Case Synopsis An obese 10-year-old child with enlarged tonsils and a history of sleep apnea is scheduled to undergo magnetic resonance imaging (MRI). She is sedated by the hospital sedation service, which is staffed by pediatric intensive care physicians. The…
Case Synopsis Monitored anesthesia care is provided for an active 70-year-old patient undergoing phacoemulsion of a cataract with intraocular lens implantation. The patient has stable hypertension, coronary artery disease, mild emphysema, and renal insufficiency. Sedation with 1 mg midazolam is…
Case Synopsis A 55-year-old man with end-stage lung disease undergoes bilateral lung transplantation for usual interstitial pneumonitis. After reperfusion of the second lung the patient develops ischemia-reperfusion injury with acute graft dysfunction, pulmonary hypertension, and right ventricular failure. Problem Analysis…
Case Synopsis A 28-year-old woman, gravida 2, para 1, with an estimated gestational age of 28 weeks presents with a new onset of regular uterine contractions. She is admitted to the hospital for intravenous hydration and tocolytic therapy. Acknowledgment The…
Case Synopsis A 29-year-old woman, gravida 4, para 2, has been delivered of a 4200-g infant. Her labor had been augmented after high maternal temperatures and foul-smelling liquor. The anesthesiologist is called 2 hours after delivery of the placenta when…
Case Synopsis A 53-year-old woman undergoes posterior fossa craniotomy for removal of a right acoustic schwannoma. Preoperative symptoms included tinnitus, episodic vertigo, headache, facial asymmetry, and loss of coordination and balance. The surgeon will use a retrosigmoid approach and is…
Case Synopsis A 58-year-old man undergoes transsphenoidal hypophysectomy for resection of a prolactin-secreting pituitary adenoma with suprasellar extension. Ten hours after surgery, urine output exceeds 3 L/h, and the serum sodium level is 150 mEq Acknowledgment The authors wish to…
Case Synopsis A 74-year-old woman with a long-standing history of insulin-dependent diabetes, hypertension, chronic kidney disease, and a 50 pack-year smoking history requires right lower limb surgical revascularization due to lifestyle-limiting claudication. The patient is on carvedilol, simvastatin, lisinopril, and…
Case Synopsis A 4-year-old boy presents for inguinal hernia repair. In the preoperative holding area, he appears scared and agitated and refuses to leave his mother’s lap. On separation, he cries and tries to escape from the anesthesiologist. One week…
Case Synopsis A 35-year-old man presents to the emergency department complaining of left eye pain and loss of vision after being hit by a nail in the left eye while working in a construction project. He had eaten a full…