Hypnosis as an Alternative to General Anesthesia for Orthopedic Hand Surgery: A Case Report

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Mehdi Fathi ◽  
Mohammad Hassani ◽  
Mahdieh Jafari ◽  
Marjan Joudi ◽  
Reza Habibzadeh ◽  
...  
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Hand Surgery

scholarly journals Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report-

2020 ◽  
Vol 73 (4) ◽  
pp. 342-346 ◽  
Author(s):  
Shu Chung Choi ◽  
Sangbin Han ◽  
Jueun Kwak ◽  
Ji Yung Lee
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Skin Test ◽  
Rare Case ◽  
Hand Surgery ◽  
Profound Hypotension ◽  
Timing Of Onset

Background: In sugammadex-induced anaphylaxis, sugammadex and/or sugammadex-rocuronium complex have possible allergenic epitope. Case: We report a case of sugammadex-induced anaphylaxis during general anesthesia in a 60-year-old male undergoing orthopedic hand surgery, manifesting as profound hypotension and urticaria. The timing of onset was closely associated with sugammadex administration. The patient recovered after extensive therapy including fluid, epinephrine, other vasopressors, steroid, and antihistamine administration. By intradermal skin test which was done at four weeks after anaphylaxis, we confirmed positive reactions to both sugammadex and sugammadex-rocuronium complex. Conclusions: This is a rare case of sugammadex-induced anaphylaxis that both sugammadex and sugammadex-rocuronium complex were confirmed as allergenic epitopes.

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.

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.

scholarly journals Airway emergency during general anesthesia in a child with plastic bronchitis following Fontan surgery: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hirofumi Nakamoto ◽  
Satoru Kayama ◽  
Mae Harada ◽  
Takahiro Honjo ◽  
Kinuko Kubota ◽  
...  
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Plastic Bronchitis ◽  
Airway Emergency ◽  
Fontan Surgery

scholarly journals Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Junnosuke Kimura ◽  
Kento Kawamura ◽  
Manami Minoura ◽  
Ayako Hiramoto ◽  
Yoshifumi Suga ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Business Communication ◽  
Communication Tools ◽  
Case Presentation ◽  
Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

scholarly journals Severe hand contracture treated by external fixation after proximal row carpectomy and awake tenolysis after general anesthesia: a case report

2021 ◽  
Author(s):  
Takuya Tsumuraa ◽  
Taiichi Matsumotoa ◽  
Mutsumi Matsushitaa ◽  
Katsuma Kishimotoa ◽  
Hayao Shiodea ◽  
...  
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
External Fixation ◽  
Proximal Row Carpectomy

scholarly journals Dental Treatments under the General Anesthesia in a Child with Keratitis, Ichthyosis, and Deafness Syndrome

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Sera Sımsek Derelioglu ◽  
Yücel Yılmaz ◽  
Sultan Keles
Keyword(s):  
Early Childhood ◽  
Case Report ◽  
General Anesthesia ◽  
Early Childhood Caries ◽  
Sensorineural Deafness ◽  
Oral Symptoms ◽  
Severe Early Childhood Caries ◽  
Childhood Caries

KID syndrome is a rare genodermatosis characterized by keratitis, ichthyosis, and sensorineural deafness. Although the dermatological, ophthalmologic, and sensorineural defects are emphasized in the literature, oral and dental evaluations are so superficial. In this case report, dental and oral symptoms of a three year and five months old boy with KID syndrome, suffering severe Early Childhood Caries (s-ECC) and dental treatments done under General Anesthesia (GA) were reported.

scholarly journals Dissection of the wired endotracheal tube's lumen during general anesthesia: a case report

2017 ◽  
Vol 67 (6) ◽  
pp. 659-662
Author(s):  
Fabricio Tavares Mendonça ◽  
Leonardo Damasceno Martins ◽  
Rodrigo Gazzi ◽  
Jose Tadeu dos Santos Palmieri
Keyword(s):  
Case Report ◽  
General Anesthesia

Propofol Induced Anaphylactic Shock in General Anesthesia-A Case Report and Literature Review

2018 ◽  
Vol 09 (01) ◽  
Author(s):  
Haiming Shi ◽  
Haifeng Su ◽  
Jie Shen ◽  
Cheng Zhu ◽  
Zhengkun Huang
Keyword(s):  
Case Report ◽  
Literature Review ◽  
General Anesthesia ◽  
Anaphylactic Shock
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