Anaesthesia and intensive care
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Anaesth Intensive Care · Apr 1995
Comment Letter Case ReportsA non-muscle-relaxant technique for video-assisted thoracoscopic thymectomy in myasthenia gravis.
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Anaesth Intensive Care · Apr 1995
Randomized Controlled Trial Clinical TrialModulating effects of lignocaine on propofol.
Pain is a well known complication of propofol injection. Premixing with lignocaine 0.1 mg.kg-1 and injection into a large forearm vein has been recommended. The amount of lignocaine to be added is often empirical when the vein on the dorsum of the hand is used. ⋯ Our study shows that a propofol emulsion containing 0.05% lignocaine is effective in reducing the incidence of propofol injection pain. The addition of lignocaine also reduces the incidence of excitatory effects. Increasing the dosage of lignocaine above 0.05% does not improve the results.
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Anaesth Intensive Care · Apr 1995
Bronchoscopic insufflation of room air for the treatment of lobar atelectasis in mechanically ventilated patients.
Segmental and lobar pulmonary atelectasis is a common occurrence in mechanically ventilated patients. Standard therapy for atelectasis relies on positive pressure ventilation, positive and expiratory pressure (PEEP), tracheobronchial toilet and regular chest physiotherapy. ⋯ Bronchoscopic clearance of secretions followed by insufflation of room air at 30 cm H2O into the atelectatic segment was employed on ten occasions in mechanically ventilated patients. Rapid re-expansion of the collapsed segment or lobe occurred in seven out of the ten treatments.