Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To review multiple organ dysfunction syndrome with respect to: 1) clinical measurement systems; 2) molecular mechanisms; and 3) therapeutic directions based upon molecular mechanisms. ⋯ Multiple organ dysfunction may serve as useful measure of disease severity for risk adjustment and outcome marker for quality of care and therapy provided. Anesthesiologists treating shock patients will note the subsequent development of MODS in the critical care unit and may be required to provide anesthetic support to these patients.
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Comparative Study Clinical Trial
Production of compound A under low-flow anesthesia is affected by type of anesthetic machine.
The purpose was to compare the concentrations of compound A in inspired gas breathed by patients produced by different types of anesthetic machines under prolonged sevoflurane low-flow anesthesia. ⋯ In spite of the use of a conventional carbon dioxide (CO2) absorbent with strong bases, the anesthetic machine AS/3 with a small volume of canister/soda lime (900 ml/700 ml) produced lower concentrations of compound A than those produced by the other machines.
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This report describes a technique of ventilation prior to laryngoscopy and intubation that proved to be simple, inexpensive and effective for a patient whose airway evaluation suggested difficult mask ventilation. The technique is called Poor Man's LMA. ⋯ The patient's clinical features made conventional mask bag ventilation difficult and inadequate. The Poor Man's LMA technique improved oxygenation and ventilation in preparation for intubation. Further investigations on the usefulness of this technique are warranted.
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To describe the anesthetic management of Cesarean section in a patient with syringomyelia. ⋯ We report the safe use of general anesthesia for Cesarean section in a patient with syringomyelia. Precautions were taken to avoid increases in intracranial pressure and our patient experienced no untoward neurologic event.