Case Synopsis A 67-year-old man with critical aortic valve stenosis (aortic valve area of 0.5 cm 2 ), severe mitral regurgitation, coronary artery disease, left ventricular systolic dysfunction (ejection fraction of 30%), and chronic renal insufficiency (serum creatinine concentration of…
Case Synopsis A 62-year-old obese man (body mass index 41) with a history of laryngeal cancer presents for microdirect laryngoscopy, esophagoscopy, and bronchoscopy to evaluate a positron emission tomography (PET)–positive lesion on recent surveillance scanning. He has a history of…
Case Synopsis A 58-year-old female patient with a past medical history significant for hypertension, type 2 diabetes, and smoking developed a severe headache and was admitted to the emergency department. Computed tomography (CT) of her head showed a subarachnoid hemorrhage…
Case Synopsis A 55-year-old man undergoing craniotomy for clip-ligation of a right anterior communicating artery aneurysm 12 hours after initial subarachnoid hemorrhage becomes acutely hypertensive and experiences bradycardia during the induction of anesthesia. Acknowledgment The authors wish to thank Dr.…
Case Synopsis A 61-year-old, 80-kg man is scheduled for removal and replacement of a total hip prosthesis. He is concerned about blood transfusion and the transmission of infectious diseases, particularly human immunodeficiency virus (HIV). He requests that transfusion of homologous…
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 accident. He was initially combative but quickly became obtunded with a Glasgow Coma Scale (GCS) score of…
Case Synopsis A 3-year-old boy is booked for an urgent rigid bronchoscopy for evaluation and removal of a suspected aspirated foreign body. He has previously been treated unsuccessfully with bronchodilators and antibiotics for a week-long history of coughing, wheezing, and…
Case Synopsis A 38-year-old, 120-kg primigravida with poorly controlled type 2 diabetes presents at 35 weeks’ gestation with ruptured membranes and a temperature of 38.5°C. The decision is made to induce labor. During labor the obstetrician declares that the electronic…
Case Synopsis A 75-year-old woman is undergoing a revision of a left total knee arthroplasty under spinal anesthesia and intravenous sedation. She is morbidly obese, on chronic opioids for pain relief, and an insulin-dependent diabetic. A continuous adductor canal catheter…
Case Synopsis A 62-year-old man undergoing ankle arthrodesis has adductor canal and popliteal-sciatic perineural catheters placed under ultrasound guidance. He initially received 0.5% ropivacaine for surgical anesthesia and then 0.2% ropivacaine infusion through both catheters for postoperative analgesia. In the…