In Response
No abstract available (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Response Letter to the Editor Source Type: research
Comments on: “Postoperative Hyperthermia and Hemodynamic Instability in a Suspected Malignant Hyperthermia Susceptible Patient: A Case Report”
No abstract available (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Letter to the Editor Source Type: research
Formation of an Anesthesiology Residency Mentoring Program Using a Mentee-Driven Approach
This report details the program design and early observations. (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Educational Tool Source Type: research
Perioperative Code Status Discussions: How Are We Doing?
We present solutions to improve CSD documentation, including refining perioperative workflows, simplifying code status choices, optimizing electronic health record order entry, and a supplementary consent form to facilitate code status review. (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Innovation Source Type: research
High Peak Inspiratory Pressures After a Change of Heat and Moisture Exchangers: A Case Series
We describe 4 cases of gradually increasing PIPs from progressive HME obstruction that occurred within 6 months of an institutional change to a newer model. HME obstruction should be considered when PIPs are elevated. Alternative heat and moisture preservation strategies should be contemplated, as HMEs increase airflow resistance and add another point of possible malfunction. (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Series Source Type: research
Postprandial Hypotension in the Intensive Care Unit Due To Portal Hypertension and Coronavirus Disease 2019: A Case Report
A 49-year-old man with cirrhosis and portal hypertension was admitted for acute respiratory distress syndrome secondary to coronavirus disease 2019 (COVID-19) pneumonia. His course was complicated by postprandial hypotension (PPH)—episodic hemodynamic collapse that occurred minutes after enteral administration of medications or fluids. Octreotide, which reduces splanchnic pooling and can treat PPH, successfully prevented ongoing events. PPH is associated with mortality in the outpatient setting, and at-risk patients include the elderly and those with autonomic dysfunction, including those with COVID-19. Portal hypertensi...
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
Prevention of Perioperative Abdominal Migraine in a Patient Undergoing Spinal Fusion: A Case Report
We describe a 74-year-old patient with progressively worsening back pain, severe neurogenic claudication, and a history of opioid-triggered abdominal migraine. As a precautionary measure, a perioperative opioid-sparing treatment plan was devised to prevent abdominal migraine while the patient underwent elective lumbar fusion surgery. Opioid-sparing treatment plans may enable similar patients to undergo surgery without experiencing perioperative abdominal migraines. (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
Paraspinous Quadratus Lumborum Block: A New Analgesic Option for a Thigh Sarcoma Resection With Reconstruction—A Case Report
We present a case of a patient undergoing a resection of a sarcoma in the lower limb with an immediate reconstruction with a pedicled vertical designed deep inferior epigastric perforator flap, in whom a successful paraspinous transmuscular quadratus lumborum block for postoperative analgesia was performed. (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
Feasibility of Combining Nerve Stimulation and Local Anesthetic Infusion to Treat Acute Postamputation Pain: A Case Report of a Hybrid Technique
We describe a novel pain management approach in a 56-year-old woman with episodes of poorly controlled pain following below-knee amputation despite a multimodal analgesic regimen with continuous sciatic nerve block. Effective analgesia was observed during those episodes when the nerve block catheter was briefly stimulated at low frequency using a nerve stimulator designed for regional anesthesia procedural guidance. This case report explains the utilization and rationale of this hybrid technique of combined peripheral nerve stimulation and locoregional analgesia via perineural nerve block catheters to augment analgesia. (S...
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
A Patient With Kearns Sayre Syndrome and Charcot-Marie-Tooth for Supraventricular Tachycardia Ablation: A Case Report
We report a 52-year-old man diagnosed with variants of KSS and CMT presenting for supraventricular tachycardia (SVT) ablation. This is the first report of successful perioperative management of a general anesthetic in a patient with both KSS and CMT. (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
Pregnancy With Large Arteriovenous Malformation of Tongue: Anesthetic Challenges and Conduct
A pregnant woman with large intraoral arteriovenous malformation of tongue obliterating the oral cavity presented for elective cesarean delivery shortly after experiencing spontaneous, large-volume, oral bleeding. This case report describes the unconventional method of securing the airway for ensuring perioperative airway protection and the anesthetic management of the case (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
Transient Neurological Dysfunction and Intracranial Hypertension After Tourniquet Deflation in a Patient With a Head Injury: A Case Report
We report a case of transient neurological dysfunction and intracranial hypertension after tourniquet deflation in a 15-year-old patient with a head injury. Intracranial hypertension under general anesthesia was diagnosed based on bradyarrhythmia and elevated ultrasonographic optic nerve sheath diameter as compared to preoperative values. (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
Chest Wall Regional Anesthesia for Modified Radical Mastectomy and Axillary Lymph Node Dissection: A Case Report
We describe the use of chest wall fascial plane blocks as the primary anesthetic, combined with high-flow humidified nasal oxygen and low-dose propofol sedation, in a patient with complex comorbidities presenting for modified radical mastectomy and axillary lymph node dissection. (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
Inferior Vena Cava Leiomyosarcoma With Extension to Right Atrium in a Parturient at 30 Weeks of Gestation: A Case Report
Primary leiomyosarcomas of the inferior vena cava (IVC) are rare sarcomas, none of which have been described in literature during a third-trimester pregnancy. Here, we describe the complex care of a patient at 30 weeks of gestation who presented to her obstetrician with shortness of breath and lower extremity swelling. She was found to have a 5.0 × 5.0 × 13 cm heterogeneous mass of her IVC, ultimately diagnosed as a leiomyosarcoma. She underwent a cesarean delivery under combined spinal epidural and a subsequent tumor resection and IVC reconstruction requiring multidisciplinary surgical and anesthetic care. (Source: A&A Case Reports)
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
Alternative Implantation Site of Intrathecal Pump in the Submuscular Plane of the Pectoralis Major Muscle: A Case Report
An intrathecal drug delivery system (IDDS) has been widely utilized in the management of chronic pain and spasticity when oral pharmacologic agents are deemed ineffective. Typically, intrathecal pumps are implanted in the abdominal region; however, previous case reports have described nontraditional pump implantation sites, such as anterior thigh, gluteal region, and iliac fossa. Adding to the growing literature of alternative implantation sites, this case report discusses the implantation of the pump into the submuscular plane of the pectoralis major muscle and reviews the advantages and disadvantages of this location. (S...
Source: A&A Case Reports - June 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
