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…
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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…