Successful recovery after amniotic fluid embolism in a patient undergoing vacuum-assisted vaginal delivery

Amniotic fluid embolism (AFE) is a rare, catastrophic emergency that requires prompt recognition and treatment. Despite early recognition and supportive therapy, the morbidity and mortality remain high. We report a case of AFE after vacuum-assisted vaginal delivery resulting in hemodynamic collapse and subsequent multiorgan failure. Management included mechanical ventilation, extracorporeal membrane oxygenation, and continuous veno-venous hemodialysis. The patient was able to make a full recovery with minimal sequelae.

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Incidence of acute kidney injury after elective lower limb arthroplasty

The aim of this study was to establish the incidence of acute kidney injury (AKI) in patients undergoing elective hip and knee arthroplasty.

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Effect of Boussignac continuous positive airway pressure ventilation on Pao2 and Pao2/Fio2 ratio immediately after extubation in morbidly obese patients undergoing bariatric surgery: a randomized controlled trial

Pathophysiological changes after laparoscopic Roux-en-Y gastric bypass may increase the risk of pulmonary complications in morbidly obese patients. The purpose of the study was to assess the impact of immediate postextubation use of Boussignac continuous positive airway pressure (CPAP) on arterial oxygenation in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass. The hypothesis is that the use of CPAP may improve oxygenation in the postoperative period when compared to Venturi mask.

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The risk factors of intraoperative anesthesia adverse events in children with laryngeal diseases

This study aimed to investigate the risk factors of intraoperative anesthesia adverse events (IAAEs) in children with laryngeal diseases.

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Bilateral pneumonectomy with difficult airway managed by using a combination of i-gel and EZ-Blocker

When we encounter the case of a patient with a difficult airway and we are not able to intubate, we insert a supraglottic airway device (SGD) [1,2]. In this presented case, we came across a patient with difficult airway, on whom we performed a bilateral pneumonectomy using a combination of an SGD and double-cuffed endobronchial blockers, the EZ-Blocker (Tereflex Medical Japan, Tokyo, Japan) to do 1-lung ventilation. The patient was a 73-year-old woman with hypertension. Investigation into her physical condition only showed micrognathia.

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Delayed onset and long-lasting hemidiaphragmatic paralysis and cranial nerve deficit after interscalene nerve block for rotator cuff repair in beach chair position

Hemidiaphragmatic paralysis is the most common adverse effect associated with interscalene block. In most cases, it resolves with the resolution of nerve blockade with only an estimated incidence of 0.048% persisting for longer duration. Occasionally, interscalene block is also associated with recurrent laryngeal nerve block and seldom with cranial nerve paresis. We present a case of delayed onset and prolonged hemidiaphragmatic paralysis that was associated with 3 cranial nerve deficits after interscalene nerve block for shoulder surgery performed under general anesthesia in the beach chair position.

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Barrett's oesophagus and associated dysplasia are not equally distributed within the esophageal circumference

A careful endoscopic surveillance of Barrett's oesophagus is warranted to prevent esophageal cancer.

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