A & A case reports
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Lumbosacral dural ectasia is frequently observed in patients with Marfan syndrome. Although neuraxial anesthesia is often used in peripartum anesthetic management, few reports describe the effects of dural ectasia on the spread and duration of neuraxial anesthesia. We report a case of combined spinal-epidural anesthesia for a cesarean delivery in a patient with Marfan syndrome in whom complications probably related to dural ectasia occured.
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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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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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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.