Journal of clinical anesthesia
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Comparative Study
A comparison of thromboelastogram and template bleeding time in the evaluation of platelet function after aspirin ingestion.
To compare template bleeding time (TBT) with thromboelastography (TEG) in human subjects after aspirin ingestion. ⋯ TEG results may not identify patients who have an increased bleeding time as a result of aspirin ingestion.
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A 30-year-old parturient requested epidural analgesia during labor. Immediately after the epidural space was presumably identified using the loss-of-resistance-to-air technique, she reported severe back pain, followed by neck pain, which progressed to severe unrelenting headache. An emergency computerized tomographic (CT) scan performed during labor showed air in the intracranial subarachnoid space.
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Patients with Sturge-Weber disease and Klippel Trenaunay syndrome may have several neurologic abnormalities. The effects of hemangiomas in the brain cortex and the spinal cord are responsible for most of the anesthetic challenges associated with this disease, particularly the risks of intracerebral bleeding, disseminated intravascular coagulation (DIC), and airway management. The successful management of this case illustrates that adequate preparation to handle the possible complications may result in safe anesthetic management in patients with these problems.
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To compare a new, clear, unmarked polyvinylchloride (PVC) tracheal tube marketed for use during Neodymium-Yttrium-Aluminum-Garnet (Nd-YAG) laser surgery with a conventional marked PVC tracheal tube. ⋯ The clear, unmarked Sheridan PVC tracheal tube is not recommended for laser airway surgery.