scholarly journals Ultrasound-guided perioperative management of 28-month-old patient with congenital diaphragmatic eventration

2019 ◽  
Vol 7 ◽  
pp. 2050313X1982773
Author(s):  
Hyemin Kang ◽  
Sangmin Lee ◽  
Hyunwoo Park ◽  
Yeojung Kim ◽  
YoungKwon Ko ◽  
...  
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Perioperative Management ◽  
Anesthetic Management ◽  
Male Infant ◽  
Lung Ultrasonography ◽  
Ultrasound Guided ◽  
Distal Ulna ◽  
Diaphragmatic Eventration ◽  
The Right

Diaphragmatic eventration is a rare anomaly. When patients with this condition undergo general anesthesia, anesthetic management should be performed with particular care owing to the risk of diaphragmatic rupture. Such a rupture can be perioperatively diagnosed using multiple tools including lung ultrasonography. This case report describes the anesthetic management of a male infant with osteochondroma in the distal ulna, presenting with diaphragmatic eventration on the right side.

scholarly journals Ultrasound-Guided Regional Anesthesia Under Sedation for Radical Mastectomy in an SAS Patient: A Case Report

2021 ◽  
Vol 11 ◽  
Author(s):  
Na Zhang ◽  
Tingting Wang ◽  
Penghui Wei ◽  
Jinfeng Zhou ◽  
Jianjun Li
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Regional Anesthesia ◽  
Radical Mastectomy ◽  
Pathological Examination ◽  
Axillary Lymph ◽  
Ultrasound Guided ◽  
Metabolic Equivalents ◽  
Regional Block ◽  
The Right

Radical mastectomy is commonly performed under general anesthesia, and regional block is often used as assisted or postoperative analgesia. We herein report a case of successful radical mastectomy with severe aortic stenosis (SAS) by using ultrasound-guided regional anesthesia under sedation. A 66-year-old female with an American Society of Anesthesiology physical status IV; limited functional capacity with <4 metabolic equivalents; a lump (10 cm × 8 cm) in the right breast with skin breakage and infection; and a history of hypertension, diabetes, atrial fibrillation, and SAS, underwent lump-resection and rapid pathological examination by biopsy. Considering a high-risk of significant mortality, we used ultrasound-guided regional block to avoid general anesthesia. We performed the right thoracic paravertebral nerve block (TPVB), subclavicular brachial plexus block, and pectoralis plane block (PECS 1). Patient tolerated the procedure well with no significant hemodynamic changes. Nevertheless, when the axillary lymph nodes were wiped, discharge was observed from the patient’s upper limbs. We inserted the laryngeal mask airway combined with low-dose sevoflurane inhalation sedation. The operation was successfully completed, and the patient was revived with steady hemodynamics and good prognosis. In the present case, radical mastectomy with SAS was performed successfully using ultrasound-guided regional anesthesia under sevoflurane sedation. Despite some potential limitations, this case report can serve as a reference for other anesthetists.

scholarly journals Acute Parotitis after Lower Limb Amputation: A Case Report of a Rare Complication

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Konstantinos Ioannis Avgerinos ◽  
Nikolaos Degermetzoglou ◽  
Sofia Theofanidou ◽  
Georgia Kritikou ◽  
Ioannis Bountouris
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
General Anesthesia ◽  
Lower Limb ◽  
Rare Complication ◽  
Head Tilt ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
The Right ◽  
Type Of Surgery

Background. Postoperative parotitis is a rare complication that occurs usually after abdominal surgery. Parotitis has never been described as a complication of vascular operations, in literature. In the present article, we describe a case of a postamputation parotitis along with its management and its possible pathogenesis. Case Report. An 83-year-old diabetic man was emergently admitted to hospital because of gangrene below the right ankle and sepsis. The patient underwent a lower limb amputation above the knee. On the 5th postoperative day, he was diagnosed with right parotitis probably because of dehydration, general anesthesia, and immunocompromisation. A CT scan confirmed the diagnosis. He received treatment with antibiotics and fluids. His condition gradually improved, and he was finally discharged on 15th postoperative day. Conclusions. Postoperative parotitis can possibly occur after any type of surgery including vascular. Clinicians should be aware of this complication although it is rare. Several risk factors such as dehydration, general anesthesia, drugs, immunocompromisation, head tilt during surgery, and stones in Stensen’s duct may predispose to postoperative parotitis. Treatment consists of antibiotics and hydration.

scholarly journals Intraoperative Tracheal Obstruction Management among Patients with Anterior Mediastinal Masses

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
H. Kafrouni ◽  
Joelle Saroufim ◽  
Myriam Abdel Massih
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
General Anesthesia ◽  
Intraoperative Complications ◽  
Anesthetic Management ◽  
Preoperative Assessment ◽  
Anterior Mediastinal Mass ◽  
Tracheal Obstruction ◽  
Mediastinal Masses ◽  
Increased Risk

Background. Patients suffering from undiagnosed obstruction of the central airways: the trachea and main stem bronchi are at increased risk for perioperative and postoperative complications, especially if general anesthesia is performed. Case Description. This report discusses a 30-year-old asymptomatic Caucasian female who faced recurrent distal airway collapse during mediastinoscopy for biopsy of an anterior mediastinal mass, which led to the inability to extubate her. This case examines the necessity of a thorough preoperative assessment especially in patients with undiagnosed tracheal obstruction and a precise coordination between anesthesiologist and surgeon in being able to perform a safe and smooth anesthesia, in order to avoid life-threatening complications and to reduce further morbidity. Methods. The scope of this case report is restricted to publications in all surgical and anesthesiological specialties among adult patient population. Main search key words were as follows: “tracheal obstruction,” “general anesthesia,” “mediastinum,” and “tumors” Results. The literature supports an increased perioperative risk of airway obstruction with the use of general anesthesia in patients with anterior mediastinal masses. This case report suggests a perioperative anesthetic management modality for patients presenting with anterior mediastinal masses and who are at high risk of cardiovascular compression and tracheal obstruction. Thus, it is highly important to note that evidence-based recommendations are not available in the literature. Conclusions. This case report suggests perioperative management modalities performed by anesthesiologists in order to minimize the risk of airway obstruction among patients having anterior mediastinal masses and shed the lights on the importance of proper anesthetic and surgical planning in order to prevent intraoperative complications and improve the quality of healthcare provided to patients presenting critical cases.

scholarly journals Sugammadex in systemic mastocytosis

2021 ◽  
Author(s):  
A. Becerra-Bolaños ◽  
V. Muiño-Palomar ◽  
S. Cabrera-Doreste ◽  
A. Rodríguez-Pérez
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Search Strategy ◽  
Perioperative Management ◽  
Systemic Mastocytosis ◽  
Case Reports ◽  
Anesthetic Management ◽  
Google Scholar ◽  
Current Evidence

AbstractPerioperative management in patients suffering from systemic mastocytosis is challenging. Most recommendations regarding anesthetic management in these patients are based on clinical reports, and there are controversies about the use of rocuronium and sugammadex. We present a case report of a patient with systemic mastocytosis who was given sugammadex for rocuronium reversal. Tryptase levels were monitored during the first postoperative 24 h, without evidence of elevation. We also performed a systematic review to provide an overview of current evidence regarding the safety of using sugammadex in patients suffering from systemic mastocytosis. The search strategy included PubMed and Google Scholar. All studies published up to and including January 2021 concerning anesthetic management in systemic mastocytosis were included. Of the 122 articles located, 9 articles were included: 2 reviews and 7 case reports. Data from reviewed studies confirm that sugammadex can safely be administered in patients suffering from systemic mastocytosis.

scholarly journals Anesthetic management of a pregnant broodmare with gastrointestinal colic

2021 ◽  
Vol 90 (1) ◽  
pp. 29-36
Author(s):  
L. Miller ◽  
M. Gozalo-Marcilla ◽  
P.J. Pollock ◽  
A. Panti
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
General Anesthesia ◽  
Early Pregnancy ◽  
Anesthetic Management ◽  
Surgical Correction ◽  
Factors Associated ◽  
Anesthetic Risk ◽  
Negative Outcome

Gastrointestinal colic in mares during early pregnancy may require general anesthesia for surgical correction. There is a scarcity of literature identifying anesthetic risk factors associated with negative outcome in the pregnant mare. In this case report, a seven-year-old Thoroughbred broodmare, presenting for the investigation and treatment of colic in the fifth month of pregnancy, underwent surgery for the correction of right dorsal displacement of the large colon. Intraoperatively, interventions for maternal hypoxemia and hypotension were necessary. The mare recovered well from general anesthesia and was discharged from the hospital eleven days postoperatively. In this case report, the successful anesthetic management of a pregnant broodmare is described, and all aspects that may improve the outcome for both mare and fetus are considered, with emphasis on the prevention of cardiovascular and respiratory disturbances.

scholarly journals Anesthetic management in parturients with kyphoscoliosis

2019 ◽  
Vol 14 (2) ◽  
pp. 71-75
Author(s):  
Jay Prakash Thakur ◽  
Tara Gurung ◽  
Sangeeta Shrestha ◽  
Ujjwal Basnet ◽  
AP Pradhan
Keyword(s):  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Case Reports ◽  
Anesthetic Management ◽  
Ultrasound Guided ◽  
Successful Management

Pregnancy in kyphoscoliotic woman is uncommon, with a reported incidence of 0.072%. It produces significant challenges for both anesthesiologist and obstetrician. Dealing with dual life, there is risk for both mother and fetus due to alterations in maternal physiology and change in spine anatomy. There are many case reports available with successful management both using spinal or general anesthesia. Here we present four case reports of successful management of such cases using general anesthesia or spinal anesthesia with palpatory and ultrasound guided method during a period of 6 months in Paropakar Maternity and Women’s Hospital.

Malignant Hyperthermia during General Anesthesia and Anesthetic Management for That Same Patient in Day Surgery Center: A case report

1999 ◽  
Vol 37 (5) ◽  
pp. 938
Author(s):  
Hyun Sung Cho ◽  
Yu Mee Lee ◽  
Woo Jae Jeon ◽  
Youn Jeong Kang ◽  
Kwi Sook Choi ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Hyperthermia ◽  
General Anesthesia ◽  
Anesthetic Management ◽  
Day Surgery ◽  
Surgery Center
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