Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Case Reports
Anesthesia for Cesarean section and posterior fossa craniotomy in a patient with von Hippel-Lindau disease.
To describe the care of a pregnant woman with von Hippel-Lindau disease (VHLD) and intracranial mass lesions. ⋯ Patients with VHLD may have worsening of preexisting lesions or develop other lesions during pregnancy. Some asymptomatic lesions can increase the risk for anesthesia complications. These patients need comprehensive assessment before administration of anesthesia.
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The aim of this study was to assess the incidence and causes of cardiac arrests related to anesthesia. ⋯ Efforts must be directed towards improving preoperative patient evaluation. Anesthetic induction doses should be titrated in all ASA 3 and 4 patients. The prediction of difficult tracheal intubation, and if required, the use of awake tracheal intubation techniques, should remain a priority when performing general anesthesia.
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Case Reports
Transesophageal echocardiography diagnosis of tricuspid obstruction by a vena cava tumour.
To present the anesthetic management for excision of a primary tumour of the inferior vena cava. ⋯ Tricuspid obstruction due to postoperative mobilization of a primary tumour of the inferior vena cava was diagnosed by transesophageal echocardiography. Perioperative management particularities of the primary tumour of the vena cava are discussed.
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Randomized Controlled Trial Clinical Trial
Neostigmine antagonism of rocuronium block during anesthesia with sevoflurane, isoflurane or propofol.
To examine the influence of continuing administration of sevoflurane or isoflurane during reversal of rocuronium induced neuromuscular block with neostigmine. ⋯ The continued administration of sevoflurane, and to a smaller extent isoflurane, results in delay in attaining adequate antagonism of rocuronium induced neuromuscular block.