Journal of clinical anesthesia
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Comparative Study
Vecuronium neuromuscular blockade at the cricothyroid and posterior cricoarytenoid muscles of the larynx and at the adductor pollicis muscle in humans.
To compare the sensitivity to vecuronium in the cricothyroid (CT) and posterior cricoarytenoid (PCA) muscles of the larynx and the adductor pollicis muscles. ⋯ The laryngeal (CT and PCA) muscles are more resistant to vecuronium than is the adductor pollicis, and the PCA muscle is more resistant to vecuronium than is the CT muscle. This finding suggests that partially paralyzed patients are able to maintain laryngeal patency despite the apparent impaired neuromuscular transmission in the adductor pollicis muscle.
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Randomized Controlled Trial Clinical Trial
Respiratory effects of sevoflurane used in combination with nitrous oxide and surgical stimulation.
To evaluate the respiratory effects of sevoflurane anesthesia with and without nitrous oxide (N2O) during surgical stimulation. ⋯ Sevoflurane administered at an appropriate anesthetic depth maintained spontaneous respiration at acceptable levels during surgical stimulation, especially when combined with N2O.
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Case Reports
Cardiopulmonary arrest in the pregnant patient: a report of a successful resuscitation.
We report the case of a pregnant patient who suffered cardiac arrest and was initially unresponsive to resuscitative measures. Prompt emergent cesarean delivery of the infant was carried out, and both mother and infant were then successfully resuscitated. We believe that prompt cesarean delivery is the key to maternal and infant survival in such cases.
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To determine the efficacy and safety of administering low-dose analgesic infusions through cervical epidural catheters. ⋯ Patients with chronic persistent cervical radiculopathy pain were effectively treated with infusion of analgesics through epidural catheters for 2 to 17 days while they were at home.