Laryngoscopy and Microlaryngoscopy

Feb 18, 2019 by in ANESTHESIA Comments Off on Laryngoscopy and Microlaryngoscopy

Abstract Patients who have undergone surgical or radiation therapy for laryngeal cancer frequently present for direct laryngoscopy (MDL) in the operating room to evaluate new lesions found on surveillance positron…

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Head Injury

Feb 18, 2019 by in ANESTHESIA Comments Off on Head Injury

Keywords brain, complications, hypotension, injury, trauma   Case Synopsis A 22-year-old previously healthy man sustained a head injury, as well as an unstable pelvic and femur fracture, following a motorcycle…

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Intracranial Aneurysms: Rebleeding

Feb 18, 2019 by in ANESTHESIA Comments Off on Intracranial Aneurysms: Rebleeding

Abstract Aneurysm rebleed can lead to catastrophic deterioration in clinical condition with worsening of Glasgow Coma Scale score and increased subarachnoid/ intraventricular blood, leading to impaired cerebral perfusion. Rebleeding carries…

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Foreign Body Aspiration

Feb 18, 2019 by in ANESTHESIA Comments Off on Foreign Body Aspiration

Abstract Aspiration of a foreign body is a significant cause of accidental death in young children, particularly those 1 to 4 years old. Most aspirated objects are pieces of food…

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Hemodilution and Blood Conservation

Feb 18, 2019 by in ANESTHESIA Comments Off on Hemodilution and Blood Conservation

Keywords acute normovolemic hemodilution, autotransfusion, red blood cell transfusion indications, tranexamic acid prophylaxis in orthopedic surgery, transfusion complications   Case Synopsis A 61-year-old, 80-kg man is scheduled for removal and…

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Fetal Distress

Feb 18, 2019 by in ANESTHESIA Comments Off on Fetal Distress

Abstract Fetal distress refers to what is appropriately called nonreassuring fetal heart rate tracing, or more recently, Category III fetal heart rate tracing. It is an indication that fetal asphyxia…

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Continuous Nerve Blocks: Perineural Local Anesthetic Infusion

Feb 18, 2019 by in ANESTHESIA Comments Off on Continuous Nerve Blocks: Perineural Local Anesthetic Infusion

Abstract Continuous perineural infusions provide patients with long-lasting, high-quality analgesia beyond the immediate postoperative period. However, perineural catheters are not free of complications and must be managed appropriately to achieve…

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Extremity Tourniquets

Feb 18, 2019 by in ANESTHESIA Comments Off on Extremity Tourniquets

Abstract Tourniquets are widely used in extremity surgery to provide a bloodless field and minimize blood loss. Injury to tissues may occur due to the direct mechanical effects of the…

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Complications of Radical Urologic Surgery

Feb 18, 2019 by in ANESTHESIA Comments Off on Complications of Radical Urologic Surgery

Abstract Radical urologic surgery describes surgery to remove malignant pathology of the urinary system and surrounding affected structures. This typically involves major open surgery; however, increasingly, laparoscopic options are becoming…

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Complications of Lithotripsy

Feb 18, 2019 by in ANESTHESIA Comments Off on Complications of Lithotripsy

Case Synopsis A 78-year-old woman with a history of severe coronary artery disease underwent extracorporeal shock wave lithotripsy with general anesthesia. Ten minutes after placement in the water bath, the…

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