A patient has been nasally intubated and mechanical ventilated. She presented with persisting fever and increased levels of inflammatory markers. We were looking for infection focus, and CT was performed. Ultrasonography of the maxillary sinus was performed:
A patient visited the emergency department because of two syncopes on that day. During the examination, he became unconsciousness because of ventricular fibrillation. After short resuscitation with ROSC after 10 minutes, he was transferred to ICU. Patient´s history is remarkable of Parkinson disease, chronic lower limb ischemia, liver cirrhosis, alcohol addiction, smoking and chronic heart …
A patient on day 3 after CPR for asystole, persisting coma, spontaneous breathing is preserved, pupils are miotic. EEG shows an almost flat line. Ultrasonographic measurement of optic nerve sheath diameter (ONSD) as a screening tool in detection of elevated intracranial pressure:
A patient underwent hemi-duodenopancreatectomy (Whipple OP) due to pancreatic carcinoma 4 weeks ago. After a complicated postoperative period, the patient has had a fistula after drainage of retention in the region of the pancreatic head. Now, the patient presents with a new onset of fever, Candida was found in both central venous catheter and fistula …
A 47-year-old woman underwent surgery of the cervical spine in the prone position. The patient was stable after the end of anaesthesia, ventilated spontaneously and complained of intense pain in the region of surgery. General anaesthesia was performed in a standard manner, and there were no unexpected abnormalities. Cormack-Lehane score by direct laryngoscopy was of …
This case links up to the case 29. Patient after CPR, Part I. We continued to administer heparin. Slightly elevated troponin T (46 ng/ml) and significant elevation of D-dimers (7000 ng/l), low inflammatory markers and severe lactate acidosis were observed. The patient suffers from repetitive generalised clonic seizures; pupils are mydriatic without reaction to …
