Introduction: Hemicorporectomy progresses with hemodynamic and ventilatory repercussions that make anesthesia management definitive to patient outcome.
Objective: Report anesthesia approach for a patient with squamous cell carcinoma submitted to urgent hemicorporectomy after an episode of hypovolemic shock.
Case Report: After lesion bleeding, the patient presented hypovolemic shock class 3, and was submitted to urgent procedure under general inhalation anesthesia and intravenous multimodal analgesia, presenting hemodynamic instability requiring massive blood transfusion after spinal cord transection and removal of surgical specimen.
Braz J Anesthesiol
May 2019
Background: Adequate preoperative fasting is critical in preventing pulmonary aspiration of gastric content. We proposed to study the sonographic gastric content dynamics after the ingestion of liquid or solid food in healthy volunteers and confront it with current guidelines for preoperative fasting times.
Methods: We performed a prospective, crossover, evaluator-blinded study involving 17 healthy volunteers of both sexes.
Cardiac arrest during neuraxial anesthesia is a serious adverse event, which may lead to significant neurological damage and death if not treated promptly. The associated mechanisms are neglected respiratory failure, extensive sympathetic block, local anaesthetic toxicity, total spinal block, in addition to the growing awareness of the vagal predominance as a predisposing factor. In the case reported, the patient was 25 years old, ASA I, scheduled for aesthetic lipoplasty.
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