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Case Synopsis A 29-year-old man who has suffered fractures of the femur and tibia in a motorcycle accident is brought to the operating room for intramedullary nailing of both injuries. Surgery is unremarkable, but the patient is noted to have…
Case Synopsis A 34-year-old pregnant woman, gravida 3 para 2, presents at 29 weeks of gestation requiring an emergency cesarean delivery for preterm labor. After initiation of spinal anesthesia and delivery of the neonate and placenta, the parturient complains of…
Acknowledgment The authors would like to thank Drs. J. Thomas Murphy and John L. Atlee for their contributions to the previous edition of this chapter. Hyponatremia Case Synopsis 1 A 68-year-old man with a medical history of hypertension, chronic obstructive…
Case Synopsis An obese man (body mass index 40) sustained closed head injury, lung contusions, and C-spine injury after a fall from a tree. Tracheal intubation was performed by paramedics at the scene, and the patient was transported to the…
Case Synopsis A 54-year-old woman is scheduled for a laparoscopic cholecystectomy under general anesthesia. Preoperative examination reveals a body mass index of 32, a short neck, and a Mallampati score of III. Dental examination reveals multiple caries, several crowns on…
Case Synopsis 1 A 65-year-old man undergoes open reduction and internal fixation of a tibial fracture under general anesthesia (GA). He has a history of hypertension and diabetes mellitus. He was on ramipril and metformin. GA drugs included midazolam 2…
Case Synopsis A 25-year-old woman in the postanesthesia care unit (PACU) complains of pain and a foreign body sensation in her right eye. Earlier that day, she underwent nasal polypectomy under general endotracheal anesthesia. Physical examination reveals residual petroleum-based ointment…
Case Synopsis A 71-year-old man is referred to the pain management center for abdominal pain secondary to a diagnosis of metastatic pancreatic cancer. The patient recently underwent a local anesthetic block of the celiac plexus with 80% relief of his…
Case Synopsis A 6-year-old boy with a history of mild intermittent asthma is scheduled for urgent laparoscopic appendectomy. After preoxygenation and a rapid-sequence induction, the patient is easily intubated. There is no sign of aspiration. After intubation, peak inspiratory pressure…