Anesthesia for left ventricular assisted device insertion in a patient with multiple organ failure
W W Z Ma, T Suhitharan, SS Shah, H KothandanSaudi Journal of Anaesthesia 2021 15(2):210-212 Technological advances in mechanical circulatory support have enabled more patients with end-stage heart failure to benefit from left ventricular assist devices (LVAD). Indications for LVAD implantation have evolved to include patients who are deemed unsuitable for cardiac transplantation, otherwise known as destination therapy. This case report describes such patient with multi-organ failure who underwent LVAD insertion after nine days of extra-corporeal membrane oxygenation, intra-aortic balloon pump and maximal inotropic support...
Source: Saudi Journal of Anaesthesia - April 1, 2021 Category: Anesthesiology Authors: W W Z Ma T Suhitharan SS Shah H Kothandan Source Type: research

Anesthetic management in bilateral video-assisted thoracoscopic sympathectomy for refractory ventricular arrhythmias: A case report
This report discusses an approach that made heart rate control and safe patient discharge possible. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - April 1, 2021 Category: Anesthesiology Authors: Camila Biazussi Damasceno Marina Ayres Delgado Paula Alves Pinheiro Isadora Megale Quadros Source Type: research

Intraoperative central diabetes insipidus in a postpartum patient during decompression of base of brain lesion: Missing out the diagnosis of Sheehan & #39;s syndrome ?
Parmod K Bithal, Ravees Jan, Yasser Majid Butt, Khalid AlshuaibiSaudi Journal of Anaesthesia 2021 15(2):204-206 A 35-year-old female presented with headache in the third week postpartum period following uneventful cesarean delivery. She had left sided ptosis, pain, and numbness over left face since third trimester. Post-delivery magnetic resonance imaging revealed invading left sphenoid sinus meningioma. She was planned for combined endonasal and pterional craniotomy. Her preoperative investigations including sodium, glucose, and liver functions were normal. Intraoperatively during endonasal phase a high urine output (UO)...
Source: Saudi Journal of Anaesthesia - April 1, 2021 Category: Anesthesiology Authors: Parmod K Bithal Ravees Jan Yasser Majid Butt Khalid Alshuaibi Source Type: research

Blind intubation through Laryngeal Mask Airway in a cannot intubate-difficult to ventilate patient with massive hematemesis
We report a case of difficult airway management with blind intubation through Laryngeal Mask Airway in a 56-year-old patient with massive hematemesis. After failed endoscopic attempts to stop bleeding, worsening of hemodynamics called for emergency intubation and surgery. After failed intubation attempts and face-mask ventilation worsening, a classic LMA was used for rescue ventilation and decision was made to intubate through LMA. The airway exchange was aided by a nasogastric tube (NGT) through LMA, confirmed with capnography and surgery was started successfully and uneventfully. Unexpected difficult airway can be extrem...
Source: Saudi Journal of Anaesthesia - April 1, 2021 Category: Anesthesiology Authors: Rita Cataldo Ivana Zdravkovic Zaklina Petrovic Ruggero M Corso Giuseppe Pascarella Massimiliano Sorbello Source Type: research

Successful management of an aorto-esophageal fistula following button battery ingestion: A case report and review of the literature
We describe the successful management of an AEF which presented with hematemesis 8 days after removal of a button battery in a 17-month-old female. The literature regarding button battery ingestion and AEF is reviewed and treatment options including intraoperative anesthetic care discussed. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - April 1, 2021 Category: Anesthesiology Authors: Mayuko Wakimoto Brittany L Willer Christopher Mckee Olubukola O Nafiu Joseph D Tobias Source Type: research