Designing safe procedural sedation: adopting a resilient culture

Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report

This case report highlights the challenges of managing laryngospasm during emergency surgery for a ruptured ectopic pregnancy. Laryngospasm, a serious complication of anesthesia, causes involuntary laryngeal muscle contractions that obstruct the airway and can lead to hypoxemia, unconsciousness, or death if untreated. A 39-year-old obese woman presented with acute abdominal pain and symptoms of a ruptured ectopic pregnancy. During anesthesia induction, she experienced laryngospasm, complicating intubation and requiring the use of a laryngeal mask airway. Treatment with subcutaneous epinephrine, nebulized morphine, and aminophylline successfully restored her airway, allowing the surgery to proceed without further complications. This case emphasizes the importance of being prepared to manage laryngospasm, particularly in high-risk patients with factors like obesity, emotional stress, or a history of asthma. It highlights the need for anesthesiologists to remain vigilant and respond swiftly to early signs of airway obstruction. The report underscores the value of teamwork and timely intervention in managing emergencies to ensure patient safety and prevent life-threatening outcomes.

Non-surgical nursing care for tumor patients: an overview of sedation, analgesia, and recent innovations

With the increasing prevalence of tumors, effective symptom management has emerged as a cornerstone of patient care. While surgical interventions remain pivotal, non-surgical nursing methods have gained prominence in providing relief from pain, discomfort, and other tumor-related symptoms. This review delves into the various non-surgical approaches employed, emphasizing tumor sedation and analgesia. We discuss the array of non-pharmacological and pharmacological strategies, shedding light on their indications, contraindications, and potential side effects. Furthermore, the importance of addressing individual differences in pain perception and the ethical considerations in symptom management are highlighted. We conclude by providing insights into the recent innovations in the field, emphasizing the need for personalized and comprehensive care to enhance patients' quality of life. Tumor sedation, Tumor analgesia, Non-surgical nursing care, Pain management, Non-pharmacological interventions, Palliative care, Recent innovations, Symptom management.