Successful Airway and Anesthesia Management Using a High-Flow Nasal Cannula in a Fibrodysplasia Ossificans Progressiva Patient During General Anesthesia: A Case Report

Fibrodysplasia ossificans progressiva (FOP) is a rare hereditary disorder causing neck stiffness, ankylosis of temporomandibular joints, and severe restrictive respiratory dysfunction due to progressive heterotopic ossification of the connective tissue. Herein, we report a case of successful airway and anesthesia management using a high-flow nasal cannula (HFNC) in a 51-year-old man with FOP undergoing partial bone resection of the right greater trochanter of the femur. Although general anesthesia with awake fiberoptic nasotracheal intubation has been described as the gold standard, HFNC may yield another potentially viable option for patients undergoing a surgical procedure that does not involve the airway.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research

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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
I am starting my third year of medical school at one of the ‘mid-tier’ University of Californias (not UCSF or UCLA) and just received my Step 1 score of 243. I have 3 pubs in anesthesia and surgery and 5 poster presentations. I grew up and have all my personal connections back in Southern California and it’s a major priority to go back home for residency second only to matching to my specialty of choice which is surgery. what are my chances as it stands right now stats wise to eventually... What are my chances for a general surgery program in CA?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Surgery and Surgical Subspecialties Source Type: forums
Objective The aim of this study was to evaluate the ability of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) surgical risk calculator to predict surgical morbidity in patients undergoing pelvic reconstructive surgery. Methods This was a retrospective study of patients who underwent pelvic reconstructive surgery from 2014 to 2017. Preoperative risk factors were abstracted from medical records and entered into the ACS NSQIP surgical risk calculator. The Current Procedural Terminology code that produced the largest risk was used and compared with actual patient outcomes. Demog...
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: Original Articles Source Type: research
This study is aimed at observing the preventive and therapeutic effects of different modes of LIPUS and at identifying the optimal LIPUS treatment regimen for temporomandibular joint injury. In the present study, rat models of temporomandibular joint injury were established using a chronic sleep deprivation (CSD) method, and the effect of LIPUS as intensities of 30, 45, and 60 mW/cm2 was observed at 7, 14, and 21 days. After CSD, the condylar cartilage of the rats demonstrated variable degrees of surface roughening, collagen fiber disarrangement or even partial exfoliation, decreased proteoglycan synthesis and carti...
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research
Authors: Lee J, Kim Y, Mun J, Lee J, Ko S Abstract Background: The present study was designed to evaluate the effects of hypercarbia on arterial oxygenation during one-lung ventilation (OLV). Methods: Fifty adult patients undergoing elective video-assisted thoracoscopic lobectomy or pneumonectomy were enrolled. Group 1 patients (n = 25) were first maintained in normocarbia (PaCO2: 38 - 42 mmHg) for 30 min and then in hypercarbia (45 - 50 mmHg). In group 2 patients (n = 25), PaCO2 was maintained in the reverse order. Arterial oxygen partial pressure (PaO2), respiratory variables, hemodynamic variables, and hemog...
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
Heterotopic ossification (HO) means the formation of ectopic bone in muscles, tendons, ligaments, and other soft tissues(Amar et al., 2015). HO is divided into acquired nongenetic HO and inherited genetic HO (Xu et al., 2018). For the rare genetic HO, fibrodysplasia ossificans progressiva (FOP) involves endochondral ossification, while progressive osseous heteroplasia (POH) and Albright hereditary osteodystrophy (AHO) leads to HO through intramembranous ossification(Shore and Kaplan, 2010). Neurogenic trauma-induced HO is a common type of acquired nongenetic HO and occurs through both intramembranous and endochondral ossif...
Source: Journal of Cranio-Maxillofacial Surgery - Category: ENT & OMF Authors: Source Type: research
The Carey–Finema–Ziter syndrome (CFZS, MIM 254940) is an apparently autosomal recessively inherited disorder consisting of the combination of nonā€progressive congenital myopathy with Moebius and Pierre Robin sequence, facial anomalies and growth delay. Mental development has been described as normal or delayed. Temporomandibular joint (TMJ) ankylosis is the immobility of the joint caused by ankylotic fusion of the mandible to the cranial base or zygoma. It is a serious and disabling condition that may cause problems in mastication, digestion, speech, appearance, and oral hygiene. Most often is a true ankylosi...
Source: American Journal of Medical Genetics Part A - Category: Genetics & Stem Cells Authors: Tags: Clinical Report Source Type: research
The Carey–Finema–Ziter syndrome (CFZS, MIM 254940) is an apparently autosomal recessively inherited disorder consisting of the combination of nonā€progressive congenital myopathy with Moebius and Pierre Robin sequence, facial anomalies and growth delay. Mental development has been described as normal or delayed. Temporomandibular joint (TMJ) ankylosis is the immobility of the joint caused by ankylotic fusion of the mandible to the cranial base or zygoma. It is a serious and disabling condition that may cause problems in mastication, digestion, speech, appearance, and oral hygiene. Most often is a true ankylosi...
Source: American Journal of Medical Genetics Part A - Category: Genetics & Stem Cells Authors: Tags: Clinical Report Source Type: research
We describe a patient who presented with fibrodysplasia ossificans progressiva and extrinsic ankylosis of the joint associated with various bony fusions between the base of the skull and lower jaw, and suggest an evolutionary meaning for these anomalies.
Source: The British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Tags: Letter to the Editor Source Type: research
We describe a patient who presented with fibrodysplasia ossificans progressiva and extrinsic ankylosis of the joint associated with various bony fusions between the base of the skull and lower jaw, and suggest an evolutionary meaning for these anomalies.
Source: The British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Tags: Letter to the Editor Source Type: research
More News: Anesthesia | Anesthesiology | Fibrodysplasia Ossificans Progressiva | Respiratory Medicine | Temporomandibular Disorders