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Case 30: Cerebrovascular Accident

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Complications and Mishaps in Anesthesia

Abstract

It was a quarter to 7 in the evening, and anesthesiologist-in-charge Dr. Eldridge yawned with relief. Finally his day was beginning to relax a little. Most surgeries of the day were finished, so the late shift was looking at getting out of the hospital right on time at 8 p.m. Then the telephone rang. A neuroradiologist colleague, Dr. Dado, needed help with a patient who was already on his exam table in radiology. “The patient presented with a hemiparesis. Our suspected diagnosis is severe stenosis of the carotid artery.” He went on: “We want to dilate the stenosis and insert a stent. The patient was neurologically normal, but then she suddenly stopped responding to verbal commands, and now she is becoming more and more agitated. We already tried to sedate her, which only caused a decrease in her oxygen saturation. Now we could really use your help!”

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Correspondence to Matthias Hübler MD, DESA .

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Hübler, A., Hänsel, M., Domino, K.B., Hübler, M. (2014). Case 30: Cerebrovascular Accident. In: Hübler, M., Koch, T., Domino, K. (eds) Complications and Mishaps in Anesthesia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45407-3_30

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  • DOI: https://doi.org/10.1007/978-3-642-45407-3_30

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