A & A case reports
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Acute adult epiglottitis is a rare and potentially fatal upper airway condition, requiring prompt recognition, resuscitation, stabilization, and transfer to definitive care. Treatment centers on skilled airway management and early antimicrobial therapy. We describe a patient with acute adult epiglottitis in whom airway management using noninvasive positive pressure ventilation was successful allowing avoidance of tracheal intubation.
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One day after removal of an AuraStraight disposable laryngeal mask, a plastic laryngeal mask airway cuff shield was retrieved from the oropharynx of a 5-year-old child refusing to eat, drooling, and pointing to her throat. We discuss the reasons why this occurred and suggest how it can be prevented in the future.
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We report a case of a patient who used multiple aliases as part of a medical fraud scheme. As a consequence, the surgical team was unaware of a left-sided adrenal mass that had been documented for this patient under another name. In the operating room, severe hypertension from the undiagnosed pheochromocytoma led to a ventricular fibrillation cardiac arrest. This case demonstrates the importance of physician awareness of medical identity fraud and its potential consequences.