ABSTRACT
The percutaneous placement of a totally implantable vascular access port via the subclavian vein is commonly used in patients with a need for multiple intravenous infusions such as administration of chemotherapy. Unfortunately, the use of central venous ports have been associated with adverse events that are hazardous to patients. Here we report the case of a 5-year-old child who died of catastrophic hemothorax after several attempts at insertion of an implantable subclavian venous access device and removal of an infected port. Massive hemothorax occurred on the side contralateral to unsuccessful attempts at insertion of a new port and ipsilateral to the removal of an infected port. We could not confirm the cause of death and hemothorax without autopsy, but we discuss several possible causes of massive hemothorax.
Subject(s)
Child , Humans , Autopsy , Cause of Death , Hemothorax , Infusions, Intravenous , Child, Preschool , Subclavian Vein , Vascular Access DevicesABSTRACT
Transurethral resection is frequently performed urologic operation for benign prostate hypertrophy, prostate cancer, bladder cancer. During transurethral resection, urologists generally use room temperature irrigation fluid, and there is a chance that patients will run into hypothermia. Hypothermia may lead to arrhythmia, reduction of cardiac output, coagulation disorder, metabolic acidosis, and further serious life threatening complications. This case describes a sudden drop in core temperature due to bladder perforation and intraperitoneal leakage of irrigation fluid during transurethral resection of bladder tumor.
Subject(s)
Humans , Acidosis , Arrhythmias, Cardiac , Cardiac Output , Hypertrophy , Hypothermia , Prostate , Prostatic Neoplasms , Urinary Bladder , Urinary Bladder NeoplasmsABSTRACT
Transurethral resection is frequently performed urologic operation for benign prostate hypertrophy, prostate cancer, bladder cancer. During transurethral resection, urologists generally use room temperature irrigation fluid, and there is a chance that patients will run into hypothermia. Hypothermia may lead to arrhythmia, reduction of cardiac output, coagulation disorder, metabolic acidosis, and further serious life threatening complications. This case describes a sudden drop in core temperature due to bladder perforation and intraperitoneal leakage of irrigation fluid during transurethral resection of bladder tumor.
Subject(s)
Humans , Acidosis , Arrhythmias, Cardiac , Cardiac Output , Hypertrophy , Hypothermia , Prostate , Prostatic Neoplasms , Urinary Bladder , Urinary Bladder NeoplasmsABSTRACT
Dubowitz syndrome is a rare autosomal recessive disorder that leads to growth retardation (intrauterine, postnatal), mental retardation, a peculiar face, microcephaly, behavioral problems and eczema. The peculiar face of individuals with Dubowitz syndrome includes sparse hair and eyebrows, low-set ears, blepharophimosis, bilateral ptosis, a flat nasal bridge with a broad nasal root and micrognathia. Airway management of such individuals might be difficult due to craniofacial anomalies, such as micrognathia, cleft palate, tooth problems and craniocervical anomalies. In addition, anesthetic management may be complicated by other systemic illnesses. We report the uneventful anesthetic management of a 16-year-old girl with Dubowitz syndrome who underwent a total abdominal hysterectomy after a pelvic examination under general anesthesia. We report this case of Dubowitz syndrome with a review of the relevant literature.