Anesthetic Management in a Parturient with Thrombotic Thrombocytopenic Purpura for Cesarean Section: A Case Report and Literature Review
Dimitra Karantoula, Emmanouil Stamatakis, Sofia Hadzilia, Panagiotis Antsaklis and Dimitrios Valsamidis
Article Type: Case Report and Review Article | First Published: December 20, 2021
Thrombotic thrombocytopenic purpura (TTP) is a rare and life-threatening thrombotic microangiopathy (TMA) characterized by microangiopathic hemolytic anemia, severe thrombocytopenia, and organ ischemia linked to disseminated microvascular platelet rich-thrombi. TTP is specifically related to a severe deficiency of ADAMTS13, a cleaving protease for von Willebrand (vWF). TTP is occurring in between 1 and 13 cases per million people depending on geographic location, and 1 in 25,000 pregnancies. We ...
Acute Kidney Injury in the Perioperative Period: Beyond the Obvious
Diego Escarramán Martínez, Manuel Alberto Guerrero Gutiérrez, José Antonio Meade Aguilar, Miguel Ángel Martínez Rojas, Orlando Rubén Pérez Nieto, Bertha M Córdova Sánchez, Eder Ivan Zamarrón Lopez and Jesús Salvador Sánchez Diaz
Article Type: Perioperative Care | First Published: December 18, 2021
Acute kidney injury (AKI) represents a great challenge for the anesthesiologist during the perioperative period, since its presence directly impacts in patients mortality and morbidity, even after its resolution as a result of multiples factors. Furthermore, it is characterized by coexisting with a great variety of systemic alterations, which add special difficulty to its study and understanding. During perioperative period there may be ischemic insult and non-ischemic insult, on the other hand,...
Consensus Reached on How to Recognise and Manage Sepsis and Septic Shock by Intensivists in Northeast Nigeria Held at the University of Maiduguri Teaching Hospital, Borno State Nigeria
Adamu A Sadiq, Ballah Abubakar, Shehu U Panda, Hassan MA, Buma GB, Dakum Longji, Jimoh L Mufutau and Alfa Ndakotsu
Article Type: Case Report | First Published: December 04, 2021
Worldwide, sepsis is a serious health threat and is among the leading cause of death in patients admitted into Intensive Care Units in hospitals across Nigeria and northeastern Nigeria, in particular. Patients of all sexes and ages are affected. However, the vulnerable groups such as extremes of ages (neonates and elderly), pregnant women, the immune-compromised, and those with underlying chronic medical conditions are more at risk. As a low income country, sepsis is a major burden to our health...
Rapid Progression of Neonatal Respiratory Distress from Laryngeal Cleft Type I: A Case Report
Yumi Doi, MD, PhD and Eiji Nishijima, MD
Article Type: Case Report | First Published: December 02, 2021
A one-month-old boy showed cyanosis and severe retraction on crying. He underwent diagnostic rigid bronchoscopy under general anesthesia, maintaining spontaneous ventilation. Rigid bronchoscopy revealed laryngeal cleft type I and excessive mucosa in the interarytenoid space that protruded into the subglottic area, very unusual findings in laryngeal cleft. His clinical condition quickly deteriorated and tracheotomy was performed to prevent complete airway obstruction in the few days until surgica...
Epidural Blood Patch for Spontaneous Intracranial Hypotension
Li Weiling Lydia, MBBS, MMed, Lim Yiqi Ofelia, MBBS, Chan Lijuan Jasmine, BMed/MD and Alex Joseph, MBBS, MD, FRCA
Article Type: Case Report | First Published: September 05, 2021
Spontaneous intracranial hypotension (SIH) is uncommon and postulated to occur due to spontaneous cerebrospinal fluid (CSF) leak. Subdural hemorrhage is a rare but serious complication of intracranial hypotension. With a paucity of high-level evidence to guide treatment, its management remains challenging. We report a case of spontaneous intracranial hypotension which was successfully treated with an epidural blood patch. The patient is a 59-year-old man with poorly controlled diabetes and hyper...
Cardiac Anesthesia Would Be Better With Ultrasound Guided Erector Spinae Plane Block
AHMED Hassan S, MD, MADKHALI Majeed M, MD, SHIHATA Mohammed S, MD and ZABANI Ibramin A, MD
Article Type: Case Report | First Published: August 28, 2021
On July 2020, The International Association for the Study of Pain released the revised definition of pain. Stressing that pain is always a personal experience and should be respected. Candidates of cardiac surgical procedures have significant issues to address regarding outcome of procedure and post-operative pain as well. Cardiac surgical procedures are done either through midline sternotomy or thoracotomy; both are associated with significant pain. Pain can be debilitating and frustrating. It ...
Pseudocholinesterase Deficiency and Patient Perspectives
Jevaughn Davis, MD, Anita Vincent, MD, and Geetha Shanmugam, MD
Article Type: Case Report | First Published: August 25, 2021
Pseudocholinesterase deficiency, commonly referred to as Butyrylcholinesterase deficiency, is a rare, inherited, or acquired condition that results in decreased or absent enzymatic activity. Pseudocholinesterase is a plasma enzyme that is responsible for the breakdown of succinylcholine and mivacurium, which are commonly used paralytic agents. People with this condition are usually unaware they have the disease, and the disease may not manifest until extubation at the end of surgery. These patie...
Spinal Anesthesia: Much More Than Single Shot of Hyperbaric Bupivacaine
Luiz Eduardo Imbelloni, MD, PhD, Marildo A Gouveia, MD, Nathália Maluf Ghorayeb, MD, and Sylvio Valença de Lemos Neto, MD, PhD, MBA
Article Type: Research Article | First Published: August 11, 2021
There is significant and renewed attentiveness in the use of regional anesthesia techniques for many common surgeries. The vast majority of anesthesiologists world wide use the routinely the hyperbaric solution of bupivacaine for almost all types of surgery. However, they ignore that spinal anesthesia has more to offer. A different kind of technique for a different kind of patients. The understanding of spinal anesthesia in relation to sensory and motor blocks with hyperbaric and isobaric soluti...