Journal of clinical anesthesia
-
Comparative Study
Evaluation of intense neuromuscular blockade caused by rocuronium using posttetanic count in male and female patients.
To establish the relationship between train-of-four (TOF) nerve stimulation and the number of posttetanic twitches (posttetanic count [PTC]) during neuromuscular blockade caused by rocuronium in males and females. ⋯ Even though the times from initial administration of rocuronium 1 mg.kg(-1) to the first appearances of T3 and T4 are significantly longer in female patients, the intervals to the first detectable responses to PTTS and TOF are not significantly different between females and males. Gender has no significant effect on the relation between PTC and the time to T1.
-
Randomized Controlled Trial Clinical Trial
Postoperative confusion in schizophrenic patients is affected by interleukin-6.
To investigate whether epidural analgesia with local anesthetics affects postoperative confusion in schizophrenic patients or the relationships between cortisol or interleukin-6 (IL-6) and postoperative confusion. ⋯ Epidural anesthesia does not significantly decrease the frequency of postoperative confusion in schizophrenic patients. Plasma IL-6 concentrations at the end of the operation and 24 hours after surgery in schizophrenic patients with postoperative confusion were significantly higher than those concentrations in patients without postoperative confusion.
-
Randomized Controlled Trial Clinical Trial
Influence of form structure on the anesthesia preoperative evaluation.
To determine the impact of changes in form design on the capture of administrative and clinical data elements. ⋯ Design of a form can have a significant impact on the completion rate of form elements. Visual cues such as a labeled space for medication doses may improve the completion of these elements. Design layout can also have an influence on completion. In this case, changes to the layout may have impeded the completion rate for ASA Physical Status.
-
We present the case of a patient status post previous burn injury, undergoing elective surgery in which the Combitube was used because contractural formation of the mouth and tracheal stenosis precluded tracheal intubation. The Combitube proved to be highly successful in this patient who had a very limited mouth opening.
-
Patient positioning for operative procedures has long been associated with perioperative complications. We present a case report of shoulder dislocation, which occurred following positioning in the prone position, and was detected by axillary artery occlusion resulting in the loss of the radial artery blood pressure line waveform. We discuss the diagnosis and consequences of this complication.