Journal of clinical anesthesia
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Review Case Reports
Severe hypothyroidism presenting as myxedema coma in the postoperative period in a patient taking sunitinib: case report and review of literature.
The case of a 62-year-old Caucasian woman who underwent urgent hip hemiarthroplasty for repair of a pathological fracture is reported. The patient's medical history was significant for renal cell carcinoma, cerebellar metastases, and sunitinib-induced hypothyroidism. Her intraoperative course was complicated by profound hypothermia, bradycardia, augmentation of neuromuscular blockade, delayed emergence, failure of postoperative extubation, and need for mechanical ventilation. The intensive care course was significant for hypothermia requiring forced-air warming, treatment with intravenous thyroxine (T4), and hemodynamic supportive care.
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Randomized Controlled Trial
Effects of a flash of light in different colors on venous cannulation pain: a randomized, controlled trial.
To determine the effects of a flash of light in different colors on the frequency and severity of pain during venous cannulation. ⋯ Application of a blue light flash before venous cannulation decreased the frequency and severity of pain associated with venipuncture. This method is an effective, easy to perform, and inexpensive way to reduce pain during venous cannulation.
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To determine whether the supine-to-prone position change displaced the endotracheal tube (ETT) and, if so, whether the displacement related to this change modified ETT cuff pressure. ⋯ After the supine-to-prone position change, patients had ETT tube displacement. Such ETT movement may be accompanied by a decrease in cuff pressure.