Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists
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Acta Anaesthesiol Taiwan · Dec 2010
Randomized Controlled Trial Comparative StudySignificant hypercapnia either in CO(2)-insufflated or air-insufflated colonoscopy under deep sedation.
previous reports showed that CO(2)-insufflated colonoscopy is safe and less discomfortable. However, hypercapnia remains a vital concernment if deep sedation is necessary for difficult colonoscopy with prolonged CO(2) insufflation. This observational study is to measure bodily CO(2) subjected to colonoscopy facilitated by CO(2)- and air- or air-insufflation in conscious-sedation, deep-sedation and awake patients. ⋯ the TcCO(2) during colonoscopy was correlated to the data before inserting colonoscope but significantly different within awake, conscious-sedation and deep-sedation groups. TcCO(2) did not change significantly either with CO(2) insufflation or air insufflations in awake and conscious-sedation groups. However, in deep-sedation groups with significantly higher baseline TcCO(2), further increase of TcCO(2) were significant without interaction with CO(2) insufflation. We concluded that when patients need deep sedation for colonoscopic procedures facilitated by gas insufflation, hypercapnia is still considerably present, not only with CO(2) insufflation but also with air insufflation colonoscopy.
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Acta Anaesthesiol Taiwan · Dec 2010
Randomized Controlled Trial Comparative StudyComparison of the efficacy of parecoxib versus ketorolac combined with morphine on patient-controlled analgesia for post-cesarean delivery pain management.
we compared the clinical efficacy and safety between a new injectable cyclooxygenase-2 selective inhibitor, parecoxib, and an old nonselective, ketorolac combined with morphine in patient-controlled analgesia (PCA) for management of post-cesarean delivery pain. ⋯ we noted that parecoxib with PCA morphine can be used for post-cesarean delivery analgesia with the same efficacy as ketorolac for an opioid-sparing effect.
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Acta Anaesthesiol Taiwan · Dec 2010
Case ReportsIntraoperative wake-up test in a deaf-mute adolescent undergoing scoliosis surgery.
We present our experience in intraoperative wake-up test in a deaf-mute feminine teenager who underwent spine surgery for correction of lordoscoliosis. Inadequate comprehension of the preoperative instructions, together with higher threshold of arousal in deaf-mutism may possibly contribute to lingering of the test. The report implicated direct, painful stimulation of the tested limbs, rather than indirect cues, such as flap on the dorsum of hands would be required for performance of wake-up test in the deaf-mute patients.
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Acta Anaesthesiol Taiwan · Dec 2010
The relationship between night time snoring and cormack and lehane grading.
airway management is one of the greatest concerns of anesthesiologists and difficult intubation, well known as the anesthesiologist's nightmare, is an event not easy to predict before induction of anesthesia. The aim of this study was to assess the relationship between history of snoring and the Cormack and Lehane grading score. ⋯ the findings of this study demonstrated a relationship between the presence of snoring and increased number of Cormack & Lehane grading score.
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The PBLADE which is a component used with Pentax-Airway Scope (AWS) has only one size that is essentially for use in adults. It cannot be used in children and neonates. We have made a new device to fit the Pentax-AWS for use in children and neonates. This new device will provide a good indirect visualization for intubation in pediatric patients.