RESUMO
A 32-year-old pregnant woman with verapamil sensitive ventricular tachycardia underwent elective caesarean section. She received catheter ablation for frequent tachycardia, but ventricular tachycardia appeared. In the operating room, a defibrillator pad was placed on her chest for external defibrillation, with A-line in a left radial artery. General anesthesia was started with rapid sequence induction. The anesthetic course was uneventful, and the infant showed no complication during the perioperative period. General anesthesia can be considered as safe anesthetic management for caesarean section in a patient with verapamil sensitive ventricular tachycardia.
Assuntos
Anestésicos , Complicações Cardiovasculares na Gravidez/fisiopatologia , Taquicardia Ventricular/fisiopatologia , Verapamil , Ablação por Cateter , Cesárea , Eletrocardiografia , Feminino , Humanos , GravidezRESUMO
A 68-year-old man was scheduled for pancreaticoduodenectomy under general anesthesia. He was suffering from Charcot-Marie-Tooth disease (CMTD) for 34 years, and complicated with liver cirrhosis. Anesthesia was induced with propofol and fentanyl, and maintained with oxygen-air-sevoflurane and remifentanil. Epidural block was not used because the patient had coagulation abnormality and thrombocytopia. Rocuronium was injected intravenously for tracheal intubation, supplemented as required using an electrical nerve stimulator. The longer duration of action of rocuronium was observed in this case because the patient was complicated with CMTD and liver cirrhosis. We suggest that monitoring neuromuscular function may be necessary to detect subtle residual neuromuscular blockade when rocuronium is used in a patient with CMTD and liver dysfunction.
Assuntos
Adenocarcinoma/cirurgia , Anestesia Geral , Doença de Charcot-Marie-Tooth/complicações , Neoplasias Duodenais/cirurgia , Cirrose Hepática/complicações , Pancreaticoduodenectomia , Adenocarcinoma/complicações , Idoso , Androstanóis , Neoplasias Duodenais/complicações , Humanos , Masculino , Monitorização Intraoperatória , Bloqueio Neuromuscular , RocurônioRESUMO
Recently, a customized oxygen tube is available. The circumference of a newly designed oxygen tube is larger than the original tube. In addition, new features are attached at the four sides of the connecter. As a result, a customized oxygen tube is safer than the previous original oxygen tube with minimum increase of weight. The customized oxygen tube is useful for reducing the misconnecting trouble of the tracheal tube and oxygen tube.