Journal of clinical anesthesia
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Until now, the safety of continuous axillary brachial plexus block in a patient with hemophilia has not been reported. We describe the use of continuous axillary brachial plexus block for postoperative pain control in a patient with severe hemophilia after an elbow surgery.
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Randomized Controlled Trial Clinical Trial
Aprotinin reduces vasoactive medication use during adult liver transplantation.
To determine whether aprotinin use during adult liver transplantation results in an improvement in hemodynamic stability. ⋯ Aprotinin infusion during adult liver transplantation results in less requirement for vasoactive intervention.
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Randomized Controlled Trial Comparative Study Clinical Trial
The timing of electroconvulsive therapy and bispectral index after anesthesia induction using different drugs does not affect seizure duration.
To determine the association between bispectral index (BIS) and seizure duration obtained by electroconvulsive therapy (ECT) administered sooner or later after anesthetic induction. ⋯ The hypnotic drug effect measured by the BIS is not correlated to the seizure duration obtained by ECT.
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Case Reports
Acoustic reflectometry detection of an endobronchial intubation in a patient with equal breath sounds.
Acoustic reflectometry can be used to distinguish between a tracheal and an esophageal intubation based on an area-distance profile. In a patient undergoing laparoscopic surgery, acoustic reflectometry was used to detect a bronchoscopically confirmed endobronchial intubation in the presence of equal bilateral breath sounds. An in vitro simulation suggests that in an endobronchial intubation, in the presence of a space leak between the tube cuff and the bronchus, an acoustic pressure disturbance can be transmitted to the opposite lung (causing equal breath sounds), without significant bulk airway flow (causing inadequate ventilation of the opposite lung).
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Randomized Controlled Trial Comparative Study Clinical Trial
Does the choice of intravenous induction drug affect intubation conditions after a fast-onset neuromuscular blocker?
To compare intubation conditions and hemodynamic effects resulting from thiopental-rapacuronium, propofol-rapacuronium, and etomidate-rapacuronium intravenous (IV) induction. ⋯ Clinically acceptable intubation conditions are similar after either thiopental, propofol, or etomidate when a fast-onset neuromuscular blocking drug (rapacuronium 1.5 mg/kg) is used to facilitate tracheal intubation.