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78 articles
October 202620
Multiple Recurarization Episodes After Sugammadex Reversal in Hyperthermic Intraperitoneal Chemotherapy: A Case Report.
A 53-year-old woman undergoing hyperthermic intraperitoneal chemotherapy (HIPEC) experienced three sequential episodes of recurarization after reversal of rocuronium-induced neuromuscular blockade with sugammadex 5.4…
Individualized multimodal pain management for chronic perineal pain: A case report.
A 68-year-old woman had three years of chronic perineal pain and tenderness that disrupted sleep, urination, and daily activities.
Optimization of Anticoagulation Strategy During Cardiopulmonary Bypass in Neonates with Congenital Heart Disease: A Randomized Controlled Trial.
Neonatal hemostatic immaturity complicates anticoagulation during cardiopulmonary bypass (CPB). Current practice largely follows the strategy of 400 U/kg from adult protocols, as neonatal-specific guidelines and…
Preoperative Sedation via Cecostomy Tube in an Autistic Adolescent: A Case Report.
A 13-year-old autistic boy with a preexisting cecostomy tube for chronic constipation had previously been unable to tolerate oral or intramuscular preoperative sedation because of agitation and physical aggression.
Low-Volume Superior Trunk and Superficial Cervical Plexus Block With Sedation as the Sole Regional Anesthetic for Proximal Humerus Fracture Fixation in a Patient With Alzheimer Disease.
A 68-year-old woman with Alzheimer disease underwent fixation of a closed right proximal humerus fracture through a deltopectoral approach.
Successful Kidney Transplantation Under Combined Spinal-Epidural Anesthesia in a Patient With a History of Left Pneumonectomy Due to Bronchiectasis.
A 33-year-old man with end-stage kidney disease from biopsy-proven AA amyloidosis was assessed for preemptive living-donor kidney transplantation.
Effect of Oliceridine on Early Postoperative Recovery in Children Undergoing Adenotonsillectomy: A Prospective, Double-Blind, Randomized Controlled Trial.
Children undergoing adenotonsillectomy may be vulnerable to opioid-related adverse effects, creating a need for analgesic strategies that support rapid postoperative recovery.
Density Spectral Array Patterns During Total Intravenous Anesthesia with Intravenous Lidocaine for Craniotomy: An Illustrative Two-Case Series.
Two adults undergoing craniotomy for tumor resection received propofol-remifentanil total intravenous anesthesia, bilateral scalp block, and intravenous lidocaine.
Bionic sleep therapy combined with multimodal management for chronic insomnia with alcohol withdrawal-related symptoms: A case report.
A 71-year-old man with more than 15 years of insomnia used 100 to 200 mL of Chinese baijiu nightly to sleep. Attempts to stop drinking brought worsening insomnia, restlessness, palpitations, sweating, and intense…
Rhabdomyolysis Following Robot-Assisted Radical Prostatectomy.
A 66-year-old man with obesity, insulin-dependent diabetes, and multiple comorbidities underwent robot-assisted radical prostatectomy for cT3a cN1 prostate cancer, with approximately 4 hours of console time.
Ilioinguinal-Transversus Abdominis Plane (I-TAP) Block with Liposomal Bupivacaine for Analgesia After Cesarean Delivery: A Randomized Controlled Trial.
Cesarean delivery is frequently associated with suboptimal postoperative analgesia. While PROSPECT guidelines recommend transversus abdominis plane (TAP) block for post-cesarean analgesia, conventional TAP block may…
Effect of a Single Subanesthetic Dose of Esketamine on Gastrointestinal Recovery After Laparoscopic Colorectal Cancer Surgery: A Randomized, Outcome-Assessor-Blinded, Placebo-Controlled Trial.
Postoperative gastrointestinal dysfunction (POGD) and Postoperative gastrointestinal intolerance (POGI) remain a critical challenge in abdominal surgery, particularly for colorectal cancer patients undergoing…
Comprehensive dental management of odontogenic infection and ankyloglossia under general anaesthesia in a medically complex child with intellectual disability.
A middle childhood child with moderate intellectual disability presented with pain and swelling in the right posterior mandibular area.
Remimazolam ED95 for Preoperative Sedation in Children with Obstructive Sleep Apnea, with Obesity or a Reference-Range BMI: A Biased-Coin Dose-Finding Study.
Obesity may alter total-body-weight dosing of remimazolam, whereas obstructive sleep apnea narrows the respiratory safety margin.
Perioperative adrenal insufficiency presenting as refractory hypotension: A CARE-compliant article.
A 77-year-old woman undergoing lumbar fusion surgery experienced severe hypotension that did not respond to fluid resuscitation or vasopressors.
Comparisons in Analgesic Effects Between Ultrasound-Guided Erector Spinae Plane Block and Ultrasound-Guided Modified Intercostal Nerve Block in Modified Radical Mastectomy: A Randomized Controlled Trial.
Postoperative acute pain is a common challenge after breast cancer surgery. This randomized controlled trial compared the analgesic effects of ultrasound-guided erector spinae plane block (ESPB) and modified intercostal…
A hypertensive response to irrigation: endoscopic repair of a ventral spinal CSF leak.
A 36-year-old woman with recurrent spontaneous intracranial hypotension due to a ventral T11-12 CSF leak underwent endoscopic repair.
Bilateral Costoclavicular Brachial Plexus Block for Closed Reduction of Bilateral Elbow Dislocation: A Case Report and Review of the Literature.
A 60-year-old man presented with bilateral posterolateral elbow dislocation following a road traffic accident. He underwent closed reduction and cast application under a bilateral ultrasound-guided costoclavicular…
Perioperative Management of an Implanted Spinal Cord Stimulator: A Problem-Based Learning Discussion.
A patient with an implanted spinal cord stimulator (SCS) was scheduled for elective surgery. The case highlighted critical aspects of perioperative management, including the identification of the device, potential…
"Ropi"-Thorax as a Complication of Landmark-Based Paravertebral Pain Catheter Placement: A Case Report.
A 42-year-old female with multiple rib fractures and a hemopneumothorax underwent landmark-guided placement of a paravertebral catheter for analgesia due to obstructed ultrasound visualization.
September 20264
Dexketoprofen Trometamol Plus Sufentanil for Analgesia After Thoracoscopic Radical Resection of Lung Cancer: A Randomized, Double-Blind, Placebo-Controlled Trial.
Evidence for adding dexketoprofen trometamol to sufentanil-based patient-controlled intravenous analgesia (PCIA) after thoracoscopic radical resection of lung cancer remains limited.
Tegileridine versus Sufentanil for Patient-Controlled Intravenous Analgesia After Cesarean Delivery: A Randomized Double-Blind Trial.
Postoperative nausea and vomiting (PONV) remains one of the most common opioid-related adverse events after cesarean delivery despite multimodal analgesia.
Delayed Recognition of a Cuff-Level Tracheal Rupture After Double-Lumen Endotracheal Tube Intubation for Thoracic Surgery: A Case Report.
An 81-year-old man underwent left upper lobectomy using a double-lumen endotracheal tube. Postoperatively, he developed persistent air leakage, atelectasis, and subcutaneous emphysema.
Unlocking the airway through mandibular distraction followed by TMJ release in bilateral TMJ ankylosis complicated by severe OSA.
An early adolescent with bilateral TMJ ankylosis presented with severe obstructive sleep apnoea (OSA), facial asymmetry, and a limited mouth opening of 2 mm.
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