Asploro journal of biomedical and clinical case reports最新文献_第2页

A Case of Gastric Contents Reflux Aspiration during General Anesthesia Induction in A Patient with Femoral Vein Atrial Septal Defect Closure 一例股静脉房室隔缺损封堵术患者在全身麻醉诱导过程中发生胃内容物反流吸入的病例

Asploro journal of biomedical and clinical case reports Pub Date : 2024-02-06 DOI: 10.36502/2024/asjbccr.6335

Bo Xu, Rurong Wang

{"title":"A Case of Gastric Contents Reflux Aspiration during General Anesthesia Induction in A Patient with Femoral Vein Atrial Septal Defect Closure","authors":"Bo Xu, Rurong Wang","doi":"10.36502/2024/asjbccr.6335","DOIUrl":"https://doi.org/10.36502/2024/asjbccr.6335","url":null,"abstract":"Background: Aspiration of gastric contents during the induction of general anesthesia remains a significant cause of mortality and morbidity in anesthesia. We report an 18-year-old patient with a closed atrial septal defect who developed gastric content reflux aspiration and severe aspiration pneumonia despite abstaining from drinking and fasting for more than 12 hours.\u0000Case Presentation: An 18-year-old female patient with congenital heart disease (atrial septal defect) had no previous history of gastroesophageal reflux. After fully abstaining from drinking and fasting (more than 12h), conventional anesthesia was induced, and after the patient’s spontaneous breathing and consciousness disappeared, the patient was assisted with mandibular support with both hands and mask pressure. The induction process was smooth. When preparing for intubation, a large amount of yellow fluid was found in the patient’s mouth. Intubation was performed immediately after suction. Aspiration pneumonia still occurs after the operation even if the patient is treated promptly.\u0000Conclusions: As the incidence of perioperative pulmonary aspiration is relatively low, precautions to prevent aspiration tend to be overlooked. We should be alert to the complications of gastric contents regurgitation aspiration in patients with sufficient abstention and fasting during general anesthesia intubation.","PeriodicalId":93523,"journal":{"name":"Asploro journal of biomedical and clinical case reports","volume":"47 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139860478","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 Presentation where MRI shows Superiority as A Modality for Breast Cancer Screening 磁共振成像在乳腺癌筛查中显示出优越性的病例介绍

Asploro journal of biomedical and clinical case reports Pub Date : 2024-01-22 DOI: 10.36502/2023/asjbccr.6333

M. Jaffer, Kibe John Ng’ang’a

{"title":"Case Presentation where MRI shows Superiority as A Modality for Breast Cancer Screening","authors":"M. Jaffer, Kibe John Ng’ang’a","doi":"10.36502/2023/asjbccr.6333","DOIUrl":"https://doi.org/10.36502/2023/asjbccr.6333","url":null,"abstract":"Background: Common modalities for breast cancer screening include regular clinical breast exams (73%), annual breast sonograms (73%) for high-risk groups, and mammograms (71.5%) recommended every 3 years for high-risk groups. Despite a higher sensitivity of 89.4%, MRI is underutilized, especially among high-risk groups with the means for the test. Kenyan guidelines recommend mammography for normal-risk populations, omitting MRI for routine screening in average-risk populations. This study explores an intriguing case of a 60-year-old post-menopausal lady, with no hormone replacement history, three parities, and a smoking habit. She presented with a left-sided benign cyst but revealed an ominous, undetected lesion on the right breast, emphasizing the limitations of conventional screening modalities.\u0000Method: The patient was admitted for abdominal pain due to gastroenteritis and a breast lump on the left breast for 3 months with a strong family history of breast cancer, so she requested screening for the same. In the process, we found axillary and mediastinal lymph nodes, but the left breast showed a simple harmless cystic lesion. The right breast confirmed a lesion with irregular borders that looked suspicious, and a biopsy confirmed ductal carcinoma of the right breast.\u0000Results: The right breast that had no symptoms or signs, and no abnormality on mammogram, ultrasound, or CT scan, had a grade 3a Ductal Cancer in its initial stage that was seen on a simultaneous MRI. Conclusion: MRI could be a better choice for screening early breast cancer in high-risk groups and in those who can afford the test.","PeriodicalId":93523,"journal":{"name":"Asploro journal of biomedical and clinical case reports","volume":"36 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139607662","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

Oxygen-Associated Hypercapnia after both side Video-Assisted Thoracoscopic Surgery – A Case Report 双侧视频辅助胸腔镜手术后氧相关性高碳酸血症--病例报告

Asploro journal of biomedical and clinical case reports Pub Date : 2024-01-20 DOI: 10.36502/2023/asjbccr.6332

Xuewei Liu

引用次数: 0

Improvement of HbA1c, Weight and Fatty Liver by Short Treatment of Imeglimin (Twymeeg) 短期服用 Imeglimin (Twymeeg) 可改善 HbA1c、体重和脂肪肝

Asploro journal of biomedical and clinical case reports Pub Date : 2024-01-20 DOI: 10.36502/2023/asjbccr.6331

Takafumi Kawata, Hiroshi Bando, Y. Kato, H. Yamashita, Y. Kato, K. Ogura

引用次数: 0

Anesthesia Management of Severe Hypoxemia During Total Arch Replacement for Acute Aortic Dissection: A Case Report 急性主动脉夹层全弓置换术中严重低氧血症的麻醉处理：病例报告

Asploro journal of biomedical and clinical case reports Pub Date : 2023-12-26 DOI: 10.36502/2023/asjbccr.6330

Liu Qian, Haibei Liu, Yujun Zhang

{"title":"Anesthesia Management of Severe Hypoxemia During Total Arch Replacement for Acute Aortic Dissection: A Case Report","authors":"Liu Qian, Haibei Liu, Yujun Zhang","doi":"10.36502/2023/asjbccr.6330","DOIUrl":"https://doi.org/10.36502/2023/asjbccr.6330","url":null,"abstract":"Background: Acute aortic dissection poses a life-threatening condition that typically necessitates immediate surgical intervention, such as total arch replacement. However, hypoxemia is a severe complication in such surgeries, potentially resulting in organ dysfunction, prolonged hospital stays, and even mortality. Hypoxemia presents significant challenges to anesthesiologists. Through this case, we can enhance our comprehension of anesthetic management for total arch replacement. Case presentation: A 43-year-old man with acute type A aortic dissection underwent total arch replacement. After a smooth surgery, severe hypoxemia occurred during weaning off cardiopulmonary bypass. Initial interventions, including airway suction and recruitment maneuvers, failed to improve oxygenation. Further investigations found left lung atelectasis and pleural effusion on transesophageal echocardiography, with minimal improvement after drainage. Fiberoptic bronchoscopy revealed extensive tenacious secretions occluding the airways. Conventional suctioning was ineffective due to high sputum viscosity. Ultimately, techniques including pulmonary lavage, bronchoscopic suctioning, and repeated lung recruitment controlled the refractory hypoxemia. The patient recovered after treatment in the intensive care unit. Conclusions: It is worth noting that our case highlights the challenges posed by severe hypoxemia during total arch replacement surgery. The successful management of this complication underscores the importance of a multidisciplinary approach and close monitoring during the perioperative period. Individualized anesthetic management plays a critical role in addressing severe hypoxemia during total arch replacement surgery.","PeriodicalId":93523,"journal":{"name":"Asploro journal of biomedical and clinical case reports","volume":"13 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156414","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 Pulmonary Edema Following Cardiopulmonary Bypass: A Case Report 心肺搭桥术后急性肺水肿：病例报告

Asploro journal of biomedical and clinical case reports Pub Date : 2023-12-18 DOI: 10.36502/2023/asjbccr.6329

Siying Wang, Peng Liang

引用次数: 0

Li-Fraumeni Syndrome Cancer Surveillance Strategy Considerations for Glioblastoma Multiforme 多形性胶质母细胞瘤的 Li-Fraumeni 综合征癌症监测策略考虑因素

Asploro journal of biomedical and clinical case reports Pub Date : 2023-11-30 DOI: 10.36502/2023/asjbccr.6327

An-Phuc Ta, Megan Hsu, Satori Iwamoto

{"title":"Li-Fraumeni Syndrome Cancer Surveillance Strategy Considerations for Glioblastoma Multiforme","authors":"An-Phuc Ta, Megan Hsu, Satori Iwamoto","doi":"10.36502/2023/asjbccr.6327","DOIUrl":"https://doi.org/10.36502/2023/asjbccr.6327","url":null,"abstract":"Sporadic or inherited deficiencies in the production or activity of the tumor suppressor P53 lead to Li-Fraumeni Syndrome (LFS), a multi-organ tumorigenic condition. Glioblastoma multiforme (GBM), a tumor that commonly presents with a median age of 64, has a higher chance of appearing in much younger patients who have LFS [9]. Since the implementation of the 2016 Toronto Protocol to increase cancer surveillance in LFS patients, three cases of LFS-GBM have been discussed [11-13]. Here, we report a case of LFS in an 18-year-old male who had a seizure due to a GBM that had evaded a full-body MRI six months prior. Furthermore, we discuss the potential quality of life (QOL) benefits of providing patients with a shorter brain MRI screening interval: better survival outcomes and peace of mind. Though there may be a rise in the financial cost with an increase in the number of MRI scans, the prevalence of aggressive tumors that must be treated early for a better prognosis warrants more frequent screening. Furthermore, we address the importance of expanding clinical knowledge on GBM in the LFS setting as well as addressing the benefits of the protocol through statistical studies.","PeriodicalId":93523,"journal":{"name":"Asploro journal of biomedical and clinical case reports","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139205954","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 Patient Undergoing Laparoscopic Radical Prostatectomy and Atrial Defect Closure Simultaneously: A Case Report 一名同时接受腹腔镜根治性前列腺切除术和心房缺损缝合术的患者：病例报告

Asploro journal of biomedical and clinical case reports Pub Date : 2023-11-14 DOI: 10.36502/2023/asjbccr.6328

Hongqiang Tu, Xiao Wang

{"title":"A Patient Undergoing Laparoscopic Radical Prostatectomy and Atrial Defect Closure Simultaneously: A Case Report","authors":"Hongqiang Tu, Xiao Wang","doi":"10.36502/2023/asjbccr.6328","DOIUrl":"https://doi.org/10.36502/2023/asjbccr.6328","url":null,"abstract":"Background: Prostatectomy offers the greatest potential for a definitive cure for localized prostate cancer. Closure devices for secundum atrial septal defects have a good safety and efficacy profile. Simultaneous operation of the two types of surgery has not been reported to date. Case Presentation: A 65-year-old man was admitted to receive laparoscopic radical prostatectomy for prostate cancer under general anesthesia. The chest CT imaging unexpectedly showed that the heart and the pulmonary artery were obviously enlarged. Subsequently, a secundum atrial septal defect (ASD) with left-to-right shunt measuring 27*23mm was observed on transthoracic echocardiography (TTE). After a multi-disciplinary team (MDT) consisting of departments of urology, cardiac surgery, and anesthesiology was assembled to discuss the surgical procedure, an atrial septal defect closure device was scheduled to be implanted, followed by laparoscopic radical prostatectomy. The patient underwent both surgeries and was successfully discharged from the hospital. Conclusions: Adequate perioperative assessment and management are crucial for patients. We should pay more attention to patients with cardiac disease undergoing both cardiac and non-cardiac surgery.","PeriodicalId":93523,"journal":{"name":"Asploro journal of biomedical and clinical case reports","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139276303","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 Study of Pneumothorax in a 27-year-old Male as a Possible Post- COVID 19 Infection Complication 1例27岁男性肺炎后并发症气胸病例分析

Asploro journal of biomedical and clinical case reports Pub Date : 2023-11-14 DOI: 10.36502/2023/asjbccr.6326

Vince Thomas, Meraj Alam, Zohaer Muttalib, Nalin Ranasinghe, Leonard Ranasinghe

{"title":"Case Study of Pneumothorax in a 27-year-old Male as a Possible Post- COVID 19 Infection Complication","authors":"Vince Thomas, Meraj Alam, Zohaer Muttalib, Nalin Ranasinghe, Leonard Ranasinghe","doi":"10.36502/2023/asjbccr.6326","DOIUrl":"https://doi.org/10.36502/2023/asjbccr.6326","url":null,"abstract":"Spontaneous Pneumothorax is a potentially life-threatening condition that is brought on when air makes its way into the pleural spaces resulting in decreased negative pressure between the pleural membranes without trauma or injury occurring. Spontaneous pneumothorax was reported as an adverse complication of severe acute respiratory syndrome brought on by SARS-COV-2. It is thought spontaneous pneumothorax may be a consequence of the breakdown of elastic fibers within the lung tissue. This breakdown is believed to be caused by the body’s own immune response in particular by innate lymphoid cells (ILCs) which have been shown to be elevated in response to intracellular pathogens like viruses, but additional research is needed to clearly state a causal relationship between SARS-CoV-2 and the immune-mediated formation of pneumothorax. Limited studies look at the link between the pathophysiology of Pneumothorax and COVID-19, which is why the patient from this case is of interest. We present a unique case of a 27-year-old male presenting to the Emergency Department complaining of difficulty breathing, chest pain, and fatigue who had prior tested positive for COVID-19. A diagnosis of pneumothorax was made by chest x-ray. In this report, we discuss the pathophysiology, imaging, and management related to pneumothorax and its connection to COVID-19.","PeriodicalId":93523,"journal":{"name":"Asploro journal of biomedical and clinical case reports","volume":"85 21","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134900722","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

Beneficial and Convenient Method of Low Carbohydrate Diet (LCD) as Petite, Standard and Super LCD 有益和方便的低碳水化合物饮食(LCD)方法，如娇小，标准和超级LCD

Asploro journal of biomedical and clinical case reports Pub Date : 2023-11-04 DOI: 10.36502/2023/asjbccr.6325

Hiroshi Bando, Koji Ebe

引用次数: 0