scholarly journals Management of Anaesthesia for a High-Risk Aerosol-Generating Procedure in a Paediatric Patient with COVID-19

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Gezy Giwangkancana ◽  
Ezra Oktaliansyah ◽  
R. Ayu Hardianti Saputri
Keyword(s):  
Case Report ◽  
High Risk ◽  
Paediatric Patient ◽  
Perioperative Period ◽  
Postoperative Management ◽  
Team Work ◽  
Paediatric Anaesthesia ◽  
Parental Presence ◽  
Induction Technique ◽  
History Of

Introduction. Paediatric patients represent a small portion of the COVID-19 disease population. Nevertheless, the possibility of a paediatric patient requiring surgery, especially high-risk aerosol-generating surgery on the airway, while having the SARS-CoV-2 infection may potentially result in problems during the perioperative period due to concerns regarding patient, family, and staff safety. When unplanned and unrehearsed, this scenario may cause delays and efficiency issues. Our aim is to report on an 8-year-old patient with a foreign object lodged in the oesophagus with COVID-19 that required emergency surgery. Case Report. An 8-year-old female patient came to the emergency room with a history of difficulty in swallowing for 12 hours before admission, having accidentally swallowed a metal coin while playing. She did not have any recent history of disease, but her parents had noticed that, for the previous 4 days, she had had a mild fever and dry cough. Her parents and other relatives in the house had no similar complaints, and they assured us they had not been in contact with any suspected or confirmed COVID-19 patients. Our goal was to create a safe paediatric anaesthesia environment with safe working conditions for the surgical team. In this case report, we will describe our approach to patient transport, parental presence, preventions of aerosol risk, personal protection, the anaesthesia induction technique, and postoperative management. Conclusion. Safe paediatric anaesthesia, especially in a high-risk aerosol-generating procedure, during the COVID-19 era requires consideration and preparation of both the patient and healthcare provider. Multidisciplinary team work with an emphasis on a systematic and planned approach is required to improve efficiency.

Glycemic Control After Cardiac Surgery

2020 ◽  
pp. 37-46
Author(s):  
Casey Shelley ◽  
Katherine Palmieri
Keyword(s):  
Diabetes Mellitus ◽  
Cardiac Surgery ◽  
Glycosylated Hemoglobin ◽  
Perioperative Period ◽  
Postoperative Management ◽  
Undiagnosed Diabetes ◽  
Stress Hyperglycemia ◽  
Glucose Levels ◽  
History Of ◽  
Guidelines And Recommendations

This chapter focuses on hyperglycemia after cardiac surgery, which is an independent predictor of morbidity and mortality, regardless of a history of diabetes. Acute hyperglycemia is common in the cardiac surgical perioperative period. Although many hyperglycemic patients undergoing cardiac surgery carry a preexisting diagnosis of diabetes mellitus, a significant portion will have either undiagnosed diabetes or insulin resistance. Other cardiac surgical patients may be non-diabetic but hyperglycemic due to the stress response related to surgery. This “stress hyperglycemia” is generally defined as a transient increase in blood glucose levels that develops during illness in a non-diabetic patient. A preadmission glycosylated hemoglobin (HbA1c) level measurement is helpful in distinguishing patients with stress hyperglycemia from those with undiagnosed diabetes mellitus and thus guide postoperative management. Patients with elevated HbA1c levels may need further interventions in order to optimize perioperative glycemic management pre-, intra-, and postoperatively. The chapter then details the Society of Thoracic Surgeons clinical practice guidelines and recommendations concerning perioperative glucose control.

scholarly journals An Esthetic Endeavour For Compromised Anterior Teeth - A Case Report

2013 ◽  
Vol 12 (1) ◽  
pp. 100-103
Author(s):  
Neha Dhaded ◽  
Sunil Dhaded
Keyword(s):  
Case Report ◽  
High Risk ◽  
Female Patient ◽  
Medical Science ◽  
Fiber Reinforced ◽  
Anterior Teeth ◽  
Patient Reported ◽  
History Of

This paper highlights the fact that many anterior teeth requiring restoration are severely weakened, having wide flared canal spaces and thin dentinal walls, and are at a high risk of getting fractured. An 20 year old female patient reported with the complaint of unesthetic smile due to fracture and discolored tooth. She gave a history of trauma around 4-5 years back. This case was managed by the customization of fiber reinforced posts which has made a great impact on esthetics and redistribution of stresses along the radicular space and dentin tissue conservation. Thus modern techniques reflect a change from what was once considered prosthodontic procedure to one which marries endodontic principles with sound understanding of mechanical objectives. DOI: http://dx.doi.org/10.3329/bjms.v12i1.13359 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.100-103

scholarly journals An Unexpected Circumstance: Acute Dystonic Reaction in the Setting of Clozapine Administration

2017 ◽  
Vol 32 (1) ◽  
pp. 103-105 ◽  
Author(s):  
Alexander Morris Kaplan ◽  
William Bradly Pitts ◽  
Iqbal Ahmed
Keyword(s):  
Case Report ◽  
High Risk ◽  
Psychotic Disorders ◽  
Side Effect Profile ◽  
Treatment Resistant ◽  
Time Line ◽  
Dystonic Reaction ◽  
History Of ◽  
Second Generation Antipsychotic ◽  
Patient’S History

Clozapine is a second-generation antipsychotic typically reserved for refractory psychotic disorders due to its high-risk side effect profile to include agranulocytosis, with its attendant need for regular blood draws. While reports of extrapyramidal symptoms (EPS), including acute dystonic reactions, are exceedingly rare, we present the case of a 44-year-old male with a long-standing history of treatment-resistant schizoaffective disorder and no history of EPS who experienced an acute buccal dystonic reaction in the setting of clozapine initiation and discontinuation of depot and oral risperidone. This case report presents one of the few documented episodes of acute dystonic reactions occurring in the setting of clozapine administration. Based upon the patient’s history and the dosing time line of the medications, we propose that an interaction between the clozapine and residual risperidone was responsible for the development of the acute buccal dystonia.

scholarly journals Supine Percutaneous Nephrolithotomy in a Patient with Solitary Lung: A Case Report and Literature Review

2021 ◽  
Vol 122 (4) ◽  
pp. 294-299
Author(s):  
Yavuz Onur Danacıoğlu ◽  
Yusuf Arıkan ◽  
Fatih Akkaş ◽  
Emre Şam ◽  
Deniz Noyan Özlü ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Risk Group ◽  
High Risk Group ◽  
Complication Rates ◽  
Surgical History ◽  
History Of ◽  
The Right

Percutaneous nephrolithotomy (PNL) surgeries are performed with different patient positions, anesthesia methods and different-sized access sheaths in order to reduce the complication rates. Supine positioned PNL can be performed safely in the high-risk group patients with comorbidities. Herein, we present a patient who had a past surgical history of right pneumonectomy and underwent a supine PNL procedure under regional anesthesia for a staghorn renal stone in the right kidney.

scholarly journals Subcutaneous Uptake on [18F]Florbetaben PET/CT: a Case Report of Possible Amyloid-Beta Immune-Reactivity After COVID-19 Vaccination

2021 ◽  
Author(s):  
Riccardo Laudicella ◽  
Irene Andrea Burger ◽  
Francesco Panasiti ◽  
Costanza Longo ◽  
Salvatore Scalisi ◽  
...  
Keyword(s):  
Heart Disease ◽  
Case Report ◽  
High Risk ◽  
Large Scale ◽  
Immune Reactivity ◽  
Case Presentation ◽  
Vaccination Programs ◽  
Pet Ct ◽  
Risk Patients ◽  
History Of

Abstract Introduction Large-scale worldwide COVID-19 vaccination programs are being rapidly deployed, and high-risk patients with comorbidity are now receiving the first doses of the vaccine. Physicians should be, therefore, aware of new pitfalls associated with the current pandemic vaccination program, also in the case of [18F]Florbetaben PET/CT. Case Presentation We described the first image of [18F]Florbetaben PET/CT in the evaluation of a 70-year-old male with suspicious Alzheimer disease and unclear history of heart disease. We detailed the diagnostic imaging PET/CT workup with different findings. Conclusion In this case, [18F]Florbetaben PET/CT can demonstrate potential beta-amyloid immune-reactivity and deposition associated with the current COVID-19 pandemic vaccination programs.

Case Report of a Patient with Myasthenia Gravis Requiring a Caesarean Section

2017 ◽  
Vol 27 (1-2) ◽  
pp. 27-29
Author(s):  
S De Silva
Keyword(s):  
Case Report ◽  
High Risk ◽  
Caesarean Section ◽  
Myasthenia Gravis ◽  
Medical History ◽  
History Of ◽  
Time Of Presentation ◽  
Obstetric Clinic

RS is a 28-year old lady who presented in her first pregnancy to the High-Risk Obstetric Clinic for review in view of her medical history of myasthenia gravis. She was diagnosed with myasthenia gravis (MG) as a teenager, and underwent thymectomy soon after diagnosis. At the time of presentation to the clinic, RS was taking pyridostigmine and azathioprine for her MG.

scholarly journals Fulminant gas gangrene in an adolescent with immunodeficiency. Case report and literature review

2016 ◽  
Vol 64 (3) ◽  
pp. 555
Author(s):  
Edna Karina García ◽  
Pedro Alberto Sierra ◽  
Omar Quintero-Guevara ◽  
Lina Jaramillo
Keyword(s):  
Case Report ◽  
High Risk ◽  
Lower Limb ◽  
Multiple Organ ◽  
Gas Gangrene ◽  
Clinical Suspicion ◽  
Systemic Involvement ◽  
Risk Of Mortality ◽  
Left Lower Limb ◽  
History Of

Immunity defects are important predisposing factors to aggressive infections with high risk of mortality. The case of a teenager with a history of immunodeficiency, who developed gas gangrene infection originated in the left lower limb is reported here. The disease progressed in less than 24 hours, developed systemic involvement and led to multiple organ failure and death. Pathophysiological aspects and features of the agent are reviewed here, highlighting the importance of high index of clinical suspicion and immediate handling.

Recurrent epistaxis in a nine-year-old boy: benign or malignant?

2015 ◽  
Vol 129 (3) ◽  
pp. 293-295
Author(s):  
H F Dean ◽  
S Hadjisymeou ◽  
G Morrison ◽  
I Hore
Keyword(s):  
Case Report ◽  
Nasopharyngeal Carcinoma ◽  
Paediatric Patient ◽  
Surgical Intervention ◽  
Endoscopic Biopsy ◽  
Radiological Investigation ◽  
Recurrent Epistaxis ◽  
Nasopharyngeal Mass ◽  
History Of ◽  
The Uk

AbstractObjective:We present the case of a rare cause of epistaxis in a paediatric patient, together with the diagnostic and management challenges associated with this condition.Case report:A previously well nine-year-old boy presented with a six-month history of intermittent unilateral epistaxis. Radiological investigation and endoscopic biopsy confirmed a highly malignant nasopharyngeal mass consistent with carcinoma. The tumour continued to grow rapidly. Whilst awaiting intervention, the patient experienced a further significant haemorrhage requiring surgical intervention.Conclusion:Nasopharyngeal carcinoma is a rare cause of epistaxis amongst children in the UK. Early flexible nasendoscopy can help delineate both benign and sinister causes of symptoms in this region.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

An unusual presentation of epigastric pain due to thrombophlebitis of a recanalised umbilical vein – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 326-327 ◽  
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Portal Hypertension ◽  
Liver Disease ◽  
Epigastric Pain ◽  
Umbilical Vein ◽  
History Of ◽  
Clinically Significant ◽  
Inflammatory Changes

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

Sign in / Sign up

Export Citation Format

Share Document