Lung Separation in the Patient with a Difficult Airway
CASE PRESENTATION Print Section Listen A 50-year-old male presents with a 6-month history of progressive paraparesis. He had sustained a fall at work about 12 months ago and has complained…
ANESTHESIA
Airway Management of an Uncooperative Down Syndrome Patient with an Upper GI Bleed
CASE PRESENTATION Print Section Listen This 33-year-old white female patient with Down syndrome (DS) (Figure 35–1) presented to the gastrointestinal (GI) service with a history of vomiting blood. You first…
Management of a Patient Admitted to ICU with Ebola Virus and Impending Respiratory Failure
CASE PRESENTATION Print Section Listen A previously well 50-year-old physician presented to hospital with fever, lethargy, nausea, and diarrhea. He had returned from Sierra Leone 5 days prior where he…
Performing an Elective Percutaneous Dilational Tracheotomy in a Patient on Mechanical Ventilation
CASE PRESENTATION Print Section Listen A 28-year-old, previously healthy female was thrown off an all terrain vehicle (ATV) and sustained blunt trauma to her chest. Her injuries included a flail…
Airway Management for Penetrating Facial Trauma
CASE PRESENTATION Print Section Listen A 70-year-old depressed man presents after attempted suicide by shooting himself with a handgun held under his jaw. He is seated upright and leaning forward…
Airway Management of a Patient in a Halo-Jacket with Acute Obstruction of a Reinforced Tracheal Tube
CASE PRESENTATION Print Section Listen A 52-year-old worker of normal body habitus was injured in a fall from approximately 15 feet (5 m) of height. He sustained fractures to the…
Airway Management in a Patient with a Deep Neck Infection
CASE PRESENTATION Print Section Listen A 32-year-old man (Figure 28–1) presented to the emergency department (ED) with dysphagia, dysphonia, and dyspnea. Further inquiry revealed a 1-week history of right-sided jaw…
Management of a Patient with a Respiratory Arrest in the Intermediate Care Unit
CASE PRESENTATION Print Section Listen A respiratory arrest occurs in the intermediate care unit on the surgical ward. The patient is an elderly man in a cervical halo, 3 days…
Airway Management in a Patient with Angioedema
CASE PRESENTATION Print Section Listen This 25-year-old African American female presents to the emergency department (ED) 2 hours after the onset of lip swelling that has progressed to difficulty in…
Management of Extubation of a Patient Following a Prolonged Period of Mechanical Ventilation
CASE PRESENTATION Print Section Listen A 60-year-old male with chronic obstructive lung disease, limited exercise tolerance, and new onset pneumonia required tracheal intubation because of hypoxemic respiratory failure. Optimal positioning…
