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Aug 18, 2020Open AccessArticle
We report a case of a 66-year-old female patient with ischemic cardiomyopathy, who was referred in Nephrology Department for the management of a renal impairment associated-severe hyponatremia, hypokalemia and hypochloremia that occurred after vomiting episodes evolving since 1 month. On admission, the patient was calm with a psychomotor retardation occurring in a context of moderate dehydration. Arterial blood gas analysis outlined a severe metabolic alkalosis. An extra-renal cause of these met...
Oct 08, 2019Open AccessArticle
In May 2016, it was suggested by the US athletes playing games of National Basketball Association (NBA) in television that the pain sensation might result from the post-sensory nociceptive-sympathetic coupling. In this re-view, it is attempted to newly delineate the underlying neural pathways for this post-sensory nociceptive-sympathetic coupling. Based on the con-temporary feedback neural circuits of pain transmission in spinal c ...
Jul 10, 2019Open AccessArticle
A 68-year-old woman with intercondylar fracture of the femur suffers massive (high risk) pulmonary embolism (PE) during surgery and is suc-cessfully treated with systemic thrombolysis. After limb exsanguinations with Esmarch bandage, the patient presents with sudden oxygen desaturation (99% to 80%) with subsequent dyspnea and hypotension. She is intubated and requires continuous adrenalin perfusion while the surgery is finished an ...
Jan 10, 2019Open AccessArticle
A 49 year old gentleman presented with intermittent bilateral knee swelling
for the past 37 years and was eventually diagnosed as primary hypertrophic
osteoarthropathy after secondary forms were excluded. This case illustrates
that the disease can present during childhood with an insidious onset and
progressively become more severe and that is when medical attention is
sought. Furthermore, the patient did not voluntarily report hi ...
Aug 12, 2016Open AccessArticle
The nasopharyngeal angiofibroma is an aggressive, vascular tumor that may
represent a challenge for the anesthesiologist by the risk of profuse bleeding.
We report the case of a 13 years old, 52 kg, ASA1, who was scheduled for the
resection of an angiofibroma invading facial sinuses and internal carotid
artery, and submitted to external carotid and internal maxillary arteries
embolization one day before surgery. Mallampati 2, prev ...
Aug 26, 2015Open AccessArticle
This is the case of a 76 y/o AA man with a past medical history of Hypertension
and Guillain Barre Syndrome (GBS), who presented for a median sternotomy and
excision of a thymic mass after workup for multiple episodes of syncope
revealed the thymic mass. Intraoperatively, the patient had 2 episodes of
cardiac arrest with asystole. He was adequately resuscitated and extubated. He
was later determined by Neurology to have severe autonomic dysfunction and not
a candidate for any elective surgery.
Jun 29, 2015Open AccessArticle
Following an accidental dural puncture during the placement of epidural
anesthesia, leakage of cerebrospinal fluid occurs. This leads to tugging on
intracranial pain-sensitive structures and causes a headache that is postural
in nature. According to radiology literature, the presence of retro spinal
fluid collections has been associated with the diagnosis of spontaneous
intracranial hypotension. The characteristic C1-C2 radiographic sign, called
the C1-C2 false localizing sign, can be found on m...
Jun 26, 2014Open AccessArticle
Continuous peripheral nerve blocks (CPNB) are
gaining popularity in paediatric practice owing to its superiority over
neuraxial blocks in terms of side effects. The advent of ultrasound and
development of new materials have made CPNBs feasible even in children,
facilitating early ambulation, effective and prolonged post-operative
analgesia. The usual perineural catheter sets we have used are “ca- theter
through needle” types. The inability to fix and locate the catheter position
after threading ...
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