Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2005
[Efficiency of secondary posterior trunk single stimulation, low volume infraclavicular plexus block for upper limb surgery].
To assess the efficiency of a posterior secondary trunk single stimulation, low volume (30 ml 1.5% mepivacaine) infraclavicular brachial plexus block (ICB) technique. ⋯ 30 ml mepivacaine 1.5% ICB is suitable for upper limb surgery.
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Ann Fr Anesth Reanim · Oct 2005
[Clinical evaluation of the single use Laryngeal Tube in adults: the LTD].
The Laryngeal Tube (LT) is a supra-laryngeal device indicated to manage upper airway during anaesthesia. Leak pressures were lately reported higher for the LT as compared to the LMA. A recent study found a small amount of proteinaceous material on LMA after classical sterilization suggesting a risk of contamination by unconventional transmissible agents (prions). The aim of this study was to evaluate the effectiveness of the single use Laryngeal Tube: the LTD. ⋯ the use of the LTD was easy and successful. Moreover the LTD totally excluded the risk of contamination by unconventional transmissible agents.
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Despite the availability of modern neuromuscular blocking agents with short or intermediate duration of action, incidence of residual neuromuscular blockade remains very high. Evidences have been recently provided that residual curarization must be defined as a train-of-four ratio below 0.9 at the thumb adductor during the recovery period after anaesthesia. Residual curarization may be associated with serious adverse events related to respiratory depression, pharyngeal dysfunction, hypoxemia and prolongation of the length of stay in the recovery room. Appropriate choice of drugs, perioperative monitoring of neuromuscular function and large indications of pharmacological reversal may reduce the incidence of residual curarization and improve the patient's safety in the postoperative setting.