Remifentanil apnea: Case report and review of the literature.

Remifentanil is an opioid analgesic frequently used in intensive care patients because of its rapid onset of action, potency, and ultra-short duration. If an excessive dose is given, it leads to rapid, short lasting, potentially life-threatening side effects such as apnea, bradycadia, hypotension, and rigidity, following rapid peak serum levels. We report a 36-year-old woman developing apnea with bradycardia and hypotension, following an infusion in the central venous catheter lumen that had been used for remifentanil till tracheal extubation.

Fatal dialysis disequilibrium syndrome: A tale of two patients.

Unlabelled: Dialysis disequilibrium syndrome (DDS) is a central nervous system disorder, which occurs during hemodialysis (HD) or within 24 h following the first HD. DDS commonly occurs in patients suffering from end-stage renal failure undergoing HD for the first time. In a critically ill patient suffering from severe sepsis or septic shock, the combined effects of post-HD brain edema and changes in the brain due to septic encephalopathy, may become amplified leading to DDS.

Tension pneumocephalus as complication of burr-hole drainage of chronic subdural hematoma: A case report.

Background: Pneumocephalus is the presence of air in the cranial cavity. When this intracranial air causes increased intracranial pressure and leads to neurological deterioration, it is known as tension pneumocephalus (TP). TP can be a major life-threatening postoperative complication, especially after evacuation of chronic subdural hematoma.

Postpartum severe sinus bradycardia following methylergonovine administration.

The case is reported of a 30-year-old multigravida, with insignificant history and stable vital signs, admitted to the labour room for normal vaginal delivery of twins. She received combined spinal epidural analgesia (bupivacaine plus fentanyl) for 3 h. Following uneventful delivery she received 0.

A rare and unsuspected complication of Clostridium difficile infection.

Objective: To report the occurrence of abdominal compartment syndrome (ACS) due to infection with Clostridium difficile.

Design: Case report.

Setting: Trauma intensive care unit (TICU) of Hamad General Hospital, a teaching hospital in Doha, Qatar.