scholarly journals Anesthetic management of a child with methylmalonic acidemia for lens aspiration – a case report

2020 ◽  
Vol 24 (2) ◽  
pp. 237-238
Author(s):  
Anwar Ul Huda ◽  
Mohammad Yasir

We report a case of a child with methylmalonic acidemia who presented to our hospital for lens aspiration surgery. Methylmalonic acidemia is an inherited disorder of protein catabolism. Its clinical effects can vary from mild to severe, and include lethargy, vomiting, hypotonia, hypothermia, failure to thrive and encephalopathy. The main concern in treatment of these patients is prevention of academia by identifying precipitating factors. It is especially important to acutely manage fluids and electrolytes before, during and after surgery.

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Yuta Uemura ◽  
Nami Kakuta ◽  
Katsuya Tanaka ◽  
Yasuo M. Tsutsumi

2017 ◽  
Vol 64 (2) ◽  
pp. 88-96 ◽  
Author(s):  
Andrew S. Young ◽  
Nicholas A. Russell ◽  
Joseph A. Giovannitti

Anesthetic management of elderly patients requires numerous physiological considerations. With aging, degenerative changes occur in the structure and functional capacity of tissues and organs. Typically, these patients experience clinical effects with lower doses of medication. Important considerations for the geriatric populations following anesthesia include increased time to recovery and avoidance of functional decline. A case is reported in which an 83-year-old Caucasian female with a complex medical history presented for routine dental treatment under intravenous sedation via dexmedetomidine infusion.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuyan Nie ◽  
Weimin Zhou ◽  
Shaoqiang Huang

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.


2013 ◽  
Vol 13 (7) ◽  
pp. 1918-1922 ◽  
Author(s):  
R. Lubrano ◽  
E. Bellelli ◽  
I. Gentile ◽  
S. Paoli ◽  
C. Carducci ◽  
...  

2021 ◽  
pp. 12-13
Author(s):  
Moka .Rajesh ◽  
Shaik Nazia ◽  
Angani. Sri Radha Krishna Varma

Hepatobiliary cystadenocarcinoma is a very rare cystic tumor that arises in the liver or, less frequently, in the extrahepatic biliary system mostly seen in elderly patients. It has been shown to arise in congenital liver cysts, bile ducts, biliary cystadenoma, in the context of bro- polycystic disease and in the hepatoduodenal ligament. In the present case report, we describe a case of rare entity of hepatobiliary cystadenocarcinoma presented in a 36 year old male patient presented to opd with complaints of pain abdomen in right side of upper abdomen since 2 months. Main concern of this case report is preoperative imaging is imprecise and frequently misdiagnosed as benign cystic lesions and delays in treatment.


2017 ◽  
Vol 08 (06) ◽  
Author(s):  
Daniela Rodrigues Pinho ◽  
Catia Real ◽  
Dalila Veiga ◽  
Humberto S Machado

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