Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Multicenter Study
Transfusion rates vary significantly amongst Canadian medical centres.
To document variation of transfusion practice following repair of hip fracture or cardiac surgery, as well as those requiring intensive care following a surgical intervention or multiple trauma (high risk patients). ⋯ We noted significant differences in the rates of red cell transfusion and nadir hemoglobin concentrations in various surgical and critical care settings.
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Case Reports
Use of the Aintree intubation catheter in a patient with an unexpected difficult airway.
To present a case where the Aintree intubation catheter (AIC) was used in conjunction with the Laryngeal Mask Airway (LMA) and a fibreoptic bronchoscope (FOB) in a patient with an unexpected difficult airway. ⋯ In this patient, the AIC provided an effective alternative to other methods for intubating through a regular LMA.
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Case Reports
The Proseal LMA is a useful rescue device during failed rapid sequence intubation: two additional cases.
We report two cases where the ProSeal laryngeal mask airway (PLMA) was successfully used as a rescue device, after failed tracheal intubation, during rapid sequence induction. ⋯ The correctly placed PLMA has potential advantages over the cLMA for airway rescue in the circumstance of failed emergency intubation in a patient with a potentially full stomach. In the two cases reported, the PLMA provided effective rescue of the airway.
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Cerebral hyperthermia during rewarming from hypothermic cardiopulmonary bypass (CPB) commonly occurs and has been associated with postoperative neurocognitive dysfunction. Increased awareness of this has likely led to changes in rewarming strategies, including the reduction of rewarming rates and lowering of target rewarming temperatures. As a result, we hypothesized that the maximum temperature reached during cardiac surgery has decreased at our institution over time. ⋯ The incidence of cerebral hyperthermia has decreased at our institution suggesting that a change in temperature management has occurred at our institution from January 1993 to June 2000 thereby outlining a temporal evolution in temperature management during CPB.
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Letter Case Reports
Using a Glidescope for intubation with a double lumen endotracheal tube.