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    A cautionary tale of an emergency cerebrovascular procedure in the COVID-19 era

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    Author
    Abdou, Hossam
    Tolaymat, Besher
    Jinwala, Felecia
    Nagarsheth, Khanjan H.
    Date
    2020-12-01
    Journal
    Journal of Vascular Surgery Cases and Innovative Techniques
    Publisher
    Society for Vascular Surgery
    Type
    Article
    
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    See at
    https://doi.org/10.1016/j.jvscit.2020.08.023
    Abstract
    The coronavirus disease 2019 pandemic has had an impact on system processes, with airway management being significantly affected. A 37-year-old woman diagnosed with stroke was found to have a filling defect at the origin of the right internal carotid artery. She was taken to the operating room urgently for carotid endarterectomy. The procedure was uneventful; however, anaphylaxis developed on extubation, subsequently attributed to sugammadex. Institutional policies and limited resources resulted in delayed reintubation. Fortunately, she did not have lasting deficits, but this highlights the potential of current policies to lead to complications and the need to improve policies to minimize harm. © 2020 The Author(s)
    Keyword
    Cerebrovascular surgery
    COVID-19
    Emergency vascular surgery
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/14043
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jvscit.2020.08.023
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    UMB Coronavirus Publications
    UMB Open Access Articles 2020

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