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A Complex Regional Pain Syndrome Imaging Journal: Case Report. 复杂区域性疼痛综合征影像学杂志:病例报告。
IF 0.5
A&A Practice Pub Date : 2022-12-01 DOI: 10.1213/XAA.0000000000001641
Anthony Tucker-Bartley, Rupeng Li, Shihab Ahmed, Frank Birklein
{"title":"A Complex Regional Pain Syndrome Imaging Journal: Case Report.","authors":"Anthony Tucker-Bartley,&nbsp;Rupeng Li,&nbsp;Shihab Ahmed,&nbsp;Frank Birklein","doi":"10.1213/XAA.0000000000001641","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001641","url":null,"abstract":"<p><p>Complex regional pain syndrome (CRPS) poses a diagnostic and management challenge for many clinicians, particularly when disease symptomatology waxes and wanes. Monitoring symptom variations with digital and infrared thermal images allows for more accurate evaluation of disease progression overtime. We present the case of a patient who developed CRPS and catalog his symptoms using a digital and infrared thermal imaging diary. The images were instrumental toward establishing the initial diagnosis of CRPS, monitoring disease progression, and assessing response to treatment. We discuss the present understanding of infrared thermography in CRPS and advocate for its routine use at the beside.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"16 12","pages":"e01641"},"PeriodicalIF":0.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192878","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
Hematoma After Continuous Erector Spinae Plane Block With Catheter Placement: A Case Report. 连续竖立者脊柱平面阻滞置管后血肿1例报告。
IF 0.5
A&A Practice Pub Date : 2022-12-01 DOI: 10.1213/XAA.0000000000001653
Emily S Williamson, James A Hughes, Claire M Bentley, Grant A Neely, Nicole M Hollis
{"title":"Hematoma After Continuous Erector Spinae Plane Block With Catheter Placement: A Case Report.","authors":"Emily S Williamson,&nbsp;James A Hughes,&nbsp;Claire M Bentley,&nbsp;Grant A Neely,&nbsp;Nicole M Hollis","doi":"10.1213/XAA.0000000000001653","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001653","url":null,"abstract":"<p><p>The erector spinae plane block (ESPB) is described as a safe and effective alternative when epidural or paravertebral blocks are contraindicated by anticoagulation therapy. We present a case of subcutaneous hematoma after ESPB catheter placement. The patient received bilateral ESPB catheters for perioperative pain control. Postoperatively, the patient developed tenderness to palpation at the left catheter site. Physical examination revealed a well circumscribed, fluctuant mass that produced bloody material during incision and drainage. This case report describes hematoma as a potential complication of the ESPB. After the procedure, patients should be closely monitored for complications, including hematoma.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"16 12","pages":"e01653"},"PeriodicalIF":0.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10480512","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
Perioperative Management of a Patient With Severe Cold Agglutinin Disease Undergoing Total Hip Arthroplasty With a Cemented Stem: A Case Report. 重症感冒凝集素疾病患者行全髋关节置换术的围手术期处理一例。
IF 0.5
A&A Practice Pub Date : 2022-12-01 DOI: 10.1213/XAA.0000000000001647
Takumi Yamaguchi, Hiroyuki Hirate, Taiki Kusano, Yukiko Inagaki
{"title":"Perioperative Management of a Patient With Severe Cold Agglutinin Disease Undergoing Total Hip Arthroplasty With a Cemented Stem: A Case Report.","authors":"Takumi Yamaguchi,&nbsp;Hiroyuki Hirate,&nbsp;Taiki Kusano,&nbsp;Yukiko Inagaki","doi":"10.1213/XAA.0000000000001647","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001647","url":null,"abstract":"<p><p>Patients with cold agglutinin disease who undergo total hip arthroplasty (THA) are rarely encountered. Patients with cold agglutinin disease are very sensitive to cold ambient temperatures and require scrupulous perioperative body-temperature management. However, THA requires a cementing procedure that exposes patients to cold temperatures during surgery and may result in autoimmune hemolytic anemia in these patients. Thus, perioperative management of patients with cold agglutinin disease undergoing THA requires more than just scrupulous systemic temperature management. Here, we present the successful perioperative management of a patient with severe cold agglutinin disease who underwent THA with a cemented stem.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"16 12","pages":"e01647"},"PeriodicalIF":0.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/b9/acc-16-e01647.PMC9799035.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9207436","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
A Case Report of an Incidental Ultrasound Finding in a Suspected Malignant Hyperthermia Patient. 疑似恶性高热病人的偶然超声发现一例报告。
IF 0.5
A&A Practice Pub Date : 2022-12-01 DOI: 10.1213/XAA.0000000000001651
Pei-Han Fu, Chun-Ning Ho
{"title":"A Case Report of an Incidental Ultrasound Finding in a Suspected Malignant Hyperthermia Patient.","authors":"Pei-Han Fu,&nbsp;Chun-Ning Ho","doi":"10.1213/XAA.0000000000001651","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001651","url":null,"abstract":"<p><p>Malignant hyperthermia (MH) is a rare but life-threatening genetic disorder of the skeletal muscles triggered by inhalation anesthetics or succinylcholine. A 49-year-old female developed symptoms of MH shortly after a lumbar surgery. Despite being insidious, MH was diagnosed based on the clinical grading scale. We incidentally discovered fine fasciculations in extremities while inserting an ultrasound-guided arterial catheter. On receiving dantrolene, her symptoms improved within 20 minutes; a subsequent ultrasound revealed no fasciculations. Although halothane contracture testing was not available, the fasciculations that resolved with dantrolene administration in a MH suspected patient opens up a new potential avenue of diagnostics.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"16 12","pages":"e01651"},"PeriodicalIF":0.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10480516","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
Thenar Compartment Syndrome Related to Tightened Radial Arterial Line During Robotic Laparoscopic Surgery: A Case Report. 机器人腹腔镜手术中与桡动脉线收紧相关的鱼际间室综合征1例报告。
IF 0.5
A&A Practice Pub Date : 2022-12-01 DOI: 10.1213/XAA.0000000000001642
Sung Ho Moon, Daeseok Oh, Myoung Jin Ko, Ji Yeon Kwon, Young Gyun Choi, Sun Young Kim, Sehun Lim
{"title":"Thenar Compartment Syndrome Related to Tightened Radial Arterial Line During Robotic Laparoscopic Surgery: A Case Report.","authors":"Sung Ho Moon,&nbsp;Daeseok Oh,&nbsp;Myoung Jin Ko,&nbsp;Ji Yeon Kwon,&nbsp;Young Gyun Choi,&nbsp;Sun Young Kim,&nbsp;Sehun Lim","doi":"10.1213/XAA.0000000000001642","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001642","url":null,"abstract":"<p><p>We present a 54-year-old man who developed an unexpected thenar space compartment syndrome after robotic laparoscopic surgery, which was caused when the radial arterial pressure tubing was pulled too tightly around the base of the thumb while changing the surgical position. A conventional method of securing the tubing by looping it around the thumb appeared to be the primary cause. This complication went unnoticed during the surgery because the arm was tucked out of sight; there were no remarkable findings on monitoring. This case highlights the risks of looping tubing around the thumb, especially if continual inspection is not possible.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"16 12","pages":"e01642"},"PeriodicalIF":0.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10487574","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 Intraoperative Hyperkalemia During Robot-Assisted Radical Cystectomy: A Case Report. 机器人辅助根治性膀胱切除术中急性术中高钾血症1例报告。
IF 0.5
A&A Practice Pub Date : 2022-12-01 DOI: 10.1213/XAA.0000000000001650
Nivedhyaa Srinivasaraghavan, Vallary Modh, Arun Menon
{"title":"Acute Intraoperative Hyperkalemia During Robot-Assisted Radical Cystectomy: A Case Report.","authors":"Nivedhyaa Srinivasaraghavan,&nbsp;Vallary Modh,&nbsp;Arun Menon","doi":"10.1213/XAA.0000000000001650","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001650","url":null,"abstract":"<p><p>A 50-year-old man with muscle-invasive bladder cancer was scheduled for a robotic radical cystectomy. Four hours into the surgery, his electrocardiogram showed rhythm disturbances. Arterial blood gas analysis showed a serum potassium concentration of 6.6 mEq/L. Hyperkalemia was managed immediately with intravenous 10% calcium gluconate, insulin, and glucose administrations, and levosalbutamol was administered through the tracheal tube. Subsequently, normal sinus rhythm returned. The procedure was completed after conversion to an open surgery. The postoperative serum potassium concentration was reduced to 4.6 mEq/L, and the patient was extubated. The remainder of his hospital stay was uneventful.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"16 12","pages":"e01650"},"PeriodicalIF":0.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10487576","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
Bedside Diagnosis of Pulmonary Embolism Using Electrical Impedance Tomography: A Case Report: Erratum. 使用电阻抗断层扫描进行肺栓塞床旁诊断:病例报告:勘误。
IF 0.5
A&A Practice Pub Date : 2022-11-18 eCollection Date: 2022-11-01 DOI: 10.1213/XAA.0000000000001639
{"title":"Bedside Diagnosis of Pulmonary Embolism Using Electrical Impedance Tomography: A Case Report: Erratum.","authors":"","doi":"10.1213/XAA.0000000000001639","DOIUrl":"10.1213/XAA.0000000000001639","url":null,"abstract":"","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":" ","pages":"e01639"},"PeriodicalIF":0.5,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40696134","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
Erector Spinae Plane Catheters for Analgesia for Cytoreduction Surgery With Hyperthermic Intraperitoneal Chemotherapy: A Case Series. 竖脊平面导管用于细胞减少手术伴腹腔热化疗的镇痛:一个病例系列。
IF 0.5
A&A Practice Pub Date : 2022-11-01 DOI: 10.1213/XAA.0000000000001643
Christina W Fidkowski, Adnan Hussain, Joshua D Younger, Mark A Giska, Cory McCurry, Gary E Loyd
{"title":"Erector Spinae Plane Catheters for Analgesia for Cytoreduction Surgery With Hyperthermic Intraperitoneal Chemotherapy: A Case Series.","authors":"Christina W Fidkowski,&nbsp;Adnan Hussain,&nbsp;Joshua D Younger,&nbsp;Mark A Giska,&nbsp;Cory McCurry,&nbsp;Gary E Loyd","doi":"10.1213/XAA.0000000000001643","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001643","url":null,"abstract":"<p><p>Cytoreduction surgery with hyperthermic intraperitoneal chemotherapy is a complex and painful procedure that can cause postoperative hypotension and coagulopathy. Epidural analgesia may worsen hypotension and is contraindicated in the setting of coagulopathy. While alternative regional techniques are being explored, the use of erector spinae plane blocks has not been reported. We present a case series of 6 patients who had erector spinae plane catheters for cytoreduction surgery with hyperthermic intraperitoneal chemotherapy. They remained stable intraoperatively and had adequate pain control postoperatively. Erector spinae plane catheters may be a suitable alternative for epidural analgesia for these patients.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"16 11","pages":"e01643"},"PeriodicalIF":0.5,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10487575","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
Heparin Insensitivity and Thrombotic Risk Associated With Sequential Uses of Prothrombin Complex Concentrate and Andexanet Alfa for Apixaban Reversal During Acute Type A Aortic Dissection Repair: A Case Report. 急性A型主动脉夹层修复期间连续使用凝血酶原复合物浓缩物和anddexanet用于阿哌沙班逆转与肝素不敏感和血栓形成风险相关:一例报告。
IF 0.5
A&A Practice Pub Date : 2022-11-01 DOI: 10.1213/XAA.0000000000001636
Brian Brenner, Jessica Guerra, Campbell Williams, Keith Littlewood, John Kern, Kenichi Tanaka, John S McNeil, Venkat Mangunta
{"title":"Heparin Insensitivity and Thrombotic Risk Associated With Sequential Uses of Prothrombin Complex Concentrate and Andexanet Alfa for Apixaban Reversal During Acute Type A Aortic Dissection Repair: A Case Report.","authors":"Brian Brenner,&nbsp;Jessica Guerra,&nbsp;Campbell Williams,&nbsp;Keith Littlewood,&nbsp;John Kern,&nbsp;Kenichi Tanaka,&nbsp;John S McNeil,&nbsp;Venkat Mangunta","doi":"10.1213/XAA.0000000000001636","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001636","url":null,"abstract":"<p><p>The management of patients on direct oral anticoagulants (DOACs) who require emergent cardiac surgery is slowly evolving. The introduction of andexanet alfa, a novel antidote for apixaban and rivaroxaban, added a specific reversal agent to our armamentarium, but its safety and efficacy are still being investigated. We report 2 patients on DOAC treatment who required emergency cardiac surgery. Both received perioperative andexanet alfa together with prothrombin complex concentrate (PCC) at some time during 6 hours before operative management. Heparin resistance was noted in each instance, and pump thrombosis developed in 1 case.</p>","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"16 11","pages":"e01636"},"PeriodicalIF":0.5,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/f9/acc-16-e01636.PMC9708075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192876","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
Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Difficult Airway Management in Adults With Recessive Dystrophic Epidermolysis Bullosa: A Case Series. 经鼻加湿快速充气通气交换治疗成人隐性营养不良大疱性表皮松解症的气道管理困难:一个病例系列。
IF 0.5
A&A Practice Pub Date : 2022-11-01 DOI: 10.1213/XAA.0000000000001630
Brita M Mittal, Karen R Sheehan, Candida L Goodnough, Sophia Turkmani-Bazzi, Kelly O Sheppard, Erin Bushell
{"title":"Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Difficult Airway Management in Adults With Recessive Dystrophic Epidermolysis Bullosa: A Case Series.","authors":"Brita M Mittal,&nbsp;Karen R Sheehan,&nbsp;Candida L Goodnough,&nbsp;Sophia Turkmani-Bazzi,&nbsp;Kelly O Sheppard,&nbsp;Erin Bushell","doi":"10.1213/XAA.0000000000001630","DOIUrl":"https://doi.org/10.1213/XAA.0000000000001630","url":null,"abstract":"Airway management of adult patients with recessive dystrophic epidermolysis bullosa presents significant challenges associated with tissue fragility and distortion of airway anatomy. This retrospective case series describes 11 adult patients with recessive dystrophic epidermolysis bullosa and difficult airways undergoing 24 general anesthetics in which transnasal humidified rapid-insufflation ventilatory exchange was used for preoxygenation and apneic oxygenation. Despite an average time to intubation of over 6 minutes, transnasal humidified rapid-insufflation ventilatory exchange provided oxygenation before endotracheal intubation without the need for bag-mask ventilation or supraglottic airway ventilation, facilitating smooth and atraumatic flexible scope intubation. There were no major adverse events.","PeriodicalId":7307,"journal":{"name":"A&A Practice","volume":"16 11","pages":"e01630"},"PeriodicalIF":0.5,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10480948","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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