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Amniotic Fluid Embolism After Cervical Ripening.
Cureus
December 2024
Obstetrics, Orlando Regional Medical Center, Orlando, USA.
Amniotic fluid embolism (AFE) is a rare condition that can have catastrophic maternal and infant consequences. It can lead to rapid multisystem failure and is responsible for a significant portion of maternal deaths. The diagnosis is frequently made late in the pathological process, and the treatment is mainly supportive and infant delivery.
View Article and Find Full Text PDFWe describe a case of profound bradyarrhythmia after sugammadex administration during ambulatory anesthesia. The patient was a 21-year-old man with autism spectrum disorder undergoing planned general anesthesia for dental treatment. After treatment completion, sugammadex was administered upon awakening, and sudden bradyarrhythmia appeared immediately.
View Article and Find Full Text PDFUnexpected Pneumothorax During Painless Flexible Bronchoscopy Under Remimazolam Sedation: Two Case Reports and a Literature Review.
Clin Case Rep
November 2024
Department of Anesthesiology The Second Xiangya Hospital, Central South University Changsha Hunan China.
The timely recognition of pneumothorax during painless flexible bronchoscopy (PFB) can be challenging. This report describes two consecutive cases of pneumothorax following PFB, both of which were promptly identified and successfully treated. A sudden decrease in heart rate, combined with hypoxemia, is highly effective for detecting pneumothorax in patients undergoing PFB, with subcutaneous emphysema serving as a key auxiliary diagnostic sign.
View Article and Find Full Text PDFPositive end-expiratory pressure and emergence preoxygenation after bariatric surgery: effect on postoperative oxygenation: A randomised controlled trial.
Eur J Anaesthesiol
January 2025
From the Department of Anaesthesia and Intensive Care, and Centre for Clinical Research, Västmanland Hospital Västerås, Sweden; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden (EÖ, AL, LE), Region Västmanland - Uppsala University, Centre for Clinical Research, Västmanland Hospital Västerås, Sweden (PW), and Department of Surgery and Centre for Clinical Research at Västmanland Hospital Västerås, Sweden; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden (SE).
Background: Positive end-expiratory pressure (PEEP) is important to increase lung volume and counteract airway closure during anaesthesia, especially in obese patients. However, maintaining PEEP during emergence preoxygenation might increase postoperative atelectasis by allowing susceptible lung areas to be filled with highly absorbable oxygen that gets entrapped when small airways collapse due to the sudden loss of PEEP at extubation.
Objective: This study aimed to test the hypothesis that withdrawing PEEP just before emergence preoxygenation would better maintain postoperative oxygenation.
Severe intraocular pressure rise after implantable collamer lens implantation.
J Cataract Refract Surg
September 2024
Salt Lake City, Utah.
A 22-year-old woman with a history of high myopia (-8.00 -3.75 × 011, right eye; -6.
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