Death Related to Elective Nasal Polypectomy: Case Report

We present a case of an otherwise healthy 58-year-old woman with multiple nasal polyps who underwent nasal polypectomy. The operation was initially considered successful. However, the patient had never recovered from general anesthesia and was declared deceased 24 hours after the surgery. The autopsy revealed a basilar subarachnoid hemorrhage. The examination of the basilar skull showed a perforation of approximately 15 by 7 mm in the right cribriform plate. Above the bone perforation, there was a disruption of the dura and a 20-mm-long penetrating wound within the right frontal lobe parenchyma of the brain, with associated intraventricular hemorrhage. The subsequent sectioning of the formalin-fixed brain revealed extensive parenchymal destruction. The cause of death was certified as complications of nasal/sinus surgery, with a perforation of the skull base with hemorrhagic tissue destruction, whereas the manner of death was considered accidental. Common nasal surgical procedures and known complications are discussed.
Source: The American Journal of Forensic Medicine and Pathology - Category: Forensic Medicine Tags: Original Articles Source Type: research

Related Links:

Authors: Zea-Vera A, Turín CG, Rueda MS, Guillén-Pinto D, Medina-Alva P, Tori A, Rivas M, Zegarra J, Castañeda A, Cam L, Ochoa TJ Abstract To describe the frequency and severity of intraventricular hemorrhage and periventricular leukomalacia in low birth-weight neonates in three hospitals in Lima, Peru, 385 newborn babies weighing under 2,000 g at birth were evaluated between May 2012 and July 2014. Brain ultrasounds were obtained at 40 weeks' gestation, 3-5 days of life, and 3-4 weeks of life. Intraventricular hemorrhage occurred in 19.2% of neonates weighing under 1,500 g and was severe (grad...
Source: Revista Peruana de Medicina de Experimental y Salud Publica - Category: International Medicine & Public Health Tags: Rev Peru Med Exp Salud Publica Source Type: research
Abstract OBJECTIVE: The purpose of this study was to describe typical anesthesia practices for children with obstructive sleep apnea (OSA). STUDY DESIGN: Online survey. METHOD: A sample of pediatric anesthesiologists received the survey by email. RESULTS: 110 respondents were included. 46.4% worked in a free-standing children's hospital and 32.7% worked in a children's facility within a general hospital. 73.6% taught residents. 44.4% saw at least one child with OSA per week, 25.5% saw them daily. On a 100-mm visual analog scale, respondents rated their comfort with managing these children as 84.94 (...
Source: The Annals of Otology, Rhinology, and Laryngology - Category: ENT & OMF Authors: Tags: Ann Otol Rhinol Laryngol Source Type: research
ConclusionsClinicians should inform all patients, especially voice professionals about the possible effects of endoscopic sinus surgeries on their voice quality.
Source: American Journal of Otolaryngology - Category: Endocrinology Source Type: research
Authors: Udupi S, Puri K Abstract Background: Mis-transfusion of blood components triggering serious complications are mostly due to preventable clerical errors, especially pre-transfusion misidentification of patient/blood unit at bedside. Recommendations for standard identity check is by electronic devices like barcode scanners. Establishments unable to afford these gadgets (e.g. economically poorer countries) perform identity check subjectively through visual judgement. This is prone to errors precipitating tremendous anxiety in personnel transfusing blood unit. Hence a novel objective method for pre-transfusion...
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
At the RSNA 2019 conference in Chicago, Canon Medical showed off its brand new Aquilion ONE / PRISM Edition spectral CT scanner, a system that takes advantage of artificial intelligence technologies. The device relies on Canon’s Advanced int...
Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Cardiology Critical Care Diagnostics Emergency Medicine Neurology Ob/Gyn Oncology Radiology Source Type: blogs
Publication date: Available online 6 December 2019Source: Journal of Pharmacological SciencesAuthor(s): Hiroki Murai, Hiroto Suzuki, Hirochi Tanji, Tomoki Kimura, Yoshinori IbaAbstractWe investigated the effects of sleep-inducing agents with different mechanisms of action on the loss of the righting reflex induced by isoflurane or a mixture of medetomidine, midazolam, and butorphanol (MMB), followed by atipamezole reversal. Chlorpromazine and brotizolam delayed recovery from both types of anesthesia, whereas the melatonin receptor agonist ramelteon had no effect. The orexin receptor antagonist suvorexant delayed recovery f...
Source: Journal of Pharmacological Sciences - Category: Drugs & Pharmacology Source Type: research
Atrial fibrillation (AF) is associated with a substantially higher risk of thromboembolism, particularly stroke events, resulting in significant morbidity and mortality. Oral anticoagulation (OAC), while effective in reducing embolic events in AF patients, is associated with an increased bleeding risk. Thus, not all patients with AF are candidates for OAC and some are only candidates for OAC in the short term. Of the available nonpharmacologic strategies for the management of AF, left atrial appendage occlusion (LAAO) has emerged as a potential approach for reducing the risk of systemic thromboembolism in AF patients eligi...
Source: Cardiology in Review - Category: Cardiology Tags: Review Articles Source Type: research
Publication date: Available online 6 December 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): Amr Elkouny, Mohamed Al-Harbi, Vassilios Dimitirou, Ali Muzafar, Ali Nawaz, Amel FayedAbstractBackgroundObstructive Sleep Apnea (OSA) is a serious condition that is usually undiagnosed in surgical patients exposing them to complications such as difficult intubation.ObjectivesTo evaluate the updated STOP-Bang in detecting OSA risk and its perioperative implications.MethodsPreoperative assessment for OSA risk of 845 adult patients using the updated STOP-Bang questionnaire was conducted. Evaluation of anesthetic events ...
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
Conditions:   Bone Fracture;   Opioid Use;   Opioid Dependence Interventions:   Other: SOC Pain Management;   Procedure: Early US Guided Nerve Block Administration Sponsor:   Wayne State University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Anesthesia;   Tolerance Intervention:   Drug: Sevoflurane Sponsor:   University of Chile Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
More News: Anesthesia | Anesthesiology | Brain | Forensic Medicine | Hemorrhagic Stroke | Neurology | Pathology | Polyps | Subarachnoid Hemorrhage