This case illustrates that even awake fiberoptic intubation has its failure rate, due to inability to visualize the larynx, inability to advance the tube over the fiberscope (as in the present case), or inability to direct the tube towards the larynx. Due to the extreme deviation of the larynx other established techniques for difficult intubation were not deemed appropriate in this case. Therefore, weighing the risks and benefits, a decision was made to perform a tracheotomy under local anaesthesia.
The case of a 9-year-old-boy with a left frontal hydatid cyst is reported. The infection was transmitted by a dog, the final host and a companion of the child. Recovery without complications was accomplished after puncturing, systemic antihelminthic therapy using mebendazole and, finally, total removal of the cyst.
tentials (BAEP) and transcranial Doppler ultrasound (TCD). No cerebrospinal fluid (CSF) exchange was This case report describes the clinical course of a performed, but CSF was drained continuously with patient who inadvertently received a massive indaily CSF-cefazoline level monitoring. Despite the extrathecal cefazoline overdose through a lumbar drain, tremely toxic dose, the patient soon recovered comwhich had been placed after trans-sphenoidal surgery pletely. for a pituitary adenoma. She received high-dose barbiturate therapy and was monitored with elec-Keywords: cephalosporine, intrathecal administration, troencephalography (EEG), somatosensory evoked potentials (SSEP), brainstem auditory evoked po-overdose, neurotoxicity. drug therapy included sedation (midazolam) and anal-
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