Volume 78 Number 1
Remimazolam at Westchester Medical Center: Early Adoption, Safety Insights, and Applications
As the case volume of non-operating room anesthesia (NORA) continues to grow, anesthesiologists must balance patient safety, efficiency and the unique organizational challenges within NORA procedural environments. Remimazolam, an ultra-short-acting benzodiazepine, is a new drug that may be safely used in non-OR settings.
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Selective Use of Venovenous Bypass During Liver Transplantation in a Patient with Severe Aortic Stenosis
A 71-year-old man with metabolic dysfunction–associated steatohepatitis cirrhosis (MELD 3.0 score 41) underwent expedited evaluation for liver transplantation. His medical history included refractory ascites, portal vein thrombosis, recurrent hepatic encephalopathy, prior transjugular intrahepatic portosystemic shunt (TIPS) with revision, hepatorenal syndrome requiring intermittent hemodialysis, chronic kidney disease and prior epidural abscess status post laminectomy.
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Volume 77 Number 4
Successful Neurolysis and Decompression of the Brachial Plexus for Parsonage-Turner Syndrome Precipitated by Remote Surgery
Parsonage–Turner Syndrome (PTS)—or idiopathic brachial neuritis—is a rare, immune-mediated peripheral nerve disorder characterized by acute-onset shoulder pain followed by progressive weakness and sensory changes.
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Emergency Anesthetic Management of Patients with Fontan Circulation: Systems-Based Approach and Clinical Pearls
A 36-year-old male with a past medical history of congenital double inlet left ventricle with hypoplastic right ventricle outflow tract, status post-Fontan surgery with arterial pulmonary connection at age 2, with subsequent revision to an external conduit, presents to the emergency department after a few days of abdominal pain, nausea and vomiting.
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New-Onset Stress-Induced Cardiomyopathy at Emergence from Anesthesia after Ambulatory Laparoscopic Bilateral Salpingo-Oophorectomy: A Case of Broken Heart Syndrome
We present a case report of SICM triggered by emergence from anesthesia after minimally invasive gynecologic surgery. This case highlights the importance of perioperative vigilance even in low-risk surgical settings, and risk stratification especially among patients with known emotional or physiologic vulnerabilities.
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Vol. 77 #4
New-Onset Stress-Induced Cardiomyopathy at Emergence from Anesthesia after Ambulatory Laparoscopic Bilateral Salpingo-Oophorectomy: A Case of Broken Heart Syndrome Stress-induced cardiomyopathy (SICM) was first described as “Takotsubo cardiomyopathy” 35 years ago in Japan. Since the initial report, SICM has been increasingly diagnosed during the perioperative period, including in ambulatory surgery.1,2 It is associated with sympathetic nervous system […]
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Perioperative Anaphylaxis: A Rare but Severe Reaction to Sugammadex in a High-Risk Patient
Perioperative anaphylaxis from sugammadex, a neuromuscular blockade reversal agent, is rare but serious. This report details a 63-year-old woman with multiple allergies who developed severe anaphylaxis following sugammadex administration during surgery.
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