A cautionary tale of an emergency cerebrovascular procedure in the COVID-19 era.

Autor: Abdou H; Department of Surgery, University of Maryland Medical Center, Baltimore, Md., Tolaymat B; Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Md., Jinwala F; Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Md., Nagarsheth KH; Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Jazyk: angličtina
Zdroj: Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2020 Dec; Vol. 6 (4), pp. 603-605. Date of Electronic Publication: 2020 Sep 02.
DOI: 10.1016/j.jvscit.2020.08.023
Abstrakt: The coronavirus disease 2019 pandemic has had an impact on system processes, with airway management being significantly affected. A 37-year-old woman diagnosed with stroke was found to have a filling defect at the origin of the right internal carotid artery. She was taken to the operating room urgently for carotid endarterectomy. The procedure was uneventful; however, anaphylaxis developed on extubation, subsequently attributed to sugammadex. Institutional policies and limited resources resulted in delayed reintubation. Fortunately, she did not have lasting deficits, but this highlights the potential of current policies to lead to complications and the need to improve policies to minimize harm.
(© 2020 The Author(s).)
Databáze: MEDLINE