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…
Case Synopsis A 63-year-old woman with a history of breast cancer who has undergone chemotherapy will be undergoing a left carpometacarpal arthroplasty. An infraclavicular brachial plexus block is done using 30 mL of 0.5% ropivacaine. On her postoperative visit, she…
Case Synopsis A 32-year-old woman, gravida 1, para 0, had uneventful epidural analgesia for labor using 0.125% bupivacaine and fentanyl 2 μg A 10-mL intravenous bolus was administered, followed by infusion of the same mixture at 10 mL per hour.…
Case Synopsis A 68-year-old man develops sudden-onset fast atrial fibrillation during an emergency laparotomy under general anesthesia for an ischemic small bowel. The patient is hypotensive, with an irregular narrow complex tachycardia and a ventricular rate of 140 beats per…
Case Synopsis A 62-year-old man is scheduled for cystectomy. He has a history of coronary artery disease (CAD) and underwent coronary artery bypass grafting 8 years ago. He has diabetes mellitus, hypertension, and hyperlipidemia. He takes aspirin, atenolol, pravastatin, and…
Case Synopsis A 42-year-old, 70-inch-tall, 95-kg man with chronic obstructive pulmonary disease and hypertension is undergoing a laparoscopic appendectomy. A satisfactory rapid-sequence induction with propofol and succinylcholine is performed, appropriate antibiotics are administered, and the abdomen is insufflated. Fifteen minutes…
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