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…
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…
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…
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…
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…
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…
Keywords blood transfusion, coagulopathy, major hemorrhage, massive transfusion, tranexamaic acid Case Synopsis A 50-year-old man presents to the emergency department after falling from the roof of his house. He…
Abstract Organ dysfunction after cardiopulmonary bypass is a common clinical problem. A profound inflammatory response is most often responsible for the adverse physiologic consequences of bypass and results from three…
Abstract Providing anesthesia for the patient with a mediastinal mass is challenging due to the potential for life-threatening complications. Mediastinal masses can compress neighboring structures and cause superior vena cava…
Abstract Methylmethacrylate is a bone cement that is commonly used during orthopedic procedures. Its use may be complicated by bone cement implementation syndrome (BCIS), which is a potentially fatal condition…
