Anaphylaxis during patient transfer to the operating room following ranitidine administration - A case report -

An 80-year-old man with idiopathic cold agglutinin disease presented with acute cholecystitis. We describe operating room and anaesthetic considerations for patients with cold agglutinin disease and measures that can be taken to prevent disease exacerbation in this case report. Multidisciplinary collaboration and planning between the operative room staff, anaesthesia team and surgical team are needed to ensure safe surgery and optimal patient outcomes.

Download Full-text

AN EVENT OF UNDIAGNOSED INTRAOPERATIVE HYPERTENSION - STILL A NIGHTMARE - SUSPENSE CONTINUES …A CASE REPORT

10.36106/ijar/4907520 ◽

2021 ◽

pp. 74-75

Author(s):

Kartik Sonawane ◽

Noopur Prakash Chaudhar ◽

Hrudini Dixit ◽

Chelliah Sekar

Keyword(s):

Case Report ◽

Operating Room ◽

Hypertensive Crisis ◽

Stress Conditions ◽

Essential Aspect ◽

Before And After ◽

Intraoperative Hypertension

Intraoperative events are not uncommon to any anesthesiologist. For every case inside the operating room, some major or minor events always occur related to patient, surgery, or anesthesia. Managing such events depends on the skill and experience of the anesthesiologist. When it becomes unmanageable due to undiagnosed and unanticipated conditions, it creates a “tug of war” situation inside the operating room. So, screening of such unidentied undiagnosed conditions is an essential aspect of the pre-anesthesia checkup. Unfortunately, sometimes due to asymptomatic presentations in non-stress conditions, it becomes difcult to screen them before surgery.We describe such an event of an intraoperative hypertensive crisis that remained undiagnosed before and after surgery leading to continuing suspense.

Download Full-text

Surgical Management of Combined Intramedullary Arteriovenous Malformation and Perimedullary Arteriovenous Fistula within the Hybrid Operating Room after Five Years of Performing Focus Fractionated Radiotherapy: Case Report

Neurologia medico-chirurgica ◽

10.2176/nmc.cr.2014-0143 ◽

2014 ◽

Vol 54 (11) ◽

pp. 936-940 ◽

Cited By ~ 3

Author(s):

Masayuki GEKKA ◽

Toshitaka SEKI ◽

Kazutoshi HIDA ◽

Toshiya OSANAI ◽

Kiyohiro HOUKIN

Keyword(s):

Case Report ◽

Arteriovenous Malformation ◽

Arteriovenous Fistula ◽

Operating Room ◽

Surgical Management ◽

Hybrid Operating Room ◽

Fractionated Radiotherapy

Download Full-text

Dislocation of the Fifth Metatarsal Base Following Partial Fourth and Fifth Ray Amputation

Journal of the American Podiatric Medical Association ◽

10.7547/1020071 ◽

2012 ◽

Vol 102 (1) ◽

pp. 71-74 ◽

Cited By ~ 3

Author(s):

Russell M. Carlson ◽

Nicholas C. Smith ◽

Rodney M. Stuck ◽

Ronald A. Sage

Keyword(s):

Diabetes Mellitus ◽

Case Report ◽

Operating Room ◽

Biomechanical Stability ◽

Normal Gait ◽

Peroneus Brevis ◽

Postoperative Dislocation ◽

Ray Amputation ◽

Male Veteran ◽

Chronic Ulceration

This case report presents a rare postoperative dislocation of the fifth metatarsal base following a healed open partial fourth and fifth ray amputation of a 62-year-old male veteran with poorly controlled diabetes mellitus. The dislocated fifth metatarsal base subsequently created a chronic ulceration and an inhibition of normal gait. The patient was taken to the operating room where the fifth metatarsal base was resected with transfer of the peroneus brevis tendon to the cuboid to maintain biomechanical stability. (J Am Podiatr Med Assoc 102(1): 71–74, 2012)

Download Full-text

Segregation for reduction of regulated medical waste in the operating room: a case report

Korean Journal of Anesthesiology ◽

10.4097/kjae.2017.70.1.100 ◽

2017 ◽

Vol 70 (1) ◽

pp. 100 ◽

Cited By ~ 4

Author(s):

Helen Ki Shinn ◽

Youngyoen Hwang ◽

Byung-Gun Kim ◽

Chunwoo Yang ◽

WonJu Na ◽

...

Keyword(s):

Case Report ◽

Operating Room ◽

Medical Waste

Download Full-text

Case Report – Nasolabial Cyst

Journal of Clinical Research and Reports ◽

10.31579/2690-1919/080 ◽

2020 ◽

Vol 04 (4) ◽

pp. 01-02

Author(s):

Carlos Zappelini

Keyword(s):

Case Report ◽

Connective Tissue ◽

Operating Room ◽

Inflammatory Infiltrate ◽

Squamous Epithelium ◽

Respiratory Epithelium ◽

Cystic Structure ◽

Surrounding Connective Tissue

Injury excision in the operating room under general anestesia (figure 1). The anatomopathological examination showed a coated uniloculated cystic structure, sometimes by respiratory epithelium, sometimes by squamous epithelium. Surrounding connective tissue with a hyalinization band and scarce monomorphonuclear inflammatory infiltrate, corresponding to nasolabial cyst. The patient is undergoing postoperative follow-up, without recurrence

Download Full-text

Dantrolene-Induced Hepatitis: A Rare Culprit in the PICU

Journal of Pediatric Intensive Care ◽

10.1055/s-0040-1710496 ◽

2020 ◽

Author(s):

Divij Pasrija ◽

Shilpi Gupta ◽

Amanda Hassinger

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Case Report ◽

Malignant Hyperthermia ◽

Operating Room ◽

Pediatric Intensive Care Unit ◽

Side Effect ◽

Hepatitis A ◽

Pediatric Intensive Care ◽

Anesthetic Agents

AbstractDantrolene is used for reversal of malignant hyperthermia and for improvement in spasticity following stroke which are Food and Drug Administration-approved indications. It is an infrequently used medication in the pediatric intensive care unit and is usually continued from the operating room or sedation suite after suspicion for malignant hyperthermia, secondary to other medications and anesthetic agents. Hepatitis has been described as a side effect of the medication after prolonged use and at doses of more than 100 mg/d mainly in adults. We described in this case report a patient in which the drug was used for sympathetic overactivity in the PICU and development of asymptomatic hepatitis on day 3 after starting the medication at a dose much lower than previously described.

Download Full-text

Anaesthetic management of a pediatric patient with Autosomal Recessive Progressive External Ophthalmoplegia (AR-PEO) in the emergency operating room: a case report

10.26226/morressier.58f5b02fd462b80296c9e390 ◽

2017 ◽

Author(s):

Alexandre Caldeira

Keyword(s):

Case Report ◽

Operating Room ◽

Pediatric Patient ◽

Autosomal Recessive ◽

Anaesthetic Management ◽

Progressive External Ophthalmoplegia ◽

Emergency Operating

Download Full-text

A Case Report in Health Information Exchange for Inter-organizational Patient Transfers

Applied Clinical Informatics ◽

10.4338/aci-2014-02-cr-0016 ◽

2014 ◽

Vol 05 (03) ◽

pp. 642-650 ◽

Cited By ~ 7

Author(s):

S. Malhotra ◽

R. Kaushal ◽

J.E. Richardson ◽

Keyword(s):

Case Report ◽

Health Information ◽

Information Exchange ◽

Health Information Exchange ◽

Skilled Nursing Facility ◽

Patient Transfer ◽

Skilled Nursing Facilities ◽

Nursing Facilities ◽

Skilled Nursing ◽

Patient Transfers

SummaryObjective: To provide a case report of barriers and promoters to implementing a health information exchange (HIE) tool that supports patient transfers between hospitals and skilled nursing facilities.Methods: A multi-disciplinary team conducted semi-structured telephone and in-person interviews in a purposive sample of HIE organizational informants and providers in New York City who implemented HIE to share patient transfer information. The researchers conducted grounded theory analysis to identify themes of barriers and promoters and took steps to improve the trustworthiness of the results including vetting from a knowledgeable study participant.Results: Between May and October 2011, researchers recruited 18 participants: informaticians, healthcare administrators, software engineers, and providers from a skilled nursing facility. Subjects perceived the HIE tool’s development a success in that it brought together stakeholders who had traditionally not partnered for informatics work, and that they could successfully share patient transfer information between a hospital and a skilled nursing facility. Perceived barriers included lack of hospital stakeholder buy-in and misalignment with clinical workflows that inhibited use of HIE-based patient transfer data. Participants described barriers and promoters in themes related to organizational, technical, and user-oriented issues.The investigation revealed that stakeholders could develop and implement health information technology that technically enables clinicians in both hospitals and skilled nursing facilities to exchange real-time information in support of patient transfers. User level barriers, particularly in the emergency department, should give pause to developers and implementers who plan to use HIE in support of patient transfers.Conclusions: Participants’ experiences demonstrate how stakeholders may succeed in developing and piloting an electronic transfer form that relies on HIE to aggregate, communicate, and display relevant patient transfer data across health care organizations. Their experiences also provide insights for others seeking to develop HIE applications to improve patient transfers between emergency departments and skilled nursing facilities.Citation: Richardson JE, Malhotra S, Kaushal R. A case report in health information exchange for inter-organizational patient transfers. Appl Clin Inf 2014; 5: 642–650http://dx.doi.org/10.4338/ACI-2014-02-CR-0016

Download Full-text