scholarly journals Airway obstruction during general anesthesia in a premature infant suspecting bronchospasm and/or airway malacia -A case report-

2017 ◽  
Vol 12 (2) ◽  
pp. 147-150
Author(s):  
Hyojung Seo ◽  
Sangjin Park ◽  
Haemi Lee
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
General Anesthesia ◽  
Premature Infant

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.

Airway Obstruction Resulting from Arthroscopic Shoulder Surgery under General Anesthesia: A case report

2006 ◽  
Vol 51 (3) ◽  
pp. 375
Author(s):  
Ji Hyun Moon ◽  
Heeseung Lee ◽  
Jong In Han ◽  
Guie Yong Lee ◽  
Sinyoung Kang
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
General Anesthesia ◽  
Shoulder Surgery ◽  
Arthroscopic Shoulder Surgery

scholarly journals The use of sugammadex in an infant with prolonged neuromuscular blockade - A case report -

2021 ◽  
Author(s):  
Hyunho Kim ◽  
Joonho Cho ◽  
Sangseok Lee ◽  
Yunhee Lim ◽  
Byunghoon Yoo
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
General Anesthesia ◽  
Neuromuscular Blockade ◽  
Spontaneous Breathing ◽  
Upper Airway ◽  
Additional Dose ◽  
Residual Neuromuscular Blockade ◽  
Frequent Event ◽  
Prolonged Neuromuscular Blockade

Background: Residual neuromuscular blockade (RNMB) is a frequent event after general anesthesia, which can lead to serious complications, such as upper airway obstruction. Sugammadex is useful in reversing RNMB. However, its use in infants has not yet been approved by the Food and Drug Administration. Therefore, anesthesiologists can be hesitant use it, even in situations where no other choice is available.Case: A two-month-old baby presented to the hospital for umbilical polypectomy. At the end of the surgery, neostigmine was administered. Even after waiting for 30 min and injecting an additional dose of neostigmine, neuromuscular blockade was not adequately reversed. Eventually, sugammadex was administered, and spontaneous breathing returned.Conclusions: If there were no particular causes of delayed return to spontaneous breathing in infants, RNMB should be considered and reversal with sugammadex would be useful.

Actimetry-documented persistent Periodic Limb Movements during EEG-confirmed deep General Anesthesia: a case report.

2019 ◽  
Author(s):  
Friedrich Lersch ◽  
Pascal Jerney ◽  
Heiko Kaiser ◽  
Cédric Willi ◽  
Katharina Steck ◽  
...  
Keyword(s):  
Case Report ◽  
Motor Activity ◽  
General Anesthesia ◽  
Burst Suppression ◽  
Periodic Limb Movements ◽  
Deep Sclerectomy ◽  
Limb Movements ◽  
Periodic Leg Movements ◽  
Increase Motor Activity ◽  
Leg Movements

Motor activity during general anesthesia (GA) without curarization is often interpreted as reflecting insufficient analgosedation. Here we present the case of an octogenarian scheduled for deep sclerectomy receiving opioid-sparing electroencephalography-(EEG)-guided anesthesia. Periodic Leg Movements (PLM) made their appearance with ongoing surgery while his raw EEG displayed a pattern of deep GA (burst suppression). To the best of our knowledge, this is the first description of actimetry-documented persisting PLM during EEG-monitored GA. Recognizing PLM in the context of GA is of importance for anesthesiologists, as increasing sedation may increase motor activity.

Burkitt lymphoma of the nasopharynx causing life-threatening airway obstruction: A case report

2021 ◽  
Vol 42 (4) ◽  
pp. 102977
Author(s):  
Alexander N. Goel ◽  
Andrey Filimonov ◽  
Julie Teruya-Feldstein ◽  
Christian Salib ◽  
Joseph J. Rousso ◽  
...  
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Burkitt Lymphoma ◽  
Life Threatening

Multi-Level Lower Extremity Arterial Revascularization Via Retrograde Pedal Access Under Local Anesthesia in a Patient With Severe Cardiopulmonary Comorbidities: A Case Report

2021 ◽  
pp. 153857442110264
Author(s):  
Hee Korleski ◽  
Laura DiChiacchio ◽  
Luiz Araujo ◽  
Michael R. Hall
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Peripheral Artery Disease ◽  
Critical Limb Ischemia ◽  
Treatment Modality ◽  
Conventional Treatment ◽  
Limb Ischemia ◽  
Peripheral Artery ◽  
Endovascular Revascularization ◽  
Artery Disease

Background: Chronic limb-threatening ischemia is a severe form of peripheral artery disease that leads to high rates of amputation and mortality if left untreated. Bypass surgery and antegrade endovascular revascularization through femoral artery access from either side are accepted as conventional treatment modalities for critical limb ischemia. The retrograde pedal access revascularization is an alternative treatment modality useful in specific clinical scenarios; however, these indications have not been well described in literature. This case report highlights the use of retrograde pedal access approach as primary treatment modality in a patient with an extensive comorbidities precluding general anesthesia nor supine positioning. Case Presentation: The patient is a 60-year-old female with multiple severe cardiopulmonary comorbidities presenting with dry gangrene of the right great toe. Her comorbidities and inability to tolerate supine positioning precluded her from receiving open surgery, general anesthesia or monitored sedation, or percutaneous femoral access. Rather, the patient underwent ankle block and retrograde endovascular revascularization via dorsalis pedis artery access without post-operative complications. Discussion: The prevalence of comorbidities related to peripheral artery disease is increasing and with it the number of patients who are not optimal candidates for conventional treatment methods for critical limb ischemia. The retrograde pedal access revascularization as initial treatment modality offers these patients an alternative limb salvaging treatment option.

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