Wissenschaftliches Journal · EZB
Wiley (John Wiley & Sons)
Inhaltsverzeichnis
03.09.2018
Fintan McMorrow, Richard Cowan, Paul McConnellSummaryA 51‐year‐old male required invasive ventilation following smoke inhalation in a house fire. During his intensive care admission, he developed massive haemoptysis and subsequent life‐threatening respiratory failure likely due to diffuse alveolar haemorrhage. We discuss the …
20.07.2018
Aine Heaney, Gráinne Rooney, Dermot LoweSummaryA 23‐month‐old healthy female presented for irrigation of obstructed nasolacrimal ducts under general anaesthesia. Induction of anaesthesia was uneventful and a supraglottic airway device was inserted. During the surgical procedure, gauze pledgets soaked in a solution cont …
21.09.2018 · 2 Zitationen
Rose Kearsley, Conan McCaulSummaryWe report a case of delayed‐onset severe lower back pain following two epidural blood patch procedures for post‐dural puncture headache following caesarean section with spinal anaesthesia. An urgent magnetic resonance imaging confirmed the diagnosis of a spinal subdural ha …
05.10.2018
Mark Gabrel, Saptashree Melissa BasuSummaryAnaphylaxis is an acute allergic response that can be life‐threatening if not recognised and treated appropriately. Neuromuscular blocking agents (NMBAs) are commonly associated with anaphylaxis during anaesthesia. Confirmation of allergy to NMBAs is by intradermal testing …
10.09.2018
Yukio Hayashi, Mika Sakai, Yosuke Tachibana, Emiri Saiki, Yuka MiyataSummaryElectrical cardioversion is usually performed when ventricular tachycardia and ventricular fibrillation occur following the release of the aortic cross‐clamp during cardiopulmonary bypass. However, electrical cardioversion has been associated with myocardial damage. Pharma …
15.08.2018
Andrew Wood, Valerie Lan‐Pak‐Kee, Madeleine Dancey, Seema ShahSummaryAn emergency surgical cricothyroidotomy was successfully performed as the primary airway intervention on a 66‐year‐old patient who presented to our hospital with severe respiratory compromise due to upper airway obstruction. The history included recent surgery to resect a …
02.07.2018 · 4 Zitationen
Kayathrie Jeyarajah, Imran AhmadSummaryA 71‐year‐old male with hoarse voice was referred to our institution for panendoscopy. Previous radiotherapy for piriform fossa carcinoma resulted in a 'radiotherapy neck' and reduced neck extension. He also had a background of severe chronic obstructive pulmonary disease …
26.07.2018
Tony Wong, Adam LowSummarySpontaneous spinal epidural haematoma (SSEH) is rare, especially in pregnancy, and may lead to permanent neurological damage. Presentation varies from altered sensation to paralysis depending on the location and severity of the haematoma. A multi‐disciplinary approach is e …
29.10.2018
Amit Adlakha, Ifor Capel, Dinseh Addala, Peyton Davis, Adrian WongSummaryA 61‐year‐old male presented to the emergency department with acute life‐threatening massive haemoptysis. His previous history was remarkable for extensive mandibular and retromolar resection and reconstruction for squamous cell carcinoma ten years previously. A recent com …
09.01.2018
changping Gu, Guanjun Li, Ming Hou, Hai Feng, Yanbin Bi, Yuelan WangSummaryChronic renal failure is often accompanied by secondary hyperparathyroidism that can be effectively treated by parathyroidectomy. However, there is a risk of parathyroid crisis during the operation. A 64‐year‐old patient with paraplegia and chronic renal failure showed pro …
04.05.2018
Thomas Lightburn, Lee HelliwellSummaryWe describe the case of a 26‐year‐old patient undergoing a planned procedure who suffered diffuse alveolar haemorrhage (DAH) following exposure to sevoflurane. Although the patient suffers from systemic lupus erythematosus, this was thought to be an unlikely cause of the D …
30.04.2018
Hani Abdalla, Andrea Bille, Cheng OngSummaryNeurogenic tumours are the most common posterior mediastinal masses. They are usually benign, slow‐growing and can be large enough to cause compression symptoms on surrounding structures, including the airway, heart, great vessels, nerves and ganglia. Anaesthetic managemen …
08.06.2018
Sarah Ryan, Patrick Wiseman, Stephen Mannion, Michael O'SullivanSummaryPatient‐controlled analgesia and nerve blocks have been implicated in the delayed or missed diagnosis of acute compartment syndrome. We report a case of early successful diagnosis of acute compartment syndrome in a 15‐year‐old male, who received both morphine‐based patient …
06.06.2018
Matthew Roe, Justin BrownSummaryA 55‐year‐old female scheduled for elective knee arthroscopy became significantly dyspnoeic in the anaesthetic room prior to peripheral venous cannulation. The subsequent clinical course and later investigations led to a diagnosis of takotsubo cardiomyopathy precipitated b …
26.06.2018
Heejoon Jeong, Burn Young Heo, Soo Jung Park, Ah Ran OhSummaryOne‐lung ventilation is frequently performed during operations that require a transthoracic approach. Although a double‐lumen tube is the most common device used for definitive lung isolation, if a patient has a tracheobronchial anomaly, such as tracheal bronchus, or if an …
04.01.2018 · 1 Zitationen
Benjamin Kolb, Ming WilsonSummaryA 44‐year‐old male underwent routine cystoscopy after presenting with faecaluria. The rare diagnosis of a jejuno‐vesical fistula secondary to actinomycosis was incidentally discovered upon finding pressurised irrigation fluid pouring at high velocity from the patients mout …
21.02.2018
James PalmerSummaryA 52‐year‐old female patient presented for a caudal epidurogram and epidural steroid injection. Patient compliance was limited by severe tardive dyskinesia secondary to previous chlorpromazine treatment. Based on a report of effectiveness in propofol‐induced dyskinesias, a …
02.02.2018
Richard Katz, Conan McCaul, Norhan El Kininy, John QuinnSummaryCyclical thrombocytopenia is a rare idiopathic haematological condition characterised by cyclical fluctuations in platelet counts resulting in episodes of severe thrombocytopenia. The precise pathogenesis and optimal therapy for this condition have yet to be identified, ma …
15.04.2018 · 3 Zitationen
Michael Egan, Karen C. RedmondSummaryAirway management for tracheal resection and reconstruction can be challenging. 'LET Flow' is a novel technique using a high‐flow oxygen delivery device attached directly to a laryngeal mask or tracheal tube that may provide apnoeic oxygenation during surgery on an open tr …
27.03.2018
Sarah Muldoon, Desire Onwochei, Andrea Bille, Imran AhmadSummaryA 98‐year‐old female was referred to our institution for thoracic intervention following the inadvertent aspiration of a button battery. She underwent rigid bronchoscopy using Transnasal Humidified Rapid‐Insufflation Ventilatory Exchange (THRIVE) for oxygenation, rather th …
22.05.2018
Christian Greke, Jan Persson, Mario Kluth, Sebastian Albers, Bernd Bachmann‐MennengaSummaryPeri‐operative hypothermia has a high incidence during major abdominal surgery and is associated with serious complications. Intravascular temperature management (IVTM) is a well‐established technique in critical care medicine. There is currently limited experience in its …
08.01.2018
Prasanna Vani Vanamail, Kalpana BalakrishnanSummaryAnaesthetic implications of cryosurgery for bone tumours have not been well described. We report a case of a patient undergoing cryosurgery with liquid nitrogen. Upon thawing to body temperature, liquid nitrogen can expand to produce a large volume of gas, predisposing to …
19.06.2018
Stefano Romagnoli, Gianluca Villa, Zaccaria Ricci, Fabio Marra, Aldo AmantiniSummaryA 50‐year‐old woman with liver failure was admitted to critical care for refractory status epilepticus (RSE). Following tracheal intubation, sevoflurane was administered via the MIRUSTM system (Pall Medical, Dreieich, Germany). Following incremental increases in minimum al …
13.06.2018
Kasie Hiu Ying Ng, Jaclyn WM WongSummaryAlport syndrome is a rare inherited disorder which can manifest with haemorrhagic nephritis, ocular lesions, sensorineural deafness, as well as leiomyomatosis of the respiratory and gastrointestinal tract. We describe a patient with Alport syndrome who underwent emergency …
