Case Synopsis A 2-year-old 14-kg girl with trisomy 21 remains unresponsive and intubated in the operating room 35 minutes after anesthetic agents were discontinued following adenotonsillectomy for obstructive sleep apnea. Intraoperatively she received propofol 2 mg/kg -1 , morphine 0.1…
Case Synopses Gravitational Pressure Gradient of 10.0 cm H 2 O During a repeat L4–L5 lumbar laminectomy in the prone position, a 43-year-old woman arrested 45 minutes after onset of surgery with an unrecordable blood pressure (BP) and end-tidal CO…
Case Synopsis A 35-year-old woman is scheduled for a partial colectomy due to complications from her ulcerative colitis. She has a history of migraine headaches, endometriosis, fibromyalgia, and nonspecific low back pain. She is currently on a high-dose oral opioid…
Case Synopsis A 45-year-old woman, body mass index (BMI) 24, American Society of Anesthesiologists (ASA) physical status 2, underwent left eye orbitotomy for the correction of thyrotoxic exophthalmos under general anesthesia in a freestanding ambulatory surgical center. The patient tolerated…
Case Synopsis A 53-year-old man underwent posterior spinal fusion with instrumentation, involving segments L1–L4. His past medical history included protein S deficiency, for which he received warfarin therapy. He discontinued his warfarin therapy 2 weeks before surgery without telling his…
Case Synopsis A 14-year-old boy with an established diagnosis of autistic spectrum disorder is scheduled for a semielective release of hand contracture that he suffered as a sequela to a burn injury at age 5. He has had three prior…
Case Synopsis A healthy 32-year-old woman is scheduled for elective myomectomy. General endotracheal anesthesia is induced, and the surgeon requests a dose of prophylactic cefazolin. The anesthesiologist administers the contents of a 10-mL syringe but realizes immediately that he has…
Case Synopsis A 42-year-old man complains of shortness of breath and mild right-sided chest pain in the outpatient recovery area, shortly after a right wrist fusion. A preoperative ultrasound-guided brachial plexus block was placed using the supraclavicular approach. On examination,…
Case Synopsis A 69-year-old man underwent open abdominal aortic aneurysm repair under general anesthesia. An epidural catheter was inserted before induction for postoperative pain control. The anesthesiologist successfully placed the epidural catheter after the third attempt. Aspiration after insertion of…
Case Synopsis A 25-year-old woman undergoes spinal anesthesia with a 25-gauge Quincke needle for outpatient hysteroscopy. The following day, she complains of a severe headache. Her headache is worse when she is in the upright position and resolves when she…