case of a patient on VV-ECMO for acute respiratory distress syndrome who suffered from several distinct etiologies of refractory hypoxemia over a short timeframe. Frequent recalculation of cardiac output and oxygen delivery enabled early diagnosis and treatment of these conditions. We highlight the need for a structured and oft-repeated approach to this complex problem.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 5","pages":"e01677"},"PeriodicalIF":0.5,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9479867","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 Case Report of Acute Onset and Rapid Resolution of Atrioventricular Block After Sugammadex: Is the Autonomic System Involved? 糖胺酮后房室传导阻滞急性发作及快速消退1例:是否涉及自主神经系统?
IF 0.5
A&A Practice Pub Date : 2023-05-05 eCollection Date: 2023-05-01 DOI: 10.1213/XAA.0000000000001683
Mohamed T Abdelrahim, Austin C Kassels, Cain W Stark, Christopher J Roberts, Julia A Vogt, Thomas J Ebert
{"title":"A Case Report of Acute Onset and Rapid Resolution of Atrioventricular Block After Sugammadex: Is the Autonomic System Involved?","authors":"Mohamed T Abdelrahim, Austin C Kassels, Cain W Stark, Christopher J Roberts, Julia A Vogt, Thomas J Ebert","doi":"10.1213/XAA.0000000000001683","DOIUrl":"10.1213/XAA.0000000000001683","url":null,"abstract":"<p><p>Administering sugammadex to reverse neuromuscular blockade can cause marked bradycardia and rarely asystole. In this case, a rapid onset, biphasic heart rate response; slowing then speeding, after administering sugammadex was noted while at steady state, 1.3% end-tidal sevoflurane. On review of the electrocardiogram (ECG), the heart rate slowing coincided with the onset of a second-degree, Mobitz type I block that lasted 45 seconds. No other events, drugs, or stimuli coincided with the event. The acute onset and transient nature of the atrioventricular block without evidence of ischemia implies a brief parasympathetic effect on the atrioventricular node after sugammadex administration.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 5","pages":"e01683"},"PeriodicalIF":0.5,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9479865","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
Long Duration of Action of Tranexamic Acid After Cardiac Surgery in a Hemodialysis Patient: A Case Report. 心脏手术后氨甲环酸对血液透析患者的长期作用:1例报告。
IF 0.5
A&A Practice Pub Date : 2023-05-01 DOI: 10.1213/XAA.0000000000001676
Ryogo Yoshii, Yuya Takahashi, Teiji Sawa, Fumimasa Amaya, Satoru Ogawa
{"title":"Long Duration of Action of Tranexamic Acid After Cardiac Surgery in a Hemodialysis Patient: A Case Report.","authors":"Ryogo Yoshii,&nbsp;Yuya Takahashi,&nbsp;Teiji Sawa,&nbsp;Fumimasa Amaya,&nbsp;Satoru Ogawa","doi":"10.1213/XAA.0000000000001676","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001676","url":null,"abstract":"<p><p>A 61-year-old woman with chronic renal dysfunction was scheduled to undergo aortic valve replacement. After a bolus of 1 g tranexamic acid (TXA), the TPA (tissue-plasminogen activator)-test result with the ClotPro system demonstrated extensive inhibition of fibrinolysis. Plasma TXA level decreased from 71 to 25 μg/dL at 6 hours postoperatively; however, no further decrease was observed. Although TXA levels dropped to 6.9 μg/dL after hemodialysis on postoperative day (PoD) 1, fibrinolytic shutdown on the TPA-test remained unchanged until PoD 2. In dialysis patients, low-dose TXA <1 g may be considered for reducing seizure and thromboembolic complications after cardiac surgery.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 5","pages":"e01676"},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9479864","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
Utility of Electrical Stimulation for Correct Placement and Neuromodulation of the Erector Spinae Plane Block for Total Shoulder Arthroplasty: A Case Report. 电刺激对全肩关节置换术中直立棘平面块的正确放置和神经调节的作用:1例报告。
IF 0.5
A&A Practice Pub Date : 2023-05-01 DOI: 10.1213/XAA.0000000000001680
Jan Boublik, Richard K Kim, Ban C Tsui
{"title":"Utility of Electrical Stimulation for Correct Placement and Neuromodulation of the Erector Spinae Plane Block for Total Shoulder Arthroplasty: A Case Report.","authors":"Jan Boublik,&nbsp;Richard K Kim,&nbsp;Ban C Tsui","doi":"10.1213/XAA.0000000000001680","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001680","url":null,"abstract":"<p><p>The role of neuromodulation in fascial plane blocks is unknown. This case report presents a complex patient who underwent shoulder arthroplasty with a high thoracic-erector spinae plane (HT-ESP) catheter that provided electrical and chemical neuromodulation, highlighting the potential of electrical stimulation in the identification of and therapy at the fascial plane level.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 5","pages":"e01680"},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9479866","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
Peripheral Nerve Stimulation for Chronic Intractable Neuropathic Pain Following a Brachial Plexus Avulsion Injury: A Case Report. 外周神经刺激治疗臂丛撕脱伤后慢性难治性神经性疼痛1例。
IF 0.5
A&A Practice Pub Date : 2023-05-01 DOI: 10.1213/XAA.0000000000001681
Quinn Tate, Robert Pagan-Rosado, Alejandro Hallo-Carrasco, Mark Friedrich B Hurdle
{"title":"Peripheral Nerve Stimulation for Chronic Intractable Neuropathic Pain Following a Brachial Plexus Avulsion Injury: A Case Report.","authors":"Quinn Tate,&nbsp;Robert Pagan-Rosado,&nbsp;Alejandro Hallo-Carrasco,&nbsp;Mark Friedrich B Hurdle","doi":"10.1213/XAA.0000000000001681","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001681","url":null,"abstract":"<p><p>Brachial plexus avulsion injuries result in permanent motor and sensory deficits, leading to debilitating symptoms. We report the case of a 25-year-old man with chronic pain following right-sided C5-T1 nerve root avulsion without evidence of peripheral nerve injury. His pain was recalcitrant to medical and neurosurgical interventions. However, he experienced substantial (>70%) pain relief with peripheral nerve stimulation targeting the median nerve. These results agree with data suggesting collateral sprouting of sensory nerves occurs following a brachial plexus injury. Further study is needed if we are to understand the mechanisms of the peripheral nerve stimulator as a treatment option.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 5","pages":"e01681"},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9479872","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
Unrecognized Patent Foramen Ovale in Patient With Sinus Venosus-Type Atrial Septal Defect With Partial Anomalous Pulmonary Venous Return. 静脉窦型房间隔缺损伴部分肺静脉回流异常的未被识别的卵圆孔未闭。
IF 0.5
A&A Practice Pub Date : 2023-04-11 eCollection Date: 2023-04-01 DOI: 10.1213/XAA.0000000000001669
Joseph Capone, Irwin E Brown, Jayanta Mukherji
{"title":"Unrecognized Patent Foramen Ovale in Patient With Sinus Venosus-Type Atrial Septal Defect With Partial Anomalous Pulmonary Venous Return.","authors":"Joseph Capone, Irwin E Brown, Jayanta Mukherji","doi":"10.1213/XAA.0000000000001669","DOIUrl":"10.1213/XAA.0000000000001669","url":null,"abstract":"GLOSSARY ASA = atrial septal aneurysm; ASD = atrial septal defect; CFD = color flow Doppler; CPB = cardiopulmonary bypass; CT = computed tomography; HIPAA = Health Insurance Portability and Accountability Act; LV = left ventricular; PAPVR = partial anomalous pulmonary venous return; PFO = patent foramen ovale; RUPV = right upper pulmonary vein; SVASD = sinus venosus-type atrial septal defect; SVC = superior vena cava; TEE = transesophageal echocardiogram; TTE = transthoracic examination","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"17 4","pages":"e01669"},"PeriodicalIF":0.5,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/b1/acc-17-e01669.PMC10144289.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9361286","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
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