Case Synopsis A 12-year-old boy was brought to the operating room for a liver transplant late one Sunday evening. Frequent blood draws were done throughout the case, and the tests were run on a point-of-care machine in the operating room.…
Case Synopsis A 56-year-old taxi driver presented to the emergency department (ED) with a 2-day history of abdominal pain and intractable vomiting. He was diagnosed with acute small bowel obstruction. His blood gas (room air) and chemistry panel on arrival…
Case Synopsis A 65-year-old woman undergoes laparoscopic hysterectomy under general anesthesia. She has paroxysmal atrial fibrillation, for which she takes sotalol, and has recently commenced diuretic therapy for pedal edema. After completion of uneventful surgery, ondansetron is administered, shortly followed…
Case Synopsis A 48-year-old man underwent right inguinal hernia repair under spinal anesthesia. With the patient in a sitting position, a 24-gauge pencil-point needle was inserted at the L4–L5 level. Spinal medications included 75 mg of 5% lidocaine hydrochloride with…
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…