European journal of anaesthesiology
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To investigate the effects of intra-aortic balloon pump therapy on parameters of global and regional oxygenation in patients undergoing cardiac surgery. ⋯ Intra-aortic balloon pump therapy improved global and regional splanchnic oxygenation in cardiac surgery patients with low-cardiac-output syndrome. Gastro-intestinal tonometry could provide additional information concerning tissue oxygenation. Patients with later intra-aortic balloon pump insertion needed more catecholamine therapy to achieve similar haemodynamic values.
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This was a prospective audit to assess the incidence and characteristics of early postoperative complications in the recovery room in extubated patients after elective neurosurgical procedures using propofol and remifentanil-based total intravenous anaesthesia. ⋯ Despite the potential advantages of total intravenous anaesthesia in titratability, rapid return of consciousness and reduced respiratory complications, making it suitable for planned extubation at the end of neurosurgery, the postoperative complications of shivering, postoperative nausea and vomiting and hypertension were still high.
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Randomized Controlled Trial Comparative Study
Comparison of haemodynamic responses to orotracheal intubation with GlideScope videolaryngoscope and fibreoptic bronchoscope.
The GlideScope videolaryngoscope is a newly developed laryngoscope for tracheal intubation recently introduced into clinical anaesthesia. In this randomised clinical study, we compared the haemodynamic responses to orotracheal intubation using a GlideScope videolaryngoscope and a fibreoptic bronchoscope. ⋯ The orotracheal intubations using a fibreoptic bronchoscope and a GlideScope videolaryngoscope produce similar haemodynamic responses.
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The GlideScope is a new video laryngoscope. The aim of our study was to assess its use compared to a Macintosh blade in airway scenarios on the Airman airway simulator. The scenarios were: 'normal' or resting state of the manikin, pharyngeal obstruction, cervical rigidity and tongue oedema. ⋯ The GlideScope improved the view in one of three difficult airway situations when used by anaesthetists with no formal training in its use. No single airway device offers a solution to all scenarios, however, we consider that the GlideScope is a useful addition to the range of difficult airway devices available.