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Anesthesia case report

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https://www.readbyqxmd.com/read/29924007/intravenous-anesthesia-with-nitroglycerin-inhalation-for-surgical-abortion-in-a-patient-with-severe-congenital-heart-disease-and-low-oxygen-saturation-a-case-report
#1
Zhengfeng Gu, Lian Xin, Zhiping Wang, Jun Wang
INTRODUCTION: Congenital heart disease and pulmonary arterial hypertension are perilous to a gravida for the high morbidity and mortality. CASE PRESENTATION: We report an extremely rare case of a 27-year-old gravida with congenital heart disease and severe pulmonary arterial hypertension of 115 mmHg. Arterial blood gas analysis revealed her oxygen saturation (SpO2) of 67.8% and oxygen partial pressure of 40.0 mmHg, which were severely low. The patient was diagnosed as having gestation combined with congenital heart disease, severe pulmonary arterial hypertension, and hypoxemia...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923985/tarsal-tunnel-syndrome-caused-by-an-uncommon-ossicle-of-the-talus-a-case-report
#2
Chang Hwa Hong, Young Koo Lee, Sung Hun Won, Dhong Won Lee, Sang Il Moon, Woo Jong Kim
RATIONALE: Tarsal tunnel syndrome (TTS) is a compressive neuropathy of the posterior tibial nerve or one of its branches within the tarsal tunnel that is often caused by a variety of space-occupying lesions, such as ganglia, lipomas, varicosities, neural tumors, trauma, or systemic disease. The os sustentaculi is a small accessory bone, bridged to the posterior aspect of the sustentaculum tali by fibrocartilage. To the best of our knowledge, this is a rare case of successful treatment of TTS caused by the os sustantaculi...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901585/abdominal-peripheral-nerve-block-as-the-only-anesthetic-technique-for-totally-extraperitoneal-endoscopic-inguinal-hernia-repair-two-case-reports
#3
Woojin Kwon, Seunguk Bang, Hyojung Soh, Won Jun Jeong, Sang Chul Lee, Byung Jo Choi
RATIONALE: Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair is a rapidly evolving, minimally invasive treatment modality for inguinal hernia. Compared with open hernia repair, this method requires a smaller incision, has cosmetic advantages, and facilitates rapid recovery and early return to daily activities because of less postoperative pain. Because general anesthesia is essential for TEP hernia repair, it cannot be performed on patients who have an increased risk of developing complications when placed under general anesthesia...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29900767/anesthesia-of-aquarium-housed-walrus-odobenus-rosmarus-a-case-series
#4
Johanna Kaartinen, Stéphane Lair, Michael T Walsh, Patrick Burns, Marion Desmarchelier, Jessica M Pang, Daniel S J Pang
  Walruses are a challenging species to anesthetize as a result of their large mass, limited access for drug delivery, unique physiology, and small number of reports describing anesthetic procedures. Three aquarium-housed walruses ( Odobenus rosmarus) ranging in age from 3 to 11 yr old (344-1,000 kg) were anesthetized for dental or ophthalmic surgical procedures, with one animal anesthetized twice and one anesthetized three times. Preanesthetic medication was with intramuscular midazolam (0.1-0.2 mg/kg) and meperidine (2-3 mg/kg)...
June 2018: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
https://www.readbyqxmd.com/read/29899776/endovascular-retrieval-of-detached-ventriculoatrial-shunt-into-pulmonary-artery-in-pediatric-patient-case-report
#5
Mohammed Aloddadi, Safar Alshahrani, Ibrahim Alnaami
The management of hydrocephalus represents a neurosurgical challenge. Ventriculoperitoneal (VP) shunts are usually the treatment of choice for hydrocephalus. However, when VP shunt is not an option, ventriculoatrial (VA) shunt becomes a second choice. VA shunts have special complications such as postoperative neck hematomas, shunt nephritis, and migration of the distal segment. There are two main techniques for the retrieval of migrated VA shunt: either by retrieval of the broken segment by thoracotomy, which is highly invasive, or by transvenous approach...
January 2018: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29894351/positional-oxygenation-changes-in-an-adult-patient-with-scimitar-syndrome-a-case-report
#6
Demet Sergin, Burçak Tanattı, Sezgin Ulukaya
Scimitar syndrome is a rare complex of congenital anomalies of the cardiopulmonary system. In patients with scimitar syndrome, the right pulmonary vein abnormally drains into the inferior vena cava, right atrium, coronary sinus, azygos vein, portal vein, or hepatic vein. The syndrome gets its name from the Turkish sword-like image that appears on chest x-ray. Some patients with scimitar syndrome survive in adulthood undiagnosed. Herein, we discuss positional oxygenation and hemodynamic changes associated with scimitar syndrome, especially in the left lateral decubitus position, detected during preoperative anesthetic examination in an adult patient who underwent general anesthesia for left mastectomy...
June 11, 2018: A&A practice
https://www.readbyqxmd.com/read/29894349/anesthetic-considerations-for-a-patient-with-chronic-systemic-capillary-leak-syndrome-a-case-report
#7
Resham Datta, Jason K Panchamia
Systemic capillary leak syndrome (SCLS) is an idiopathic vascular hyperpermeability that leads to profound hypotension, hypoalbuminemia, and hemoconcentration. Sixty years since its inauguration into literature, SCLS is still elusive, underdiagnosed, and profoundly dangerous. Few authors have documented anesthetic implications of classical acute SCLS, a form with complete recovery between exacerbations. However, minimal information is available about chronic SCLS, continuous generalized edema with or without exacerbations...
June 11, 2018: A&A practice
https://www.readbyqxmd.com/read/29894348/eisenmenger-syndrome-in-pregnancy-when-is-it-time-for-ecmo-a-case-report
#8
Marie-Louise Meng, Annie Fu, Carolyn Westhoff, Matthew Bacchetta, Erika B Rosenzweig, Ruth Landau, Richard Smiley
We report the case of a 21-year-old primiparous woman at 22 weeks gestation who presented with a large uncorrected ventricular septal defect, severe pulmonary hypertension, and Eisenmenger syndrome. The patient elected for termination of pregnancy, which was performed under regional anesthesia. Hemodynamic changes apparently associated with uterine contraction immediately after termination resulted in increased right to left shunting across the ventricular septal defect requiring urgent venovenous extracorporeal membrane oxygenation...
June 11, 2018: A&A practice
https://www.readbyqxmd.com/read/29894344/peripheral-nerve-block-provides-effective-analgesia-for-a-patient-with-peripheral-nerve-hyperexcitability-syndrome-isaacs-syndrome-case-report
#9
Akinori Asai, Eisuke Kako, Tatsuya Hasegawa, Kazuya Sobue
Isaacs syndrome is a rare peripheral nerve hyperexcitability syndrome. The painful discharges in Isaacs syndrome are abolished by the blockade of the neuromuscular junction but not by peripheral nerve blocks (PNB). However, the efficacy of PNB for intraoperative and postoperative analgesia among those with Isaacs syndrome is unknown. A 41-year-old woman with Isaacs syndrome underwent open reduction and internal fixation of radius fractures. Ultrasound-guided bilateral axillary brachial plexus blocks were performed, followed by general anesthesia...
June 11, 2018: A&A practice
https://www.readbyqxmd.com/read/29890541/percutaneous-instrumentation-of-a-complex-lumbar-spine-fracture-with-bilateral-pedicle-dissociation-case-report-and-technical-note
#10
Evan Luther, Timur Urakov, Steven Vanni
BACKGROUND AND STUDY OBJECTIVE:  Complex traumatic lumbar spine fractures are difficult to manage and typically occur in younger patients. Surgical immobilization for unstable fractures is an accepted treatment but can lead to future adjacent-level disease. Furthermore, large variations in fracture morphology create significant difficulties when attempting fixation. Therefore, a surgical approach that considers both long-term outcomes and fracture type is of utmost importance. We present a novel technique for percutaneous fixation without interbody or posterolateral fusion in a young patient with bilateral pedicle dissociations and an acute-onset incomplete neurologic deficit...
June 11, 2018: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/29889708/a-prospective-observational-study-of-anesthesia-related-adverse-events-and-postoperative-complications-occurring-during-a-surgical-mission-in-madagascar
#11
Michelle C White, Brian J Barki, Stephen A Lerma, Sarah Kate Couch, Dennis Alcorn, Richard G Gillerman
BACKGROUND: Two-thirds of the world's population lack access to safe anesthesia and surgical care. Nongovernmental organizations (NGOs) play an important role in bridging the gap, but surgical outcomes vary. After complex surgeries, up to 20-fold higher postoperative complication rates are reported and the reasons for poor outcomes are undefined. Little is known concerning the incidence of anesthesia complications. Mercy Ships uses fully trained staff, and infrastructure and equipment resources similar to that of high-income countries, allowing the influence of these factors to be disentangled from patient factors when evaluating anesthesia and surgical outcomes after NGO sponsored surgery...
June 8, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29889110/intraoperative-neural-monitoring-in-endoscopic-thyroidectomy-via-bilateral-areola-approach
#12
Daqi Zhang, Qingfeng Fu, Gianlorenzo Dionigi, Tie Wang, Jingwei Xin, Jiao Zhang, Gaofeng Xue, Hongbo Li, Hui Sun
OBJECTIVE: The aim of this report was dual: (a) to describe the step by step standardized intraoperative neural monitoring (IONM) procedure for recurrent laryngeal nerve (RLN) and external branch of the superior laryngeal nerve focusing on percutaneous IONM method, and (b) evaluation and outcomes of intermittent IONM in 237 endoscopic thyroidectomy via bilateral areolar approach cases. MATERIALS AND METHODS: A 10-mm curved incision is made along the margin of the right areola at the 2 to 4 o'clock position for the 30-degree endoscope...
June 7, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/29882201/palatal-schwannoma-in-a-young-female-patient-report-of-a-case-and-review-of-the-literature
#13
P Tamiolakis, D Kalyvas, I Arvanitidou, A Vlachaki, K I Tosios, A Sklavounou-Andrikopoulou
BACKGROUND: A few cases of oral schwannomas in paediatric patients have appeared in the literature so far; however, there are no studies focusing solely on paediatric oral schwannomas. The aim of this study is to report a case of palatal schwannoma in a young female patient and review the pertinent literature on oral schwannomas in paediatric patients. CASE REPORT: A 12-year-old girl presented with a growing swelling of 2 weeks duration on the hard palate. With a provisional diagnosis of a salivary gland neoplasm an incisional biopsy was performed under local anesthesia and the histologic examination disclosed an Antony A type schwannoma...
June 7, 2018: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/29878296/anesthesia-for-cesarean-section-in-parturient-with-guillain-barre-syndrome-a-case-report
#14
Mohamed Amine Bouslama, Afraa Brahim, Ons Kaabia, Abdeljelil Khlifi, Khalil Tarmiz, Khaled Ben Jazia
Guillain Barre syndrome is an autoimmune disorder characterized by an acute demyelinisation in the peripheral nervous system. It is an extremely rare situation during pregnancy. There are at present no recommendations concerning the mode of delivery and the anesthetic management. We report a case of Guillain Barre Syndrome at the 38 th week gestation proposed for cesarean section.
December 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29876166/wide-awake-anesthesia-no-tourniquet-trapeziometacarpal-joint-prosthesis-implantation
#15
Camillo Theo Müller, Thierry Christen, Paul I Heidekruger, Jessie Lamouille, Wassim Raffoul, Daniel McKee, Donald H Lalonde, Sébastien Durand
Wide awake local anesthesia no tourniquet (WALANT) hand surgery is a rapidly growing in popularity. WALANT has been used by hand surgeons when operating on bones, tendons, ligaments, nerve entrapments. We offer a case report of the first case in the literature describing WALANT technique when performing trapeziometacarpal joint arthroplasty with prosthesis implantation. We offer technical points on how to perform this procedure and the advantages that are associated with using WALANT for prosthesis arthroplasty...
April 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29875980/-uterine-inversion-about-a-case
#16
Chimae Eddaoudi, Mohammed Achraf Grohs, Abdilhay Filali
Uterine inversion is a rare but potentially serious complication of labour characterized by "glove-finger" introflexion of the uterine body protruding into the vagina or out of the vulva. This disease commonly occurs just after delivery and it is characterized by severe pain associated with hemorrhagic shock. The diagnosis is essentially based on clinical examination and must be immediate in order to allow quick reinversion before the formation of a constriction ring. Mortality rate is low if patients are early diagnosed and treated...
2018: Pan African Medical Journal
https://www.readbyqxmd.com/read/29873220/-crouzon-syndrome-coupled-with-osahs-and-congenital-heart-disease-a-case-report
#17
Q R Chen, Q Q Dai, J Zou, H Zheng
A case of Crouzon syndrome coupled with OSAHS and congenital heart disease in our hospital was reported. The patient who was a 2 years and 7 months old boy, was admitted in our hospital for repetitive sore throat, snoring with mouth breathing during sleep for more than 2 years and been found with some typical defect of Crouzon syndrome during physical examination. Half a year ago the boy underwent ventricular septal defect closure surgery. PSG shows severe apnea hypopnea and low ventilation existed. Under general anesthesia, the patient accepted bilateral tonsillectomy and adenoidectomy but dyspnea occurred after post-operative extubation till 2 days later the boy can breathe by himself...
May 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29871810/transcatheter-closure-of-large-atrial-septal-defects-asds-in-symptomatic-children-with-device-weight-ratio-%C3%A2-1-5
#18
Ali Houeijeh, Sebastien Hascoët, Hélène Bouvaist, Khaled Hadeed, Jérôme Petit, François Godart, Alain Fraisse
BACKGROUND: Atrial septal defects (ASDs) can be symptomatic in small children in cases of co-morbidities. Transcatheter closure remains controversial for large defects in small children. OBJECTIVE: To describe transcatheter closure of ASDs in children with device/weight ratio ≥1.5. METHODS: We retrospectively studied between January 2000 and January 2016 all cases of percutaneous ASD closure with device/weight ratio ≥1.5 in 6 European centres...
May 22, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29870394/abnormally-invasive-placenta-aip-pre-cesarean-amnion-drainage-to-facilitate-exteriorization-of-the-gravid-uterus-through-a-transverse-skin-incision
#19
Thorsten Braun, Katharina Weizsäcker, Mustafa Zelal Muallem, Janina Tillinger, Larry Hinkson, Frederic Chantraine, Wolfgang Henrich
The number of pregnant women with abnormally invasive placenta (AIP) including clinical relevant placenta increta and percreta has markedly increased with a reported incidence of as high as one in 731, By 2020 in the United States, there will be an estimated 4504 new cases of AIP and 130 AIP-associated maternal deaths annually. The preoperative diagnosis and operative management of AIP is challenging. In a planned cesarean delivery, a vertical lower abdominal skin incision is widely used in order to have enough space to perform a hysterotomy above the cranial edge of the placenta to avoid significant fetal and/or maternal hemorrhage...
June 5, 2018: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/29870295/development-of-antiresorptive-agent-related-osteonecrosis-of-the-jaw-after-dental-implant-removal-a-case-report
#20
Shinsuke Yamamoto, Keigo Maeda, Izumi Kouchi, Yuzo Hirai, Naoki Taniike, Daisuke Yamashita, Yukihiro Imai, Toshinobu Takenobu
Dental implant treatment is a highly predictable therapy, but when potentially lethal symptoms or complications occur, dentists must remove the implant fixture. Reports on antiresorptive agent-related osteonecrosis of the jaw have increased in the field of dental implants recently, although the relationship between dental implant treatment and antiresorptive agents remains unclear. Here we report a case of antiresorptive agent-related osteonecrosis of the jaw that developed after dental implant removal. A 67-year-old Japanese woman with a medical history of osteoporosis and 7 years of oral bisphosphonate treatment was referred to our hospital with a chief complaint of painful right mandibular bone exposure...
June 5, 2018: Journal of Oral Implantology
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