Case Synopsis A 49-year-old man weighing 125 kg is scheduled for decompression laminectomy and instrumented fusion of the lumbar spine at multiple levels for lumbar stenosis. General anesthesia proceeds uneventfully with prone positioning, and the patient’s face and eyes are…
Case Synopsis A 73-year-old man undergoes total hip arthroplasty performed under spinal anesthesia using 1.5 mL of 0.75% bupivacaine (11.25 mg) with 100 μg of morphine. The patient receives approximately 1500 mL of intravenous fluids during the 2-hour procedure. After…
Case Synopsis A 75-year-old man is taken to the operating room for urgent cholecystectomy. He becomes hypotensive intraoperatively despite adequate fluid resuscitation. At the end of the case, his arterial partial pressure of oxygen (Pa o 2 ) is 80…
Case Synopsis A 50-year-old woman with chronic thromboembolic pulmonary hypertension is to undergo open partial colectomy with primary reanastomosis for colonic adenocarcinoma. She is on warfarin therapy, which she was instructed to stop 7 days before surgery. She is on…
Case Synopsis A 28-year-old man with insulin-dependent diabetes mellitus for 15 years was diagnosed with testicular cancer. His chemotherapy regimen consisted of bleomycin and cisplatin. He underwent postchemotherapy retroperitoneal lymph node dissection under general anesthesia. The surgery, which took 2…
Case Synopsis A 60-year-old man with a history of hepatitis C and hepatocellular carcinoma is scheduled for elective partial liver resection. Preoperative hemoglobin is 10 g Albumin, creatinine, liver enzymes, and prothrombin time (PT) are within normal limits. The surgery…
Case Synopsis A 90-kg, 75-year-old man (body mass index 35) with a history of smoking, well-controlled hypertension, and chemotherapy in the distant past for lung cancer is transported to the postanesthesia care unit (PACU) and intubated after a complex, 6-hour…
Case Synopsis An 90-year-old man with a history of stable angina, renal insufficiency, chronic obstructive pulmonary disease, hypertension, depression, and hearing impairment undergoes general anesthesia for pinning of a femur fracture. The surgery and anesthetic are uneventful. In the postanesthesia…
Case Synopsis A 75-year-old man with long-standing hypertension and type 2 diabetes mellitus underwent open repair of an infrarenal aortic aneurysm. His baseline creatinine was 1.6 mg/dL, and this rose to 2.0 mg/dL on the second postoperative day. On the…
Case Synopsis A 37-year-old, 77-kg, previously healthy man develops laryngospasm immediately after tracheal extubation, after an otherwise uneventful general anesthetic for repair of orbital floor fracture. Laryngospasm is managed with intravenous administration of succinylcholine after an unsuccessful attempt at bag-mask…