Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Comparative Study
Parker Flex-Tip are not superior to polyvinylchloride tracheal tubes for awake fibreoptic intubations.
Difficulty can be encountered during advancement of the tracheal tube (TT) over the bronchoscope after successful endotracheal bronchoscopy due to impingement on laryngeal structures. A new TT, the Parker Flex-Tip (PFT), has been shown to be superior to polyvinylchloride (PVC) TTs in anesthetized, paralyzed patients with normal airways. However, no study to date has shown the superiority of the new tapered tip design in patients with difficult airways during awake fibreoptic intubations (AFOI). The purpose of this study was to compare the PFT with PVC TTs for AFOI in patients with difficult airways or unstable c-spines. ⋯ For AFOI in patients with difficult airways, the PFT is not superior to conventional PVC TTs.
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To report the beneficial effect of prophylactic methylene blue administration before induction of anesthesia in a patient with congenital methemoglobinemia. ⋯ The prophylactic preoperative methylene blue administration in a patient with congenital methemoglobinemia significantly decreased the methemoglobin level and increased the fractional oxygen saturation with a consequent increase of the safety margin against perioperative hypoxemia.
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To propose a strategy for the management of patients admitted to critical care units after resuscitation from cardiac arrest. ⋯ The proposed management strategy represents an approach to manage patients in the ICU following resuscitation from cardiac arrest. Most of the recommendations are based on low grade evidence. Additional research is needed to improve the evidence base. A standard post-arrest management strategy could help facilitate future research.
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Members of the CAS and subscribers to the CJA are first invited to read the introduction that follows and the articles cited in the bibliography to prepare for the Self-Assessment Program. The reader should then go to the Journal's website (www.cja-jca.org) for the Problem Based Learning session. Completion of the Self-Assessment Program will entitle subscribers to claim ten hours of Continuing Professional Development (CPD) under section 3 of CPD options, for a total of 20 Maintenance of Certification credits (note that section 3 hours are not limited to a maximum number of credits per five-year period). There is no requirement to succeed: the goal of participating is to define potential areas for improvement.
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In order to review changes and progress in anesthesiology in the second half of the 20th century, and to recognize the first half-century of the Journal's existence. ⋯ Although profound advances in knowledge, techniques, and relationships, have shaped the pattern and practice of anesthesiology in this half-century, the basic concerns of anesthesiologists relating to the practice of anesthesia and to their patients remained unchanged. At the same time, the many advances that have shaped anesthesiology in this half-century have extended the understanding of the phenomenon of anesthesia and enhanced the quality of patient care, which gives rise to the hope that anesthesiologists will continue to fully achieve these twin goals in the next half-century.