Journal of clinical anesthesia
-
Postoperative airway compromise due to laryngopharyngeal edema is a potentially serious adverse event associated with anterior cervical spine surgery. The reported incidence of this complication has varied from 1.2% to 6.1%, with a higher incidence following multi-level surgery. The relevant literature on airway compromise following anterior cervical spine surgery is reviewed.
-
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.