Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To describe the use of dexmedetomidine for sedation in a critically ill infant undergoing magnetic resonance imaging (MRI). ⋯ Dexmedetomidine and a small dose of propofol were used successfully to sedate a critically ill infant for MRI. More studies are required to determine the role of this unique drug in the pediatric population.
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Epidural cannulation is a difficult technique in the patient undergoing scoliosis repair, due to axial rotation of the vertebral bodies, as well as angulation of the spinal processes. This case series was performed to investigate whether ultrasonography could facilitate epidural insertion in patients with scoliosis, by assessing the degree of vertebral body rotation. ⋯ We conclude that ultrasonography may have a potential role to facilitate insertion of epidural catheters in patients with scoliosis.
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Case Reports
Perioperative anesthetic management for Cesarean section of a parturient with gestational diabetes insipidus.
Gestational diabetes insipidus (GDI) is a rare endocrinopathy complicating about 4:100,000 deliveries. We present the case of a preterm parturient with GDI and severe hypernatremia (serum sodium concentration = 174 mmol.L(-1)) presenting for an urgent Cesarean section. ⋯ The careful perioperative management of GDI led to a favourable outcome of the mother and fetus.