A&A practice
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Case Reports
Gastric Ultrasound Imaging to Direct Perioperative Care in Pediatric Patients: A Report of 2 Cases.
Pulmonary aspiration of gastric contents carries significant risk in children in the perioperative period. Ultrasound imaging of the gastric antrum has been validated to predict gastric content and volume in both pediatric and adult patients, and yet clinical applications in pediatric patients are sparse. We report 2 cases of children presenting for elective surgery with uncertain volume of gastric contents. Bedside gastric imaging successfully identified "full stomachs," and the information was used to direct care.
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Here we present the case of a 76-year-old woman with pancreatic cancer receiving epidural analgesia for chronic cancer pain treatment. Attempts of running the epidural catheter sequentially resulted in unexpected and extensive sensory block together with sympathicolysis but insufficient pain control. ⋯ The MRI showed subdural catheter displacement with extensive liquid accumulation in the subdural space and consequent significant spinal cord compression. Findings normalized after removing the subdural catheter.