scholarly journals Anesthetic management for cesarean delivery in a woman with congenital atlantoaxial dislocation and Chiari type I anomaly: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuyan Nie ◽  
Weimin Zhou ◽  
Shaoqiang Huang
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Anesthetic Management ◽  
Neurological Complications ◽  
Atlantoaxial Dislocation ◽  
Epidural Needle ◽  
Team Approach ◽  
Anesthetic Techniques ◽  
Type I ◽  
Combined Spinal Epidural Anesthesia

Abstract Background The preferable choice of anesthesia for the patients with congenital atlantoaxial dislocation (CAAD) and type I Arnold Chiari malformations (ACM-I) has been a very confusing issue in clinical practice. We describe the successful administration of combined spinal-epidural anesthesia for a woman with CAAD and ACM-1 accompanied by syringomyelia. Case presentation Our case report presents the successful management of a challenging obstetric patient with CAAD and ACM-1 accompanied by syringomyelia. She had high risks of difficult airway and aspiration. The injection of bolus drugs through the spinal or epidural needle may worsen the previous neurological complications. The patient was well evaluated with a multidisciplinary technique before surgery and the anesthesia was provided by a skilled anesthesiologist with slow spinal injection. Conclusions An interdisciplinary team approach is needed to weigh risks and benefits for patients with CAAD and ACM-1 undergoing cesarean delivery. Therefore, an individual anesthetic plan should be made basing on the available anesthetic equipments and physicians’ clinical experience on anesthetic techniques.

scholarly journals Case report: Anesthetic management for sequential Cesarean delivery and laminectomy

2007 ◽  
Vol 54 (6) ◽  
pp. 471-474 ◽  
Author(s):  
Arif Al-areibi ◽  
Lynn Coveney ◽  
Sudha Singh ◽  
Sandra Katsiris
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Anesthetic Management

scholarly journals Successful Anesthetic Management of Myotonic Dystrophy Type I Using Sugammadex: A Case Report

2021 ◽  
Vol 27 (2) ◽  
pp. 125-128
Author(s):  
Suro Kim ◽  
Hea Rim Chun ◽  
Jinhun Chung
Keyword(s):  
Case Report ◽  
Myotonic Dystrophy ◽  
Hidradenitis Suppurativa ◽  
Anesthetic Management ◽  
Pulmonary Complications ◽  
Type I ◽  
Myotonic Dystrophy Type ◽  
Inherited Disease ◽  
Postoperative Pulmonary Complications ◽  
Reversal Agent

Myotonic dystrophy (DM) is an uncommon inherited disease. Anesthesia for DM patients is tough due to its potency of cardiogenic and pulmonary problems, but a series of studies have shown how to manage and avoid complications and situations. We describe a case of a 33-year-old male patient who was scheduled for an elective excision & biopsy on the left axillae for hidradenitis suppurativa with DM type I. Anesthesia was induced and maintained with propofol, remifentanil, and rocuronium. Sugammadex is used as a reversal agent of neuromuscular blockade. He didn’t show myotonia during surgery and emergence. He also didn’t show postoperative pulmonary complications.

scholarly journals Tet Spells in a Parturient Woman with Uncorrected Tetaratolgy of Fallots Undergoing Cesarean Delivery

2020 ◽  
Author(s):  
Saranya Lertkovit ◽  
Patchareya Nivatpumin
Keyword(s):  
Cesarean Delivery ◽  
Intraoperative Monitoring ◽  
Congenital Heart ◽  
Anesthetic Management ◽  
Cyanotic Congenital Heart Disease ◽  
Team Approach ◽  
Hemodynamic Changes ◽  
Multidisciplinary Team Approach ◽  
Parturient Woman ◽  
Life Threatening

Tetralogy of Fallot (TOF) is the most common, cyanotic congenital heart disease. The hemodynamic changes during pregnancy, with uncorrected TOF, result in serious, life-threatening complications for both patient and baby. The authors report on the successful anesthetic management of a 26-year-old parturient women. The patient was at a gestational age of 33 weeks, with uncorrected TOF. After undergoing a cesarean delivery, she developed intraoperative hypoxia after delivery. We postulated that the patient developed hypoxic Tet spells from hypovolemia, resulting from postpartum bleeding as well as a decrease in her systemic vascular resistance from oxytocin. A multidisciplinary team approach and invasive intraoperative monitoring together with meticulous anesthetic management, were essential for this patient.

scholarly journals Anesthetic management of urgent cesarean delivery in a parturient with acute malaria infection: a case report

2016 ◽  
Vol 69 (2) ◽  
pp. 193
Author(s):  
Bruno Antonio Zanfini ◽  
Antonio Maria Dell'Anna ◽  
Stefano Catarci ◽  
Luciano Frassanito ◽  
Salvatore Vagnoni ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Malaria Infection ◽  
Anesthetic Management

Complicated periorbital cellulitis: case report and literature review

2011 ◽  
Vol 126 (1) ◽  
pp. 94-96 ◽  
Author(s):  
N Parvizi ◽  
N Choudhury ◽  
A Singh
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Lacrimal Gland ◽  
Clinical Course ◽  
Neurological Complications ◽  
Team Approach ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

AbstractObjective:Periorbital cellulitis secondary to rhinosinusitis is common. However, very rarely this can be complicated by a lacrimal gland abscess. We report such a case.Method:We present a case report and literature review concerning lacrimal gland abscess secondary to periorbital cellulitis.Results:Due to the location of this condition, prompt assessment and management is vital to avoid potential ophthalmological and neurological complications. Our patient failed to respond to initial conservative medical treatment, and was subsequently identified as having a lacrimal gland abscess, confirmed on contrast-enhanced computed tomography. Following definitive surgical treatment, the patient's clinical course improved. This case furthers our knowledge of this condition, and adds to the two previously reported paediatric cases.Conclusion:This case emphasises the importance of prompt management, and the fact that failure of clinical improvement following orbital decompression should alert the clinician to the rare possibility of an associated lacrimal gland abscess. The case also emphasises the key role of imaging and a multidisciplinary team approach when managing this condition.

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