Canadian journal of anaesthesia = Journal canadien d'anesthésie
-
Randomized Controlled Trial Clinical Trial
Low dose axillary block by targeted injections of the terminal nerves.
To compare anesthetic time, success rate and adverse effects of axillary block by single or multiple injections of local anesthetic. ⋯ Small targeted injections of MEPE reduce total anesthetic time, give better spread of analgesia in the hand and forearm, and may be safer than a single large injection.
-
To evaluate the experience of the operator and the time of epidural anesthesia as factors contributing to unintentional dural puncture (UDP). ⋯ Operator experience and hour of procedure appear to be two important risk factors of UDP The increased risk of UDP in night-work could result from human factors such as fatigue, sleep deprivation or interruption.
-
Randomized Controlled Trial Clinical Trial
Covering the head and face maintains intraoperative core temperature.
To determine the effect of covering the patient's head and face on the prevention of intraoperative hypothermia (<35.5 degrees C). ⋯ Covering the patient's head and face maintains intraoperative core temperature.
-
The anesthetic management of a parturient with Strumpell's disease (hereditary or familial spastic paraparesis) who presented for Cesarean section is described. This neurological disorder is briefly reviewed and anesthetic implications of the condition are discussed. ⋯ Strumpell's disease is an inherited progressive spastic paresis predominantly affecting the lower extremities. Epidural anesthesia appears to be an appropriate technique when administering anesthesia for Cesarean section under similar circumstances.
-
To describe a novel technique of tracheal intubation and ventilation in an adult patient with a large tracheoesophageal fistula at the level of the carina. ⋯ Double endobronchial intubation is described to manage anesthesia in an adult patient with a tracheoesophageal fistula at the level of the carina.