Journal of clinical anesthesia
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The ultrasound-guided transversus abdominis plane (TAP) block is a useful tool in controlling postoperative pain following abdominal surgery. The bilateral ultrasound-guided TAP blocks successfully managed the pain of a patient presenting with hypoxemia and respiratory failure in the Post-anesthesia Care Unit, following a laparotomy for small bowel obstruction during general anesthesia. The TAP block reduced systemic opioid requirements and opioid-induced sedation and respiratory depression, improved patient compliance with non-invasive positive pressure ventilation, and prevented the need for intubation and ventilation in the intensive care unit.
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Case Reports
Delayed awakening following inadvertent high-dose remifentanil infusion in a 13 year old patient.
We report the case of a 13 year old patient who received 3.0 mg of remifentanil during a 50-minute surgical procedure as a result of a dosage miscalculation. The patient failed to awaken at the conclusion of the procedure and showed signs of opioid overdose. She recovered spontaneously two hours later.
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Case Reports
A case of posterior reversible encephalopathy syndrome in a 52 year old woman after cardiac arrest.
A 52 year old woman who suffered a cardiac arrest was treated in a local hospital with cardiopulmonary resuscitation. Following transfer to our hospital, she developed renal failure, hypertension, impaired consciousness, headache, and visual disturbances. ⋯ After the MRI findings, her nitroglycerin infusion was stopped, and antihypertensive therapy was initiated using beta blockers and alpha-agonists. She was also treated with continuous venovenous hemofiltration.