Canadian journal of anaesthesia = Journal canadien d'anesthésie
-
Case Reports
Perioperative cortical hand stroke syndrome mimicking peripheral neuropathy: a case report.
Timely diagnosis of perioperative stroke is challenging, and therapeutic interventions are infrequently offered. The cortical hand syndrome is a rare stroke presentation that results from infarction of the precentral gyrus leading to variable neurologic deficits mimicking peripheral nerve injuries, with no prior reports in the perioperative setting. To raise awareness of this complication among anesthesiologists, we present a case of cortical hand syndrome in a surgical patient initially suspected to have a peripheral neuropathy. ⋯ Cortical hand stroke syndrome is a rare presentation of perioperative stroke that may be misdiagnosed as a peripheral neuropathy. Our case presentation highlights that perioperative stroke should be considered for patients presenting with neurologic deficits of the hand, particularly those with deficits in multiple peripheral nerve territories and stroke risk factors.
-
Myocardial injury after noncardiac surgery is common and mostly asymptomatic. The ideal target population that will benefit from routine troponin measurements in low and middle income countries (LMICs) is unclear. This study aims to evaluate the clinical outcomes of a cohort of high-risk surgical patients according to high-sensitivity troponin T (hsTnT) in an LMIC setting. ⋯ ClinicalTrials.gov (NCT04187664); first submitted 5 December 2019.
-
Letter Randomized Controlled Trial
A randomized controlled trial of passive leg raise to facilitate pediatric peripheral intravenous access.
-
Editorial Comment
Propofol/remifentanil patient-controlled sedation: caveat emptor!