Case Synopsis A 9-month-old boy, American Society of Anesthesiologists (ASA) class II, is undergoing craniosynostosis repair with general anesthesia consisting of 2.5% sevoflurane with oxygen and fentanyl. He has an endotracheal tube in place and is positioned prone on a…
Case Synopsis An otherwise healthy 5-year-old girl with adenotonsillar hypertrophy secondary to recurrent infections underwent an uneventful tonsillectomy and adenoidectomy with general anesthesia, was extubated, and was sent to recovery. The recovery nurse notifies you that the patient is stridulous…
Case Synopsis A 3-month-old girl, born at 32 weeks of gestation, presents to the magnetic resonance imaging (MRI) scanner for sedation for MRI of the brain. Her weight is 4.2 kg, and she is on nothing-by-mouth status for 6 hours.…
Case Synopsis An otherwise healthy 4-year-old boy is scheduled for inguinal hernia repair. He has dinner at 5 pm the evening before surgery, as well as milk and cookies before going to bed at 9 pm . He is offered…
Case Synopsis An otherwise healthy 4-year-old boy undergoes general anesthesia for circumcision. The surgery proceeds without incident. When the child arrives in the postanesthesia care unit (PACU), he is noted to be restless, irritable, crying, and not responsive to routine…
Case Synopsis A 3-year-old child is scheduled for tonsillectomy and adenoidectomy. His past medical history is significant for Treacher Collins syndrome ( Fig. 188.1 ), and thus a difficult airway is anticipated. After inhalation induction with spontaneous respirations, successful intubation…
Case Synopsis A 2-year-old 14-kg girl with trisomy 21 remains unresponsive and intubated in the operating room 35 minutes after anesthetic agents were discontinued following adenotonsillectomy for obstructive sleep apnea. Intraoperatively she received propofol 2 mg/kg -1 , morphine 0.1…
Case Synopses Gravitational Pressure Gradient of 10.0 cm H 2 O During a repeat L4–L5 lumbar laminectomy in the prone position, a 43-year-old woman arrested 45 minutes after onset of surgery with an unrecordable blood pressure (BP) and end-tidal CO…
Case Synopsis A 35-year-old woman is scheduled for a partial colectomy due to complications from her ulcerative colitis. She has a history of migraine headaches, endometriosis, fibromyalgia, and nonspecific low back pain. She is currently on a high-dose oral opioid…
Case Synopsis A 45-year-old woman, body mass index (BMI) 24, American Society of Anesthesiologists (ASA) physical status 2, underwent left eye orbitotomy for the correction of thyrotoxic exophthalmos under general anesthesia in a freestanding ambulatory surgical center. The patient tolerated…