A & A case reports
-
Occurrence of severe hypotension after indocyanine green injection during the intraoperative period.
Indocyanine green (ICG) is generally considered to be safe for IV administration and has a very low incidence of complications. We report 2 cases of severe hypotension immediately after low dose administration of IV ICG. ⋯ Anesthesiologists and surgeons are increasingly likely to encounter or request the intraoperative administration of ICG, and they need to be aware of this potential for an adverse reaction, particularly with the repeated doses. Anesthesia and other intraoperative conditions may mask the typically mild adverse reactions usually associated with ICG.
-
Hair loss after surgery has many causes. If the onset is acute and it lasts for several months, it is often attributed to telogen effluvium. A case is presented where hair loss occurred after a surgical procedure, but it did not recur after a subsequent procedure with a similar anesthetic.
-
A 19-year-old girl suffered an unexpected gasoline-associated chemical burn injury that may have been intensified by a warming device and tissue pressure in the operating room. Anesthesiologists should be aware that serious skin injury may result from combination of cutaneous exposure to hydrocarbons, especially when warming devices are simultaneously used.
-
An 8-year-old girl with McCune-Albright syndrome presented for resection of a very large fibrous dysplasia mass of the face with significant distortion of the airway anatomy. She had significant obstructive sleep apnea with daytime somnolence and hemoglobin oxygen desaturations while breathing room air preoperatively. We were able to successfully manage her airway by providing IV sedation, topical anesthesia of the airway, and oral fiberoptic intubation in close collaboration with our otorhinolaryngology colleagues.