Clinical Cases in Anesthesia

539 Pages·2014·7.48 MB·English

by  Allan P. Reed

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Clinical Cases
in Anesthesia

Clinical Cases
in Anesthesia
FOURTH EDITION
Edited By
Allan P. Reed, MD
Professor
Department of Anesthesiology
Icahn School of Medicine at Mount Sinai
New York, New York
Francine S. Yudkowitz, MD, FAAP
Professor
Departments of Anesthesiology and Pediatrics
Icahn School of Medicine at Mount Sinai
New York, New York
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
CLINICAL CASES IN ANESTHESIA, FOURTH EDITION 978-1-4557-0412-5
Copyright © 2014, 2005, 1995, 1989 by Saunders, an imprint of Elsevier Inc.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
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Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical treatment
may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluat-
ing and using any information, methods, compounds, or experiments described herein. In using such
information or methods they should be mindful of their own safety and the safety of others, including
parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their own
experience and knowledge of their patients, to make diagnoses, to determine dosages and the best
treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of products
liability, negligence or otherwise, or from any use or operation of any methods, products, instructions,
or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Clinical cases in anesthesia / [edited by] Allan P. Reed, Francine S. Yudkowitz. -- Fourth edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4557-0412-5 (hardcover : alk. paper)
I. Reed, Allan P., editor of compilation. II. Yudkowitz, Francine S., editor of compilation.
[DNLM: 1. Anesthesia--Case Reports. 2. Anesthesiology--Case Reports. WO 200]
RD82.3
617.9'6--dc23
2013035684
Content Strategist: William R. Schmitt
Content Development Specialist: Anne Snyder
Publishing Services Manager: Jeffrey Patterson
Project Managers: Tracey Schriefer/Maria Bernard
Designer: Lou Forgione
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To Mazie Ruth Reed, whose beautiful smile and
infectious laugh bring joy wherever she goes.
Allan P. Reed
In loving memory of my parents, Herman and Lea,
for their unconditional support and inspiring me to be the
best that I can be.
Francine S. Yudkowitz

Contributors
Adel M. Bassily-Marcus, MD Jordan Brand, MD
Assistant Professor Assistant Professor
Department of Surgery Department of Anesthesiology
Icahn School of Medicine at Mount Sinai San Francisco VA Medical Center
New York, New York University of California, San Francisco
Case 29 Perioperative Corticosteroid Administration San Francisco, California
Case 89 Sepsis and Multisystem Organ Dysfunction
Yaakov Beilin, MD Syndrome
Professor
Departments of Anesthesiology and Obstetrics, Ethan O. Bryson, MD
Gynecology, and Reproductive Science Associate Professor
Icahn School of Medicine at Mount Sinai Departments of Anesthesiology and Psychiatry
New York, New York Icahn School of Medicine at Mount Sinai
Case 54 Labor and Delivery New York, New York
Case 55 Preeclampsia Case 17 Electroconvulsive Therapy
Case 56 Abruptio Placentae and Placenta Previa
Case 57 Anesthesia for Nonobstetric Surgery During Levon M. Capan, MD
Pregnancy Professor
Case 58 Thrombocytopenia in Pregnancy Department of Anesthesiology
Case 84 Cardiopulmonary Resuscitation Vice Chair Departmental Faculty Promotions
New York University School of Medicine
Lucas Bejar, MD New York, New York;
Attending Anesthesiologist Associate Director of Anesthesiology
Long Island Jewish Medical Center Bellevue Hospital Center
New Hyde Park, New York New York, New York
Case 52 Brachial Plexus Anesthesia Case 75 Thoracic Trauma
Howard H. Bernstein, MD Maria D. Castillo, MD
Associate Professor Assistant Professor
Departments of Anesthesiology and Obstetrics, Department of Anesthesiology
Gynecology, and Reproductive Science Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai New York, New York
New York, New York Case 31 Carcinoid Syndrome
Case 56 Abruptio Placentae and Placenta Previa
Michael Chietero, MD
Himani Bhatt, MD Associate Professor
Assistant Professor Departments of Anesthesiology and Pediatrics
Department of Anesthesiology Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai New York, New York
New York, New York Case 61 Tracheoesophageal Fistula
Case 7 Cardiac Pacemakers and Defibrillators Case 66 Foreign Body Aspiration
Michael T. Bialos, MD Insung Chung, MD
Assistant Clinical Professor Assistant Professor
Department of Anesthesiology Department of Anesthesiology
Icahn School of Medicine at Mount Sinai Mount Sinai School of Medicine
New York, New York New York, New York
Case 20 Depolarizing Neuromuscular Blockade Case 90 Renal System
vii
viii Contributors
Renee L. Davis, MD Adam Evans, MD
Assistant Professor Assistant Professor
Department of Anesthesiology Department of Anesthesiology
Icahn School of Medicine at Mount Sinai Icahn School of Medicine at Mount Sinai
New York, New York New York, New York
Case 59 Abdominal Wall Defects Case 90 Renal System
Stacie G. Deiner, MD Gregory W. Fischer, MD
Associate Professor Professor
Departments of Anesthesiology, Neurosurgery, Departments of Anesthesiology and Cardiothoracic
and Geriatrics & Palliative Care Surgery
Icahn School of Medicine at Mount Sinai Icahn School of Medicine at Mount Sinai;
New York, New York Director, Adult Cardiothoracic Anesthesia
Case 18 Spine Surgery The Mount Sinai Hospital
New York, New York
Isabelle deLeon, MD Case 88 Cardiovascular System
Assistant Professor
Department of Anesthesiology Gordon M. Freedman, MD
Icahn School of Medicine at Mount Sinai Associate Clinical Professor
New York, New York Department of Anesthesiology
Case 74 Office-Based Anesthesia Icahn School of Medicine at Mount Sinai
New York, New York
Samuel DeMaria, Jr., MD Case 69 Low Back Pain
Associate Professor Case 71 Complex Regional Pain Syndrome
Department of Anesthesiology Case 72 Cancer Pain Management
Icahn School of Medicine at Mount Sinai
New York, New York Daniel M. Gainsburg, MD, MS
Case 33 Major Hepatic Resection Associate Professor
Case 39 Kidney and Pancreas Transplantation Departments of Anesthesiology and Urology
Icahn School of Medicine at Mount Sinai
Barbara M. Dilos, DO New York, New York
Assistant Professor Case 36 Transurethral Resection of the Prostate
Department of Anesthesiology Case 38 Robotic Prostatectomy
Icahn School of Medicine at Mount Sinai
New York, New York Mark Gettes, MD
Case 21 Nondepolarizing Neuromuscular Blockade Assistant Clinical Professor
Case 22 Antagonism of Nondepolarizing Neuromuscular Department of Anesthesiology
Blockade Icahn School of Medicine at Mount Sinai
Case 23 Monitoring the Neuromuscular Junction New York, New York
Case 48 Blood Replacement
James B. Eisenkraft, MD
Professor Cheryl K. Gooden, MD, FAAP
Department of Anesthesiology Associate Professor
Icahn School of Medicine at Mount Sinai Departments of Anesthesiology and Pediatrics
New York, New York Icahn School of Medicine at Mount Sinai
Case 12 One-Lung Ventilation New York, New York
Case 13 Thoracoscopy Case 42 Tympanomastoidectomy
Case 20 Depolarizing Neuromuscular Blockade Case 49 The Jehovah’s Witness Patient
Case 21 Nondepolarizing Neuromuscular Blockade Case 67 MRI and the Down Syndrome Child
Case 22 Antagonism of Nondepolarizing Neuromuscular Case 83 Pediatric Cardiopulmonary Resuscitation
Blockade
Case 23 Monitoring the Neuromuscular Junction Laurence M. Hausman, MD
Case 24 Myasthenia Gravis Associate Professor
Case 25 Malignant Hyperthermia Department of Anesthesiology
Icahn School of Medicine at Mount Sinai
Jason H. Epstein, MD New York, New York
Staff Anesthesiologist and Interventional Pain Physician Case 32 Full Stomach
James J. Peters VA Medical Center; Case 36 Transurethral Resection of the Prostate
Assistant Professor Case 73 Ambulatory Surgery
Department of Anesthesiology Case 74 Office-Based Anesthesia
Icahn School of Medicine at Mount Sinai
New York, New York
Case 24 Myasthenia Gravis