Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To describe the clinical use of a new videolaryngoscope in a patient who had repeatedly been difficult or impossible to intubate by conventional direct laryngoscopy. This device provided excellent glottic visualization and permitted easy endotracheal intubation. ⋯ This new videolaryngoscope provided excellent laryngeal exposure in a patient whom multiple experienced anesthesiologists had repeatedly found to be difficult or impossible to intubate using direct laryngoscopy. The clinical role of this device awaits confirmation in a large series of difficult airways.
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Case Reports
Reduced duration of muscle relaxation with rocuronium in a normocalcemic hyperparathyroid patient.
To report a case of reduced duration of action of rocuronium in a patient with normocalcemic hyperparathyroidism (HPT). ⋯ Primary HPT even in the absence of hypercalcemia may result in resistance to competitive blockade by rocuronium. It suggests that primary HPT may cause acetylcholine receptor up-regulation resulting in hyposensitivity to non-depolarizing muscle relaxants.
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Randomized Controlled Trial Comparative Study Clinical Trial
Intrathecal morphine provides better postoperative analgesia than psoas compartment block after primary hip arthroplasty.
Intrathecal morphine and psoas compartment block represent two accepted techniques to provide postoperative analgesia after hip arthroplasty. We designed a prospective, randomized, single-blinded study to compare these two techniques. ⋯ 0.1 mg intrathecal morphine administration provides better postoperative analgesia than single-shot psoas compartment block after primary hip arthroplasty.
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Randomized Controlled Trial Clinical Trial
Propofol or sevoflurane anesthesia without muscle relaxants allow the early extubation of myasthenic patients.
To compare two non-muscle relaxant anesthetic techniques in myasthenic patients undergoing trans-sternal thymectomy, evaluating the intra- and postoperative conditions including the early extubation in the operating room. ⋯ Our data show that these two anesthetic techniques allow the early extubation of myasthenic patients in the operating room.
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Case Reports
Anesthetic management of a ventilator-dependent parturient with the King-Denborough syndrome.
The King-Denborough syndrome (KDS) is a rare disorder that is associated with myopathy, susceptibility to malignant hyperthermia (MH) as well as congenital skeletal and facial anomalies. We report the anesthetic management of a parturient with KDS. ⋯ The use of epidural analgesia, close monitoring and collaboration between the various disciplines were important in achieving a safe and uneventful labour in this high-risk parturient.