Journal of clinical anesthesia
-
Case Reports
Fiber-optic bronchoscopic guidance for intubating a neonate with Pierre-Robin syndrome.
The Pierre-Robin anomalad features micrognathia, glossoptosis, and frequently a cleft palate. Tracheal intubation may be challenging and sometimes impossible. ⋯ The bronchoscope was then removed, and an endotracheal tube was threaded over the wire. The technique is safe and allows rapid endotracheal intubation in pediatric patients with difficult upper airways.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Sedative infusions during local and regional anesthesia: a comparison of midazolam and propofol.
To compare the intraoperative effects and recovery characteristics when either midazolam or propofol was used for sedation during local or regional anesthesia. ⋯ Propofol infusion is a clinically useful alternative to midazolam for sedation during ambulatory surgery under local or regional anesthesia.
-
Case Reports Historical Article
Postanesthetic delirium: historical perspectives.
Postanesthetic delirium is a type of postoperative emotional response occurring immediately after emergence from general anesthesia. Associated with excitement and confusion, the alternative terms emergence delirium or postanesthetic excitement are frequently used. ⋯ Reported is a case of postanesthetic delirium in a healthy young man. An historical overview of this potentially harmful condition, with specific recommendations for diagnosis and treatment, also is presented.
-
To describe a current method of teaching flexible fiber-optic laryngoscopy. ⋯ Oral flexible fiber-optic laryngoscopy and intubation may be taught safely using thiopental sodium and succinylcholine by adhering to the guidelines outlined in this paper.