Abstract Clinical case A 69–year–old man with right shoulder discomfort, malaise for one hour and hemodynamic instability was admitted to our Emergency Department (ED). The patient had a history of arterial hypertension, diabetes, renal failure on peritoneal dialysis ischemic cardiomyopathy preserved ejection fraction treated by angioplasty stent implantation coronary. At first medical contact ...

The use of phenylephrine has been well described as a potential cause of morbidity and mortality. A thorough literature review of phenylephrine use is presented in this article. The use of ketamine and epinephrine with phenylephrine can precipitate an even more potentially lethal and catastrophic syndrome. We present the case of a 21-year-old man with Hodgkin's lymphoma and lupus who experience...

arthritis. Preoperative examination revealed an excess of submandibular soft tissue, Mallampati grade 3 mouth opening and a thyromental distance of 6 cm. She was adamant in wanting general anaesthesia for the procedure, but given her risk of oesophageal reflux, this would have mandated intubation, and difficult airway equipment (specifically fibre-optic bronchoscopy) was not available at the In...

We report a case of acute pulmonary embolism with hemodynamic instability diagnosed by a computed tomography pulmonary angiogram. The patient developed pulseless electrical activity during systemic thrombolytic therapy with recombinant tissue plasminogen activator. Successful return of spontaneous circulation was achieved after immediate cardiopulmonary resuscitation with chest compressions for...

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