Case Synopsis A 54-year-old man, American Society of Anesthesiologists (ASA) physical status 2, undergoes general anesthesia for a laparoscopic ventral hernia repair. His baseline blood pressure is 120/70 mm Hg. After an uneventful intravenous induction and tracheal intubation, the sevoflurane…
Case Synopsis A 75-year-old woman undergoing emergency coronary artery bypass graft surgery for unstable angina has incomplete revascularization due to lack of a suitable conduit. Insertion of a transesophageal echocardiography (TEE) probe during cardiopulmonary bypass is difficult. After several attempts,…
Case Synopsis A 59-year-old man is having an open resection of the right colon for cancer. The surgeon is having a difficult time getting exposure, due to adhesions from a previous surgery. On several occasions, he complains that the electrosurgical…
Case Synopsis A 25-year-old man with no significant medical history presents for tonsillectomy. After induction of anesthesia and tracheal intubation, anesthesia was maintained using a mixture of O 2 /N 2 O/isoflurane at a total fresh gas flow (FGF) of…
Case Synopsis A 65-year-old man is brought to the operating room for emergent repair of a ruptured abdominal aortic aneurysm. The patient is intubated, hypothermic (34.5°C), and hypotensive (blood pressure 85/60 mm Hg). Volume resuscitation is instituted with warmed intravenous…
Case Synopsis A 73-year-old woman with known severe mitral regurgitation and a permanent pacemaker is admitted to the surgical intensive care unit with urosepsis and refractory hypotension. Because of her lack of hemodynamic response to fluid boluses, a pulmonary artery…
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Case Synopsis It is the first day of operation of the hospital’s new outpatient surgery wing. The anesthesiologist reports to work looking forward to a day of easy cases consisting of healthy American Society of Anesthesiologists class I outpatients. During…
Case Synopsis A 76-year-old man is brought to the operating room emergently for open repair of a right ileac artery injury. The patient is placed on an under-body blanket that is connected to a properly functioning forced-air warming system, and…
Case Synopsis A 100-kg, 68-year-old man is anesthetized and intubated. Bilateral breath sounds are verified. The ventilator is turned on and set to a tidal volume of 600 mL, respiratory rate of 10, and inspiratory-expiratory ratio of 1:2. Two minutes…