Category Anesthesia

Pulmonary Aspiration in the Parturient

Case Synopsis A 32-year-old woman, gravida 2, para 1, with a full-term pregnancy, undergoes general anesthesia for emergency cesarean delivery owing to prolonged fetal bradycardia. The patient receives a rapid-sequence induction using propofol and succinylcholine. The trachea is intubated using…

Pulmonary Aspiration

Case Synopsis A hypertensive 76-year-old woman presents for total hip arthroplasty after sustaining a fractured neck of femur during a mechanical fall. After uneventful intravenous induction, anesthesia is maintained by spontaneous ventilation of a volatile anesthetic via a supraglottic airway…

Perioperative Visual Loss

Case Synopsis A 49-year-old man weighing 125 kg is scheduled for decompression laminectomy and instrumented fusion of the lumbar spine at multiple levels for lumbar stenosis. General anesthesia proceeds uneventfully with prone positioning, and the patient’s face and eyes are…

Postoperative Urinary Retention

Case Synopsis A 73-year-old man undergoes total hip arthroplasty performed under spinal anesthesia using 1.5 mL of 0.75% bupivacaine (11.25 mg) with 100 μg of morphine. The patient receives approximately 1500 mL of intravenous fluids during the 2-hour procedure. After…