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Combined Selective Nerve Blockade and Local Infiltration Analgesia in a Total Shoulder Arthroplasty Patient With Chronic Pain and Severe Restrictive Lung Disease: A Case Report Erratum
No abstract available (Source: A&A Case Reports)
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Erratum Source Type: research

Pupillary Unrest in Ambient Light and Prediction of Opioid Responsiveness: Case Report on Its Utility in the Management of 2 Patients With Challenging Acute Pain Conditions
We report 2 cases in which PUAL identified the appropriate pain management for 2 patients, each with unique, challenging acute pain conditions. In both cases, PUAL accurately predicted opioid responsiveness, suggesting an effective, individualized analgesic approach for both patients. (Source: A&A Case Reports)
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Spinal Cord Stimulation Treatment for Chronic Right Subcostal Neuralgia Secondary to Laparoscopic Cholecystectomy: A Case Report
The use of spinal cord stimulator (SCS) treatment has been particularly effective as an adjunct in treating mixed neuropathic, nociceptive, and radicular pain conditions. There are no published studies on the use of SCS for chronic pain syndrome after laparoscopic cholecystectomy. We successfully used an SCS on a 31-year-old woman with a 4-year history of intractable right-sided subcostal pain after laparoscopic cholecystectomy. This case provides strong evidence that SCS should be considered as a treatment option for chronic postsurgical pain after laparoscopic cholecystectomy not amenable to standard therapies. (Source: ...
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Successful Removal of Intracardiac Thrombus With a Poole Tip Suction Device Through the Inferior Vena Cava of a Patient With Cardiovascular Collapse During Liver Transplant: A Case Report
We present the timely and successful use of a Poole tip surgical suction device advanced into the right atrium through a cavotomy created in the inferior vena cava to remove a large right atrial thrombus during liver transplant. The thrombus was identified with transesophageal echocardiography and was causing cardiovascular collapse. (Source: A&A Case Reports)
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Not Everything That Shakes Is a Seizure: A Case Report
We present a patient who repeatedly exhibited severe shaking at emergence from general anesthesia. Her nonepileptic myoclonus was mistaken for a refractory seizure and treated with benzodiazepines and intravenous anesthetics. The resulting depressed level of consciousness rendered myoclonus clinically indistinguishable from refractory seizures. Over the course of 6 procedures, we found that levetiracetam, a first-line antiepileptic drug, effectively suppressed her myoclonus. The episodic nature of perioperative anesthesia care presents a challenge for differentiating myoclonus from seizure while balancing the concerns rais...
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Mental Nerve Blocks for Lip Brachytherapy: A Case Report
We present the use of bilateral mental nerve blocks with minimal sedation to facilitate placement of brachytherapy catheters. (Source: A&A Case Reports)
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Safe Labeling Practices to Minimize Medication Errors in Anesthesia: 5 Case Reports and Review of the Literature
We report 5 cases of medication error as a consequence of incorrect or inappropriate labeling and analyze their cause. Recommendations for safe and practical labeling practices in anesthesia based on a review of the literature are presented. Implementation of the recommended labeling practices can reduce the risk of medication error and contribute to the safe administration of drugs. (Source: A&A Case Reports)
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Delayed Post Caudal Catheter Placement Pseudomeningocele: A Case Report
We present a rare case of a 7-month-old infant who developed a pseudomeningocele 16 days after an uneventful caudal catheter placement. The patient did not exhibit neurological deficits or signs of infection, and the mass increased in size with Valsalva maneuver. Pseudomeningocele, an abnormal collection of cerebrospinal fluid around an opening in the dura mater, can be iatrogenic or traumatic. Regional anesthesia is rarely the cause. Recognizing diagnostic features such as the lack of infectious signs and mass compressibility can prevent misdiagnosis and inappropriate invasive treatment. (Source: A&A Case Reports)
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Technique Utilizing a Modified Oral Ring-Adair-Elwyn Tube to Provide Continuous Oxygen and Sevoflurane Delivery During Nasotracheal Intubation in an Infant With a Difficult Airway: A Case Report
We describe a new method to deliver continuous oxygen and volatile anesthetic during nasotracheal intubation in an infant with PRS. (Source: A&A Case Reports)
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Baclofen Pump Replacement in a Patient With End-Stage Amyotrophic Lateral Sclerosis: A Case Report Demonstrating Transversus Abdominis Plane Block as the Sole Anesthetic
A patient with end-stage amyotrophic lateral sclerosis (ALS) presented for Baclofen pump replacement. She underwent a left transversus abdominis plane block to anesthetize the left lower quadrant of the abdomen. No sedatives or analgesics were administered, and the procedure was successfully completed without complication. It is prudent to consider anesthetic plans that avoid complications associated with general or neuraxial anesthesia in patients with ALS. This case report demonstrates successful placement of a transversus abdominis plane block in a patient with ALS and offers a safe anesthetic technique that can be perf...
Source: A&A Case Reports - May 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Point-of-Care Ultrasound in the Periarrest Setting—Lessons Learned: A Case Report
We present a case in which the treatment of cardiac arrest caused tension pneumothoraces and cardiac tamponade by pneumopericardium. Both pneumothorax and tamponade were expected to be identified with ultrasound, but were not. Subcutaneous emphysema precluded the diagnosis of pneumothorax. Cardiac imaging was false negative for tamponade, because the latter was caused by air and not fluid. Diagnoses are not to be excluded with inconclusive point-of-care ultrasound examinations, which should prompt further clinical evaluation and imaging. (Source: A&A Case Reports)
Source: A&A Case Reports - May 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Airway Management in a Patient With Tracheal Disruption due to Penetrating Neck Trauma With Hollow Point Ammunition: A Case Report
Rapid sequence induction and intubation was performed for a patient in respiratory distress after a gunshot wound to the neck. Resistance was noted distal to vocal cords. With a bronchoscope unavailable, the endotracheal tube was advanced with a corkscrew maneuver. Subcutaneous emphysema had developed. The endotracheal tube was advanced into the right mainstem with adequate ventilation. Imaging illustrated tracheoesophageal injury. The patient was emergently explored. An intraluminal bullet was removed, lateral wall tracheal defect was repaired, and a tracheostomy was placed. The intubating provider should secure the airwa...
Source: A&A Case Reports - May 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

The Use of Liposomal Bupivacaine in Erector Spinae Plane Block to Minimize Opioid Consumption for Breast Surgery: A Case Report
We describe a patient with opioid intolerance scheduled for breast surgery who received an erector spinae plane block with liposomal bupivacaine as well as a supplemental T1 paravertebral block resulting in profound analgesia throughout her postoperative course. This case report demonstrates that use of liposomal bupivacaine in the erector spinae plane block can be successful in providing extended duration postoperative analgesia and minimizing systemic opioid requirements. (Source: A&A Case Reports)
Source: A&A Case Reports - May 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Adjusting Pediatric Endotracheal Tube Depths Relative to the Cricoid by Using Longitudinal Ultrasound Images of the Saline-Inflated Cuff in the Trachea: Two Case Reports
Cuff positions of endotracheal tubes should be confirmed to ensure safe anesthesia. However, determining the cuff positions relative to the cricoid by using chest radiography or fiberoptic bronchoscopy is difficult. We identified the cephalad edges of saline-inflated pediatric endotracheal tube cuffs relative to the cricoid on longitudinal ultrasound images over the larynx and trachea in 2 children. Thereafter, we adjusted the endotracheal tube depths and confirmed the cuff positions relative to the cricoid. Longitudinal ultrasound images over the larynx and trachea can help confirm the distance from the caudal edge of the...
Source: A&A Case Reports - May 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Epidural Anesthesia to Facilitate Organ Blood Flow During the First Penile Transplantation in the United States: A Case Report
We present the anesthetic management of the first North American penile transplant, on an obese patient with moderate AS. (Source: A&A Case Reports)
Source: A&A Case Reports - May 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Venovenous Extracorporeal Membrane Oxygenation to Prolong Pregnancy: A Case Report
We report a gravida in fulminant acute respiratory distress syndrome, mechanically ventilated at 275/7 weeks estimated gestational age, who further deteriorated into severe combined hypercarbic, hypoxemic respiratory failure. At 303/7 weeks estimated gestational age, she was placed on venovenous extracorporeal membrane oxygenation (ECMO) because of refractory respiratory failure. Her physical status improved without fetal deterioration. She was managed expectantly in an effort to allow continued fetal maturation. Six days later, complications of ECMO (pulmonary hemorrhage) led to emergent abdominal delivery of a living mal...
Source: A&A Case Reports - May 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Should Percussion Pacing Have a Role in Perioperative Advanced Cardiac Life Support?: A Case Report
We describe the successful treatment of acute preoperative symptomatic sinus bradycardia with percussion pacing in a 63-year-old patient scheduled for placement of a gastric feeding tube after trauma involving spinal cord injury. Although no longer included in current advanced cardiovascular life support guidelines, percussion pacing may be a suitable alternative to chest compressions in multitrauma cases where the force of compressions could cause further complications. (Source: A&A Case Reports)
Source: A&A Case Reports - May 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Intrathecal Baclofen Injection to Avoid Withdrawal in a Multiple Sclerosis Patient Undergoing Lumbar Spine Surgery: A Case Report
Spasticity of spinal or cerebral origin is frequently treated with baclofen. Treatment interruption initially results in rebound spasticity; life-threatening withdrawal symptoms may follow. Severe rebound spasticity of leg muscles occurred in a multiple sclerosis patient after a 10-hour long perioperative pause of oral baclofen intake. In a subsequent spine surgery, recurrence was prevented by substituting a cumulative 12-hour oral baclofen dose with an intraoperative intrathecal injection. Administration of intrathecal baclofen during prolonged surgery in patients dependent on oral baclofen may improve patient comfort and...
Source: A&A Case Reports - May 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Case Report of an Awake Craniotomy in a Patient With Eisenmenger Syndrome
We present a detailed report of an awake craniotomy for recurrent third ventricular colloid cyst in a patient with severe pulmonary arterial hypertension in the setting of Eisenmenger syndrome, performed 6 weeks after we managed the same patient for a more conservative procedure. This patient has a high risk of perioperative mortality and may be particularly susceptible to perioperative hemodynamic changes or fluid shifts. The risks of general anesthesia induction and emergence must be balanced against the risks inherent in an awake craniotomy on a per case basis. (Source: A&A Case Reports)
Source: A&A Case Reports - May 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Postoperative Harlequin Syndrome: Case Report of a Rare but Clinically Striking Condition
We present a case of a 2-year-old boy who underwent thoracoscopic resection of a left paraspinal mediastinal mass and developed Harlequin syndrome postoperatively. Harlequin syndrome is a rare neurological condition characterized by unilateral hyperhidrosis and erythema of the head and neck. Our discussion highlights this condition and other differential diagnoses that may present similarly in the postoperative period. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Acute Coronary Artery Thrombus After Tranexamic Acid During Total Shoulder Arthroplasty in a Patient With Coronary Stents: A Case Report
We present a case of acute coronary thrombus requiring emergent intervention in a patient with indwelling coronary stents who underwent shoulder arthroplasty with TXA administration. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Ultrasound-Guided Transversalis Fascia Plane Block: An Alternative Approach for Anesthesia in Inguinal Herniorrhaphy A Case Report
We report the use of US-guided TFPB in a patient undergoing inguinal herniorrhaphy. Our experience suggests that this technique could represent a viable alternative to general anesthesia and standard regional techniques for inguinal hernia repair. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Massive Macroglossia After Posterior Cranial Fossa Surgery: A Case Report
This report describes the clinical course of his massive macroglossia and discusses short- and long-term management. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Blood Patch in a Jehovah’s Witness: Case Report of a Novel Arterial-to-Epidural Closed-Circuit Technique
We describe the use of a novel method to maintain a closed circuit between a Jehovah’s Witness patient’s arterial blood and the epidural space while performing a blood patch for postdural puncture headache. Previously described methods have utilized venous catheters to maintain a closed circuit between the body and the epidural space. This is the first report we are aware of that utilizes a closed-circuit arterial blood supply to create an epidural blood patch in a Jehovah’s Witness patient. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Biphasic Cuirass Ventilation During Anesthesia for Tracheobronchial Stent Insertion or Removal by a Rigid Bronchoscope: A Case Report
We report 3 successful anesthesia cases in which we could maintain adequate ventilation and oxygenation, supported by biphasic cuirass ventilation, in patients undergoing tracheobronchial stent placement or removal procedures using rigid bronchoscopy. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

A Case Report of Recurrent Severe Peripartum Cardiomyopathy Complicated by Factor V Leiden and Multiple Endocrine Neoplasia Type 1: A Management Conundrum
We describe the management of a 29-year-old, gravida 5, para 1 woman with severe peripartum cardiomyopathy during this and a previous pregnancy complicated by multiple endocrine neoplasia type and factor V Leiden thrombophilia, limiting therapeutic options and contributing to considerable perioperative management challenges. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Kratom, an Emerging Drug of Abuse: A Case Report of Overdose and Management of Withdrawal
Kratom is an herb indigenous to Southeast Asia with psychoactive opioid compounds, often used as a treatment for chronic pain or opiate withdrawal symptoms. It is legally and readily available via Internet sales and has been identified as an emerging drug of abuse in the United States. Kratom use has been associated with psychosis, seizures, and even death. At lower doses, kratom acts as a stimulant, while at higher doses, it produces analgesia and euphoria. Here, we describe the successful management of kratom overdose and withdrawal in a young man with negative toxicology screens. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Direct Ultrasound of the Pulmonary Artery Helps Diagnose a Rare Cause of Right Ventricular Failure After Heart Transplantation: A Case Report
Pulmonary artery anastomosis stenosis is a rare cause of right ventricular failure after orthotopic heart transplantation. In this case report, direct ultrasound of the pulmonary artery helped diagnose stenosis at a location not visible on transesophageal echocardiography or even with standard epicardial ultrasound views. It is important to evaluate all vascular anastomoses after heart or lung transplantation because surgical revision of these lesions is facile, but if left undiagnosed, significant morbidity or mortality is likely. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Successful Resuscitation Following Massive Obstetric Hemorrhage in a Patient of the Jehovah’s Witness Faith: A Case Report Erratum
No abstract available (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Erratum Source Type: research

Spinal Anesthesia for Emergent Abdominal Surgery in a Patient With a Tricuspid Valvectomy: A Case Report
Tricuspid valvectomy without replacement is an accepted treatment for drug-resistant endocarditis. The current intravenous drug abuse epidemic is leading to more occurrences of right-sided valvular endocarditis. This suggests that the incidence of tricuspid valvectomies may rise. Our academic hospital has seen 3 such patients in the past year alone. We review the implications of this pathophysiology and discuss the anesthetic management of a 33-year-old woman with previous tricuspid valvectomy presenting for emergent abdominal surgery. (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Delayed Respiratory Depression Secondary to Opioid Overdose After Multimodal Analgesia With Transversus Abdominis Plane Blocks in Postanesthesia Care Unit: A Case Report
We present a case report of an elderly patient having urgent laparoscopic converted to open abdominal surgery, who experienced postoperative respiratory depression in the recovery room after multimodal therapy with liposomal bupivacaine TAP blocks, intravenous (IV) opioids, and ketorolac. (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Use of Ketamine in a Multimodal Analgesia Setting for Rapid Opioid Tapering in a Profoundly Opioid-Tolerant Patient: A Case Report
We present a case in which a ketamine infusion was utilized over a 7-day period to provide rapid taper of a daily dose of 400 mg of morphine equivalents to less than one-third of that dose on discharge with unchanged pain levels and no symptoms of opioid withdrawal. (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Ultrasound Pulsed-Wave Doppler Detects an Intrathecal Location of an Epidural Catheter Tip: A Case Report
Currently, no gold standard method exists for localization of an epidural catheter after placement. The technique described in this report uses pulsed-wave Doppler (PWD) ultrasound to identify intrathecal location of an epidural catheter. A thoracic epidural catheter was inserted after multiple trials with inconclusive aspiration and test dose. Ultrasound PWD confirmed no flow in the epidural space and positive flow in the intrathecal space. A fluid aspirate was positive for glucose, reconfirming intrathecal placement. PWD is a potential tool that can be used to locate the tip of an epidural catheter. (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Anesthetic Management of a Patient With De Novo Hereditary Sensory and Autonomic Neuropathy, Type VII: A Case Report
We presented the major intraoperative events during the procedure. The anesthetic considerations and implications of caring for a patient with this particular mutation and patients with other variations of hereditary sensory and autonomic neuropathy are also discussed. We show that a patient with de novo hereditary sensory and autonomic neuropathy, type VII without anhidrosis did not require intraoperative narcotics and did not experience bradycardia, asystole, or hemodynamic compromise. (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Successful Treatment of Idiopathic Intractable Hiccup With Cisatracurium Under Intravenous General Anesthesia: A Case Report
We report the successful treatment of idiopathic intractable hiccups with cisatracurium under intravenous general anesthesia. The patient had a history of hiccups for 19 years that were refractory to a variety of treatments. When his hiccups were accompanied by vomiting, insomnia, shortness of breath, and poor oral intake for 9 days, he sought relief. We administered a nondepolarizing muscle relaxant, cisatracurium, during total intravenous anesthesia, to stop the hiccups. The duration of the anesthetic was determined by the time it took for the patient to recover from the neuromuscular blockade without reversal the cisatr...
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Recurrent Subanesthetic Ketamine Infusions for Complex Regional Pain Syndrome Leading to Biliary Dilation, Jaundice, and Cholangitis: A Case Report
We report the impact of recurrent short subanesthetic ketamine infusions for the treatment of complex regional pain syndrome resulting in biliary dilation, jaundice, and cholangitis. We recommend that prescribing physicians consider this and monitor liver function tests throughout the treatment period to minimize morbidity. (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Neuromodulatory Burst Therapy for Agent Orange–Induced Peripheral Neuropathy: A Case Report
We present a patient with AO-induced peripheral neuropathy who was successfully treated with burst SCS. To our knowledge, this is the first report describing the use of burst SCS for treatment of peripheral neuropathy related to AO exposure. (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Coronary Sinus Catheter-Induced Heart Block During Aortic Valve Replacement: A Case Report
We present the first case described in the literature of a patient with a preexisting left bundle branch block, and heart failure with a reduced left ventricular ejection fraction of 25% who developed complete heart block after placement of a coronary sinus catheter. (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

The Therapeutic Activity Goal for Acute Postoperative Pain Management
Acute pain intensity has conventionally been assessed with a patient self-reported, unidimensional pain scale. This approach can inadvertently underestimate analgesia and result in large cumulative opioid doses and greater dose-dependent side effects and complications. We have thus created the Therapeutic Activity Goal (TAG) as an alternate, more comprehensive way to assess acute postoperative pain, and even more so, to define and determine adequate postoperative analgesia. The TAG comprises the level of acceptable pain intensity, the level and types of desired activities, and accomplishing other patient-centered functiona...
Source: A&A Case Reports - March 15, 2018 Category: Anesthesiology Tags: Innovation Source Type: research

Anesthetic Management for Concomitant Correction of Congenital Cardiac Defects and Long “O” Ring Tracheal Stenosis: A Role for Heliox? Report of 2 Cases
We describe a step-by-step assessment of the patients and the necessary procedures for a successful concomitant repair of both cardiac and tracheal malformations. The use of a helium–oxygen mixture (heliox) for the induction of anesthesia and pre-cardiopulmonary bypass is discussed. (Source: A&A Case Reports)
Source: A&A Case Reports - March 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Cervicogenic Dizziness Successfully Treated With Upper Cervical Medial Branch Nerve Radiofrequency Ablation: A Case Report
Cervicogenic dizziness is a sensation of disequilibrium caused by abnormal afferent activity from the neck. Its diagnosis and treatment are challenging. In a case of cervicogenic dizziness, we performed diagnostic upper cervical medial branch nerve blocks with near complete symptomatic relief for around 20 hours. Radiofrequency ablation of these nerves resulted in near complete relief for 7 months. Subsequent repeat ablations provided the same relief lasting for 6–10 months. This case suggests that upper cervical medial branch block can serve as a diagnostic test for cervicogenic dizziness, and radiofrequency ablatio...
Source: A&A Case Reports - March 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Allergic Reaction Caused by a Lip Balm–Flavored Facemask Used During Inhalational Induction: A Case Report
We describe the occurrence of allergic reaction to lip balm–flavored facemask in a child who underwent an inhalational anesthetic induction. The facial rash resolved completely without complications after administration of an antihistamine and steroid. (Source: A&A Case Reports)
Source: A&A Case Reports - March 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Emergency Valve Replacement Under Minimal Cardiopulmonary Bypass for a Patient With Infective Endocarditis and Large Brain Hematoma: A Case Report
A 19-year-old man with mitral valve endocarditis and prolapse, intracerebral and intracerebellar hematoma, and a mycotic cerebral aneurysm underwent emergency mitral valve replacement during minimal cardiopulmonary bypass (total priming volume, 800 mL; autologous retropriming, activated clotting time (Source: A&A Case Reports)
Source: A&A Case Reports - March 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Successful Resuscitation of Maternal Cardiac Arrest With Disseminated Intravascular Coagulation Guided by Rotational Thromboelastometry and Transesophageal Echocardiography: A Case Report
We present a case of maternal cardiac arrest during an elective cesarean delivery. Transesophageal echocardiography identified a large pulmonary artery mass, and guided resuscitation efforts. After return of spontaneous circulation, the patient developed disseminated intravascular coagulation with massive hemorrhage. Blood product selection and volume replacement were guided by rotational thromboelastometry and transesophageal echocardiography, respectively. Correction of coagulopathy was observed clinically and confirmed by rotational thromboelastometry. The patient fully recovered without neurological deficit. (Source: A&A Case Reports)
Source: A&A Case Reports - March 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Emergency Ventilation of Infant Subglottic Stenosis Through Small-Gauge Lumen Using the Ventrain: A Case Report
This article presents the rescue of a difficult airway in a pediatric patient with subglottic stenosis with a new device available on the market, the Ventrain, offering certain advantages over those available until now. (Source: A&A Case Reports)
Source: A&A Case Reports - March 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Anesthesia Simulator-Based Functional Capacity Evaluation of an Anesthesiologist After Radial Fracture: A Case Report
We used simulation as a job-specific functional capacity evaluation method after a distal radius fracture in an anesthesiologist. Treatment included open reduction followed by an internal fixation with an arthrodesis plate. The patient performed simulated anesthesia inductions to assess her response to endotracheal intubation, bag-mask ventilation, and the manual opening of the airway. Data collected helped to guide the rehabilitation protocol, and to assess pain and the time to safely return to work. The patient began her clinical duties after 7 weeks of therapy and was able to fully perform her daily tasks with confidenc...
Source: A&A Case Reports - March 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Anaphylaxis to Surgiflo During Posterior Spinal Fusion in an Adolescent Status Post Truncus Arteriosus Repair: A Case Report
We describe the case of an adolescent with a history of repaired truncus arteriosus undergoing posterior spinal fusion who developed sudden and profound hypotension that was ultimately confirmed to be an anaphylactic reaction to Surgiflo. Echocardiography was used to aid in diagnosis and management of the cardiovascular effects of anaphylaxis in this patient with residual cardiac pathophysiology. (Source: A&A Case Reports)
Source: A&A Case Reports - March 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Imaging Modalities for Correct Positioning of Percutaneous Right Ventricular Assist Device After Left Ventricular Assist Device Implantation
No abstract available (Source: A&A Case Reports)
Source: A&A Case Reports - March 1, 2018 Category: Anesthesiology Tags: Echo Rounds Source Type: research

A Left Ventricle to Left Atrial Appendage Fistula After Mitral Valve Replacement
No abstract available (Source: A&A Case Reports)
Source: A&A Case Reports - March 1, 2018 Category: Anesthesiology Tags: Echo Rounds Source Type: research

Two-Stage Technique Used to Manage Severe Upper Airway Obstruction and Avoid Surgical Tracheostomy: A Case Report
We present a 49-year-old woman with postradiotherapy laryngeal fixation and transglottic stenosis for dilation of a pharyngeal stricture who refused elective tracheostomy. A 2-stage technique was used, which involved an awake fiberoptic intubation, followed by the transtracheal insertion of a Cricath needle and ventilation using an ejector-based Ventrain device. We discuss management aspects of this clinical scenario and the principles by which the Ventrain works. (Source: A&A Case Reports)
Source: A&A Case Reports - March 1, 2018 Category: Anesthesiology Tags: Case Report Source Type: research