scholarly journals Suicide Attempt by Intravenous Potassium Self-Poisoning: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Florent Battefort ◽  
Emilie Dehours ◽  
Baptiste Vallé ◽  
Ahmed Hamdaoui ◽  
Vincent Bounes ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Clinical Practice ◽  
Chronic Renal Disease ◽  
Specific Treatment ◽  
Cardiac Activity ◽  
Case Presentation ◽  
Initial Resuscitation ◽  
Nurse Student ◽  
Intravenous Solution

Introduction. Overdose of potassium is not as frequently encountered in clinical practice as hyperkalaemia due to acute or chronic renal disease. However, potassium overdoses leading to serious consequences do occur.Case Presentation. A 20-year-old nurse student presented with a cardiac arrest with asystole rhythm. Beside the patient were found four 50-mL syringes and empty vials of potassium chloride (20 mL, 10%). After initial resuscitation with epinephrine, 125 mL of a 4.2% intravenous solution of sodium bicarbonate were injected which resulted in the recovery of an effective cardiac activity. The patient recovered without sequelae.Conclusion. The difficulty in this case was to recognize the potassium poisoning. The advanced resuscitation with the use of a specific treatment helped to resuscitate the patient.

scholarly journals Case report: 2 cases of cardiac arrest caused by rhino-cardiac reflex while disinfecting nasal cavity before endonasal transsphenoidal endoscopic pituitary surgery

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wen Wang ◽  
Hongwei Cai ◽  
Huiping Ding ◽  
Xiaoping Xu
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Heart Rate ◽  
Cardiac Arrest ◽  
Case Report ◽  
Nasal Cavity ◽  
Pituitary Surgery ◽  
Case Presentation ◽  
Clinical Anesthesia ◽  
Vagus Reflex

Abstract Background Trigeminal-cardiac reflex (TCR) is a brainstem vagus reflex that occurs when any center or peripheral branch of the trigeminal nerve was stimulated or operated on. The typical clinical manifestation is sudden bradycardia with or without blood pressure decline. The rhino-cardiac reflex which is one type of TCR is rare in clinical practice. As the rhino-cardiac reflex caused by disinfection of the nasal cavity is very rare, we report these two cases to remind other anesthesiologists to be vigilant to this situation. Case presentation This case report describes two cases of cardiac arrest caused by rhino-cardiac reflex while disinfecting nasal cavity before endoscopic transsphenoidal removal of pituitary adenomas. Their heart rate all dropped suddenly at the very moment of nasal stimulation and recovered quickly after stimulation was stopped and the administration of drugs or cardiac support. Conclusion Although the occurrence of rhino-cardiac reflex is rare, we should pay attention to it in clinical anesthesia. It is necessary to know the risk factors for preventing it. Once it occurs, we should take active and effective rescue measures to avoid serious complications.

scholarly journals Transitory restless arms syndrome in a patient with antipsychotics and antidepressants: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan Chen ◽  
Na Meng ◽  
Bingrong Cao ◽  
Yinghua Ye ◽  
Ying Ou ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Case Report ◽  
Clinical Practice ◽  
Depressive Disorder ◽  
Major Depressive ◽  
Case Presentation ◽  
First Choice ◽  
Patient Reported ◽  
Sustained Release Tablets ◽  
Medication Adjustment

Abstract Background Restless arms syndrome (RAS) is characterized by uncomfortable aching or burning sensations in the arms. RAS is regarded as an upper limb variant of restless legs syndrome (RLS). The lack of specific diagnostic criteria makes it difficult to recognize the RAS. Therefore, RAS is usually neglected in clinical practice. Moreover, when a patient was diagnosed with RAS, the adjustment of medications was the first choice for doctors, which may make the patient’s condition unstable. Case presentation A 33-year-old woman was diagnosed with schizophrenia and major depressive disorder. Starting with 0.6 g/d amisulpride, 0.1 g/d quetiapine, 75 mg/d venlafaxine sustained-release tablets, the patient reported symptoms of RAS (itching arms) on the fourth day since the latest hospitalization. After ruling out other factors, her RAS was suspected to be induced by antidepressants or antipsychotics. Without medication adjustment, RAS spontaneously remitted. Conclusions This case suggests that psychiatrists should pay attention to RAS when using antipsychotics and/or antidepressants. Moreover, RAS may be transitory. When a patient manifests RAS, observation may be one choice instead of an immediate medication adjustment.

scholarly journals A rare glans cavernous hemangioma in young patient: A case report

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Liu Chunguang ◽  
◽  
Bhushan Sandeep ◽  
Xu Xuejun ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Early Intervention ◽  
Young Patient ◽  
Cavernous Hemangioma ◽  
Corpus Cavernosum ◽  
Wound Dehiscence ◽  
Glans Penis ◽  
Pathological Examination ◽  
Case Presentation

Background: Cavernous hemangioma of the glans penis is a relatively rare disease in clinical practice, caused by congenital dysplasia. Case presentation: A 20-year-old male, found a snake shaped dark purple mass on the glans penis for more than 10 years. During the operation, the tumor was seen to be about 0.5 cm away from the outer urethra. The tumor was broken longitudinally, and the boundary between the tumor and the corpus cavernosum was not clear, and the tumor was bluntly separated until it was completely removed. Postoperative pathological examination revealed a cavernous hemangioma. The patient was discharged without complications such as infection or wound dehiscence. Conclusion: With the increase of sexual demand and to avoid rupture and bleeding of glans penis cavernous hemangioma are recommend early intervention and treatment. Keywords: glans; cavernous hemangioma; treatment methods.

scholarly journals Neurotrophic Factors in the Treatment of Acute Brain Hypoxia Secondary to Cardiac Arrest: a Case Report

2019 ◽  
Vol 12 (3) ◽  
pp. 233-235 ◽  
Author(s):  
D Węgrzyn ◽  
◽  
◽  
A Kutwin-Chojnacka ◽  
J Bilski ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Clinical Practice ◽  
Clinical Research ◽  
Neurotrophic Factors ◽  
Preclinical Studies ◽  
Neuroprotective Agents ◽  
Brain Hypoxia ◽  
Neuroprotective Strategies ◽  
Neuroprotective Treatment

Finding neuroprotective agents to counteract the deleterious effects of hypoxia on neuronal cells successfully is one of the most critical targets of clinical research since preclinical studies have identified potential neuroprotective strategies. In clinical practice, amantadine and piracetam are used with reasonable success. We present the cases of three patients with acute brain hypoxia secondary to cardiac arrest, to whom Cerebrolysin was added to the standard neuroprotective treatment regimen, leading to a notable improvement in functional outcome.

The Successful Treatment of Pulmonary Embolism as a Complication after Uterine Fibroid Embolization (Case Report)

2019 ◽  
Vol 15 (2) ◽  
pp. 150-154
Author(s):  
Nikolay Т. Vatutin ◽  
Gennadiy G. Taradin ◽  
Ganna S. Smyrnova ◽  
Valery B. Kostogryz B. Kostogryz ◽  
Vadim S. Kolesnikov ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Uterine Fibroid ◽  
Wide Spectrum ◽  
Cardiac Activity ◽  
Thromboembolic Events ◽  
Case Presentation ◽  
Uterine Fibroid Embolization ◽  
Systemic Thrombolytic Therapy ◽  
Symptomatic Uterine Fibroid

Background: Uterine fibroid embolization (UFE) is as an effective alternative to hysterectomy and myomectomy. However, UFE is associated with a wide spectrum of complications including in rare instances thromboembolic events and even pulmonary embolism (PE). Case Presentation: A case of a 36-year-old woman suffering from a symptomatic uterine fibroid is described as follows. The patient underwent UFE and overnight she suddenly collapsed with signs of massive PE. In consequence of cardiopulmonary resuscitation and urgent systemic thrombolytic therapy, cardiac activity was restored successfully. Discussion & Conclusion: This constitutes another report of PE developed following UFE. In the case described here PE occurred 26 hours after the procedure was performed. Before UFE all patients should undergo complete examination for exclusion of pre-existing venous deep thrombosis and coagulopathies.

scholarly journals Delirious Mania: Can We Get Away with This Concept? A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Rajshekhar Bipeta ◽  
Majeed A. Khan
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Electroconvulsive Therapy ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Psychiatric Syndrome ◽  
Life Threatening ◽  
Clinically Significant ◽  
Treatable Condition

Background. Delirious mania (DM) as a clinical entity is well described, yet is often unrecognized in clinical practice. While most often misdiagnosed as acute psychotic episodes of organic delirium, these patients meet the criteria for mania with attendant delirium and pose therapeutic challenges. In addition to the case presentation, this paper also discusses the available literature on DM.Case Presentation. A 29-year-old man with DM was treated with a combination of electroconvulsive therapy (ECT), divalproex 2000 mg/day, loxapine 100 mg/day, and lorazepam 4 mg/day. He demonstrated clinically significant improvement by day 10, which persisted through the twelve-month follow-up period.Conclusions. DM is a severe psychiatric syndrome which should be accurately diagnosed. Patients with DM should be treated aggressively, especially with ECT. Lack of recognition of DM can lead to serious morbidity or fatal outcomes. Though the concept of DM is well established, recent psychiatric literature does not make a mention of this life threatening yet treatable condition. We propose that there is a dire need to keep this concept alive.

scholarly journals COVID-19 Pandemic Morbidity and Mortality Caused to Non-COVID Spine Inpatients at a Level One Trauma Centre: Case Report

2020 ◽  
pp. 1-3
Author(s):  
Humaid Al Farii ◽  
Danielle Shafiepour ◽  
Humaid Al Farii ◽  
Michael Weber ◽  
Salim Al Rawahi
Keyword(s):  
Pulmonary Embolism ◽  
Cardiac Arrest ◽  
Case Report ◽  
Surgical Intervention ◽  
Burst Fracture ◽  
Trauma Centre ◽  
Lower Extremity Weakness ◽  
Case Presentation ◽  
Novel Coronavirus ◽  
New Onset

Background: Coronavirus disease 2019 (COVID-19) caused by the 2019 novel coronavirus (SARS-CoV2) is evolving, overwhelming the healthcare system and negatively impacting inpatients, requiring nonelective surgical intervention. Case Presentation: We present two cases admitted under the Orthopaedic Spine Unit, a patient with an acute T12/L1 disc herniation and new-onset progressive bilateral lower extremity weakness, whose surgery was complicated by a cardiac arrest, secondary to a pulmonary embolism due to delayed access to the operating theatre (OR) and a patient with an L3 burst fracture, who left the hospital after waiting for four days for surgical management, being afraid of becoming infected with COVID-19. Conclusion: Challenges amid the COVID-19 pandemic are real, but solutions must be explored. Acting on the proposed strategies listed in the report may be a good start towards improving the outcome and helping to avoid unintentional complications.

scholarly journals Multiple asystoles in a patient undergoing total knee arthroplasty - a case report

2019 ◽  
Author(s):  
Anna-Maria Burgdorff ◽  
Lilit Flöther ◽  
David Wohlrab
Keyword(s):  
Total Knee Arthroplasty ◽  
Cardiac Arrest ◽  
Case Report ◽  
High Risk ◽  
Knee Arthroplasty ◽  
Cardiac Disease ◽  
Case Presentation ◽  
Total Knee ◽  
Additional Monitoring

Abstract Background Unexpected cardiac arrest in patients during surgery is associated with high mortality. Reasons are often multifactorial and not exactly clear. Case presentation Therefore, this case report describes a patient, who developed reversible asystoles during knee surgery under general anesthesia. All diagnostic cardiac examinations were unremarkable. After surgery the patient showed no further symptoms. Conclusion To prevent cardiac arrest due to non-cardiac reasons, patients with high risk for asystole caused by vasovagal reflex or pain need to be identified. Preoperative conditions like hypovolemia need to be improved and additional monitoring should be used. Further investigations to find the influence of non-cardiac disease and long-term medication are necessary.

scholarly journals Oral ingestion of lidocaine for suicide: A case report

2020 ◽  
Vol 7 (2) ◽  
pp. 135-136
Author(s):  
Maryam Adimolmasali ◽  
Ali Teimouri ◽  
Hamid Reza Mokhtari ◽  
Mahdi Foroughian ◽  
Parvin Zohoorian Sadr ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Lipid Emulsion ◽  
Suicide Attempts ◽  
Medical Science ◽  
General Ward ◽  
Oral Ingestion ◽  
Case Presentation ◽  
Topical Anesthetics ◽  
History Of

Objective: Systemic toxemia with topical anesthetics could be fatal due to the use of anesthetics in various ways (oral, intravenous, intramuscular, or subcutaneous). Nowadays, topical anesthetics are used in inpatient and outpatient treatments. Despite its widespread usage, many physicians are not fully aware of the deadly side effects of lidocaine poisoning and its treatment. The objective of this case report is to highlight the diagnosis and treatment of lidocaine toxicity. Case Presentation: A 21-year-old woman with a history of multiple suicide attempts ingested approximately three 10% w/w lidocaine sprays. The patient was brought to the emergency department of Imam Reza hospital of Mashhad University of Medical Science with cardiac arrest and respiratory failure. After successful cardiopulmonary resuscitation (CPR), she was admitted to the intensive care unit (ICU). She stayed in ICU for 2 days and we administered dobutamine drip and intravenous lipid emulsion for her then she was transferred to the general ward. We discharged her after 8 days. Conclusion: Using BCLS and ACLS in case of cardiac arrest and administration of Lipid Emulsion with proper dosage are recommended treatments for lidocaine toxicity.

scholarly journals Multiple asystole events in a patient undergoing total knee arthroplasty - a case report

2019 ◽  
Author(s):  
Anna-Maria Burgdorff ◽  
Lilit Flöther ◽  
David Wohlrab
Keyword(s):  
Total Knee Arthroplasty ◽  
Cardiac Arrest ◽  
Case Report ◽  
High Risk ◽  
Knee Arthroplasty ◽  
Cardiac Disease ◽  
Case Presentation ◽  
Total Knee ◽  
Additional Monitoring

Abstract Background: Unexpected cardiac arrest in patients during surgery is associated with high mortality. Reasons are often multifactorial and unclear. Case presentation: This case report describes a patient who developed reversible asystole during knee surgery under general anaesthesia. All diagnostic cardiac examinations were unremarkable. After surgery, the patient showed no further symptoms. Conclusion: To prevent cardiac arrest due to non-cardiac reasons, patients with a high risk for asystole caused by vasovagal reflex or by pain need to be identified. Preoperative conditions such as hypovolemia need to be improved prior to surgery, and additional monitoring should be used. Further investigations to determine the influence of non-cardiac disease and long-term medication are necessary.

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