A & A case reports
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Cerebral oxygen monitoring continuously monitors cerebral oxygenation with a noninvasive technique based on near-infrared spectroscopy. In this report, we describe 2 children in whom skin burns followed the reuse of probes monitoring cerebral oxygenation with In Vivo Optical Spectroscopy.
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Peripherally placed transmittance pulse oximeter sensors have been associated with patient injury including burns, gangrene, and necrosis. There are 2 reports of burn injuries associated with the use of forehead reflectance sensors, but there is no report of a pressure injury associated with the use of an OxiMax™ MAX-FAST™ forehead sensor and headband. We report the case of a patient who developed tissue necrosis associated with prolonged application of a forehead pulse oximeter sensor under a headband and displacement of the sensor cable.
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While undergoing emergency C6-C7 corpectomy and anterior and posterior fusion, our prone patient in whom airway management had been difficult experienced unplanned tracheal extubation. Herein, we describe emergency airway management including reintubation and provide suggestions for airway management in the prone-positioned patient.
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A 3-year-old girl suffering from Stevens-Johnsons Syndrome with severe sloughing of the oropharyngeal mucosa was brought to the operating room for an emergent tracheostomy after multiple failed attempts to intubate the trachea in the pediatric intensive care unit. However, a retrograde tracheal intubation was successfully performed in the operating room to secure her airway, after which a tracheostomy was performed. Retrograde intubation can be a quick and effective method for securing the difficult airway.