A & A Case Reports

Char, Steven; Gajewski, Michal

doi: 10.1213/xaa.0000000000001554pmid: 34937044

Obstructive sleep apnea (OSA) is a common condition, particularly in obese men and in those with an increased neck circumference. Management with a continuous positive airway pressure (CPAP) machine has been the mainstay of treatment over many years; although, it is not acceptable to all. Recently, innovative medical devices, such as hypoglossal nerve stimulators, have emerged and are now being increasingly utilized. We present a case report of a patient undergoing rotator cuff repair on the same side as the implanted device and our recommendations on the anesthetic management.

VanDyck, Kofi; Dunn, Ian F.; Yates, Cooper; Robbs, Christopher; Tanaka, Kenichi A.

doi: 10.1213/xaa.0000000000001550pmid: 34929710

Hereditary deficiency of antithrombin (AT) is associated with increased risk of venous thromboembolism (VTE), especially under the circumstances of stress, vascular injury, and immobilization associated with surgery. To date, there is no consensus on the use of perioperative anticoagulant bridging in the setting of hereditary thrombophilia. Balancing hemorrhagic and thrombotic risks associated with anticoagulant bridging and AT deficiency can be challenging to perioperative physicians. We present a case of a 65-year-old woman with inherited AT deficiency with history of multiple VTEs who was admitted for presurgical anticoagulant bridging before microvascular decompression craniotomy for trigeminal neuralgia.

Zeng, Yu Hao; Calderone, Alexander; Beaubien-Souligny, William; Aldred, Matthew P.; Couture, Etienne J.; Hammoud, Ali; Potes, Cristhian; Lamarche, Yoan; Denault, André Y.

doi: 10.1213/xaa.0000000000001532pmid: 34928867

Supplemental Digital Content is available in the text.

Mock, Sean; Jabaut, Joshua; Barra, David; Angelo, Tiffany; Benjamin, John

doi: 10.1213/xaa.0000000000001541pmid: 34890372

Native American Myopathy (NAM) is an inherited, malignant hyperthermia-susceptible myopathy associated with abnormal craniofacial development and neuromuscular scoliosis. There is scant NAM anesthetic literature and, to our knowledge, no existing publications describing the anesthetic management of a NAM parturient. The constellation of symptoms of NAM in the parturient presents a number of challenges to the obstetric anesthesiologist, including difficult airway associated with craniofacial abnormalities and pregnancy, malignant hyperthermia susceptibility, and possible difficult neuraxial block. In this report, we present the anesthetic management of a parturient with NAM and previous extensive posterior spinal fusion undergoing cesarean delivery under general anesthesia.

Poorsattar, Sophia P.; Lin, Michael Y.

doi: 10.1213/xaa.0000000000001534pmid: 34898512

Supplemental Digital Content is available in the text.

Govea, Nicolas; Khatib, Diana; Rong, Lisa Q.

doi: 10.1213/xaa.0000000000001528pmid: 34914640

Supplemental Digital Content is available in the text.

Suzuki, Yasuyuki; Kadoya, Fumito; Nishikawa, Tomoaki; Saeki, Hideyuki; Takubo, Kenji; Nishida, Katsuko

doi: 10.1213/xaa.0000000000001549pmid: 34936578

Supplemental Digital Content is available in the text.