Case Synopsis A 44-year-old anesthesiologist notes a rash on his right middle finger that has recently progressed to urticaria. He has been in good general health all his life; however, he is allergic to fish and ragweed pollen, and he…
Case Synopsis A 58-year-old, 50-kg woman presents to the operating room for total abdominal hysterectomy. After intravenous induction of general anesthesia, direct laryngoscopy is performed, yielding a view of only the arytenoids with the application of cricoid pressure. A single-use,…
Case Synopsis A 28-year-old, 110-kg woman presents with intractable nausea and vomiting in the postanesthesia care unit after undergoing laparoscopic cholecystectomy under general anesthesia. The anesthesia was unremarkable except for preoperative anxiety and moderate postoperative upper airway obstruction, which was…
Case Synopsis A 64-year-old man is scheduled for a craniotomy for resection of a brain tumor. He presented to the emergency department with progressive personality changes, memory disturbances, and urinary incontinence. Physical examination is remarkable for confusion, papilledema, and left…
Case Synopsis A 25-year-old man presents for rotator cuff repair and has an interscalene block and catheter placed. The block is performed using Winnie’s landmarks and with the aid of a nerve stimulator. A triceps response is obtained at a…
Case Synopsis A 58-year-old man with a history of insulin-dependent diabetes mellitus, rheumatoid arthritis, and bladder cancer status postneoadjuvant chemotherapy underwent a radical cystectomy and diversion. A lumbar epidural catheter was placed for perioperative analgesia, and the patient received an…
Case Synopsis A 30-year-old man, otherwise healthy, undergoes an ankle fusion as an outpatient procedure. The surgically uncomplicated procedure is performed under general anesthesia with endotracheal intubation. After emergence, the patient experiences severe, intractable pain, with subsequent postoperative nausea and…
Case Synopsis A 74-year-old woman with a history of dementia and osteoporosis is admitted after an unwitnessed fall in her house. She presents to the operating room and undergoes repair of a fractured hip under epidural anesthesia with general endotracheal…
Case Synopsis A 23-year-old woman with a past medical history significant for bipolar disorder on a mood stabilizer requires emergent surgery for a ruptured appendix. The patient has no history of previous surgery and is unaware of any relevant family…
Case Synopsis A 75-year-old woman with type 2 diabetes mellitus, controlled by glyburide 5 mg twice a day, presents for scheduled coronary artery bypass grafting. She has diabetic nephropathy with a serum creatinine of 1.8 mg The patient did not…