Canadian journal of anaesthesia = Journal canadien d'anesthésie
-
To report three patients who developed heparin resistance during cardiac surgery which was successfully managed with 1000 U Antithrombin III (AT III). ⋯ We recommend that AT III supplementation should be considered to manage heparin resistance prior or during CPB in patients undergoing open heart surgery.
-
Case Reports
General anesthesia with remifentanil for Cesarean section in a parturient with an acoustic neuroma.
To describe the anesthetic management of a parturient with a large acoustic neuroma undergoing general anesthesia with remifentanil for Cesarean section. ⋯ Remifentanil was effective in producing stable hemodynamic conditions, without severe neonatal respiratory depression, during induction and maintenance of general anesthesia for a Cesarean delivery in a parturient with a large intracranial tumour.
-
To quantify the influence of hematocrit on cerebral blood flow velocity (CBFV) in healthy volunteers undergoing acute isovolemic hemodilution (HD) with hydroxyethyl starch 10% (HES) and subsequent autologous whole blood retransfusion (RT). ⋯ Transcranial Doppler changes in blood flow velocities correlated with the simultaneously recorded systemic Hc and CaO2 values. We found a 2% increase in CBFV for each 1% decrease in Hc and CaO2.
-
Case Reports
Factitious halothane detection during trigger-free anesthesia in a malignant hyperthermia susceptible patient.
To discuss the problems encountered when halothane was detected in a presumed 'clean' patient circuit during the 'trigger-free' anesthetic management of a known Malignant Hyperthermia Susceptible (MHS) patient for routine orthopedic surgery. ⋯ By exclusion the problem was presumed to be a factitious reading resulting from the respiratory gas analyser incorrectly identifying patient-expired methane as halothane.
-
To assess the knowledge base of Canadian anesthesiologists regarding the management of perioperative cardiac arrest. ⋯ This survey demonstrates a knowledge deficit concerning special perioperative resuscitation situations. Development of further appropriate research and educational material in this area is justified.