Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Case Reports
Extubation of a difficult airway after thyroidectomy: use of a flexible bronchoscope via the LMA-Classic™.
We report an extubation strategy for a patient scheduled for thyroidectomy who had several factors indicating that it would be a difficult extubation. ⋯ We describe a viable extubation strategy used in a patient after complex thyroid surgery involving tracheal resection. By using the LMA-Classic™ as a bridging device and to facilitate bronchoscopic examination, we were able to address the above concerns and safely manage the extubation phase in this patient.
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Case Reports
Alternative site for median nerve blockade allowing early functional rehabilitation after hand surgery.
In this report we describe an alternative approach to catheter placement for continuous selective median nerve blockade. It spared the finger movements and therefore allowed early postoperative rehabilitation in a patient who underwent surgical repair of the index finger flexor tendon. ⋯ Placement of a catheter for continuous median nerve blockade in the proximal one-third of the forearm for effective postoperative pain-free rehabilitation after hand surgery should be considered in cases in which the surgical incision extends toward the patient's wrist. The block site can be readily identified by a combined use of ultrasonography and neurostimulation guidance.
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Letter Randomized Controlled Trial Comparative Study
[Single-use and reusable laryngoscope blades: a randomized controlled trial in elective surgery].
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Letter Case Reports
Difficult ventilation in a wide congenital tracheoesophageal fistula.