Prolonged Pulseless Electrical Activity Cardiac Arrest After Intranasal Injection of Lidocaine With Epinephrine: A Case Report
Local anesthetic toxicity is a rare but serious complication of local anesthetic administration. Although lidocaine has a safety profile superior to other amide local anesthetics, we report a case of cardiac arrest after intranasal injection of lidocaine. The case involves a 22-year-old healthy woman who experienced pulseless electrical activity shortly after a submucosal injection of 2.2 mg/kg of lidocaine with epinephrine. Resuscitative efforts were unsuccessful until a bolus of intralipid was given. This case emphasizes that even a “low” dose of a less lipophilic drug has the potential for severe toxicity.
Chimeric antigen receptor t-cell therapy is a novel therapeutic modality which can cause extreme cardiovascular and respiratory compromise. What do anesthesiologists and intensivists need to know?Anesthesia &Analgesia
ConclusionAccording Result this study the average concentration of isoflurane and the health risk assessment in Valiasr and Shahid Beheshti teaching hospital operating room during 2018 because of flaw in the ventilation system was significantly higher than standard.
At our level I paediatric trauma centre in the USA, our team includes a paediatric emergency medicine attending, a paediatric emergency medicine fellow, a trauma surgeon, a surgery nurse practitioner, an anaesthesiologist, multiple trauma-trained nurses...
ConclusionThe mesh plug repair is safe and useful for the treatment of inguinal hernia after FFB, for which preoperative CT is helpful for understanding precise anatomy which facilitates surgical planning.
We read with great interest the study by O'Donnell et al,1 which investigated the risk factors of postoperative renal dysfunction after open repair of abdominal aortic aneurysm (AAA) in a large retrospective cohort.
This study investigates the perioperative outcomes of hybrid lower extremity revascularization (LER) performed under neuraxial anesthesia (NAA) vs general anesthesia (GA). We hypothesize use of NAA is associated with improved outcomes.
It has always been my impression that CRNAs are supervised pretty much everywhere in the US, but I recently did some looking around at the anesthesia staff from a hospital back home and found there is no anesthesiologist (or at least evidence of one) to be found. I'm a 3rd year med student but very interested in anesthesia and I understand that my interests may change. I'm somewhat familiar with pass-thru legislation but the specific word of law in my home state is that "CRNAs may function... "Independent" CRNAs
Authors: Gupta N, Gupta A PMID: 31426625 [PubMed - as supplied by publisher]
Authors: Diaz-Abad M, Steiropoulos P, Esquinas AM PMID: 31426624 [PubMed - as supplied by publisher]
Conclusions: Both the I-gel and Baska Mask provided a satisfactory airway during laparoscopic cholecystectomy. Compared with the I-gel, the Baska Mask demonstrated a higher OLP. PMID: 31426623 [PubMed - as supplied by publisher]