Critical illness and multi‐organ failure following topical application of skin‐lightening preparation

Rudge, J. E.; Raithatha, Meera

doi:10.1002/anr3.12014

Cited by 2 publications

(1 citation statement)

References 11 publications

(13 reference statements)

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“…Rudge et al. discuss a case of multi‐organ failure secondary to an over‐the‐counter topical skin‐lightening salicylate‐containing preparation . This reminds us of the importance of taking a thorough drug history, including over‐the‐counter medications.…”

Section: Critical Incidentsmentioning

confidence: 99%

Reports in anaesthesia come of age!

Dalay

Guris

Shelton³

et al. 2019

Anaesthesia Reports

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In March 2019, Anaesthesia Reports, known previously as Anaesthesia Cases, launched with the publication of five new case reports. As a new online-only journal, we have implemented a continuous publication model where new reports appear online shortly following acceptance and are included in an issue. This allows rapid publication as soon as an article has been peer reviewed, revised, accepted, edited and typeset. We publish two issues each year, and our first issue includes 17 excellent new reports. Each report serves some novelty, educational value or interest to our readership. In this editorial we highlight the key clinical learning points from the first issue of the new Anaesthesia Reports format, which is the seventh issue since the inception of Anaesthesia Cases. Airway managementAwake nasal intubation with a flexible bronchoscope remains a safe procedure with a high success rate [1]. However, nasal tracheal tubes may not be the best option for mechanical ventilation in critical care and there may be several indications for a tracheal tube exchange procedure. Saunders et al. are the first to describe a novel approach to videolaryngoscope-assisted flexible intubation tracheal tube exchange, which, using a combination of several simple techniques, ensures the airway remains secure and visible throughout [2]. They provide an excellent recipe to navigate this challenging scenario which will be of use to all clinicians. Apnoeic oxygenation was first described in 1667, but only now are we beginning to understand its underlying physiology and clinical applications [3]. This has probably increased our familiarity with high-flow nasal oxygen, which is increasingly used for self-ventilating patients in several settings. Sodha and Fernandez are the first to describe its use in combination with deep intravenous sedation for a patient with obstructive sleep apnoea requiring surgery in the prone position [4]. As well as sparking significant debate among our readership, some commented that they have seen similar techniques used in past [5] which emphasises that case reports are worth writing. If your case is novel, educational and interesting, we will consider publishing it.Milne et al. provide a detailed description of their decision-making, as well as the relevant evidence, for how best to secure the airway of a patient with a laryngeal fracture and worsening laryngeal oedema following blunt neck trauma [6]. The associated discussion highlights how the principles of advanced airway management, such as awake tracheal intubation (ATI), are best taught and discussed when dissociated from general anaesthesia. Finally, the debate about the best technique for ATI continues, and the new Difficult Airway Society ATI guidelines are eagerly anticipated [7,8].

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Section: Critical Incidentsmentioning

confidence: 99%