Turkish journal of anaesthesiology and reanimation
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Turk J Anaesthesiol Reanim · Jun 2018
Case ReportsUnilateral Hypoglossal Nerve Palsy After Septoplasty Under General Anaesthesia.
Hypoglossal nerve palsy (HNP) is a rare perioperative complication. Causes of this condition are mostly attributed to oropharyngeal manipulation during airway management, suggesting injuries involving the peripheral part of the nerve. Owing to the concomitant pathways of the nerves, the hypoglossal nerve might be injured together with the recurrent laryngeal (Tapia's syndrome) or lingual nerves. The present report described a case of isolated HNP as a rare perioperative complication.
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Turk J Anaesthesiol Reanim · Jun 2018
Airway Dimensions in Children with Neurological Disabilities During Dexmedetomidine and Propofol Sedation for Magnetic Resonance Imaging Study.
Children with neurological disabilities are at an increased risk of airway complications during anaesthesia for magnetic resonance imaging (MRI) with spontaneous respiration. The primary objective of this study was to evaluate airway dimensions during propofol and dexmedetomidine sedation for MRI in children with neurological disabilities. The secondary objective was to examine the adverse respiratory and sedation-related events. ⋯ Airway dimensions were similar during dexmedetomidine and propofol sedation, except for the transverse diameters at soft palate, and for cross-sectional area difference at the base of tongue in spontaneously breathing children with neurological disabilities. Airway complications were less frequent and the quality of sedation was better with dexmedetomidine.
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Turk J Anaesthesiol Reanim · Jun 2018
Comparative Study of the Efficacy of Dexmedetomidine and Fentanyl as Adjuvants to Ropivacaine in Ultrasound-Guided Supraclavicular Brachial Plexus Block.
Supraclavicular brachial plexus block is preferable to general anaesthesia in upper limb surgeries. Various adjuvants have been added to improve the quality of the block and prolong postoperative analgesia. The aim of the present study was to compare the onset and duration of sensory and motor blockade with the quality of perioperative analgesia and postoperative complications provided by dexmedetomidine and fentanyl as adjuvants to ropivacaine under ultrasound (USG) guidance in supraclavicular block. ⋯ Dexmedetomidine prolongs the duration of sensory and motor block and postoperative analgesia as compared to fentanyl when used as an adjuvant to ropivacaine in supraclavicular brachial plexus block and is not associated with any major adverse events.