“The patient, who had previously been alert and oriented, was now complaining of tinnitus, dizziness, blurred vision, and then began to speak incoherently.”
Patient: middle-aged female
Presenting diagnosis: carpel tunnel syndrome
Planned procedure: carpel tunnel release
Past medical history: dyslipidemia, exercise-induced asthma
Anesthetic plan: intravenous regional anesthesia
A middle-aged female of normal weight presented for right carpal tunnel release. Her home medications included atorvastatin and albuterol, prn. She had no known drug or food allergies. Her previous surgeries included a tonsillectomy as a child and a left knee arthroscopy four years prior, both occurring under general anesthesia and without anesthetic complications. Intravenous regional anesthesia (IVRA) was planned for her carpal tunnel release.