Journal of clinical anesthesia
-
Anticipatory decision-making in airway management requires the integration of both history and physical examination findings. Though all airways can be managed along some branch of the American Society of Anesthesiologists' (ASA) Difficult Airway Algorithm, by predicting specific difficulties and integrating this information into an airway approach strategy, emergency branches of the ASA algorithm may be avoided. ⋯ A positive answer to any question leads the clinician to the next, whereas a negative answer directs the operator to a root point of the ASA algorithm. The AAA is introduced with the anticipation that trainees in Anesthesiology, as well as others, will find it helpful in organizing preoperative information concerning the airway.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Increased success rate with infraclavicular brachial plexus block using a dual-injection technique.
To test the hypothesis that dual injection of the local anesthetic in coracoid infraclavicular brachial plexus block might enhance both sensory and motor block for anesthesia of the upper limb when compared with a single-injection technique. ⋯ Dual injection of local anesthetic guided by nerve stimulator increases the efficacy of coracoid block when compared with a single injection of the same dose of local anesthetic.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Rapid sevoflurane induction compared with thiopental.
To examine whether the speed of induction of anesthesia with sevoflurane/nitrous oxide (N2O) utilizing a 10-second vital capacity rapid inhalation induction (VCRII) followed by tidal breathing was similar or faster than cautious intravenous (i.v.V) thiopental induction with inhaled N2O. ⋯ Sevoflurane/N2O VCRII as used in this investigation is an effective inhalation technique; it resulted in an induction time similar to that of slow i.v. thiopental with inhaled N2O.
-
Case Reports
Acute respiratory distress syndrome of the contralateral lung after reexpansion pulmonary edema of a collapsed lung.
To report that leukocyte-mediated acute injury may develop in a nonhypoxic lung after hypoxia-reoxygenation injury of the hypoxic lung and in other systemic organs in patients with reexpansion pulmonary edema. ⋯ The hypoxia-reoxygenation injury of one lung can induce acute lung injury in the other lung and systemic organ injury.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Effect of intraoperative magnesium infusion on perioperative analgesia in open cholecystectomy.
To study the role of magnesium sulphate (MgSO4) on analgesic requirement, pain, discomfort, and sleep during perioperative period. ⋯ Administration of intraoperative MgSO4 as an adjuvant analgesic in patients undergoing open cholecystectomy resulted in better pain relief and comfort in the first postoperative hour, but it did not significantly decrease the postoperative morphine requirement. Magnesium sulphate resulted in better sleep quality during the postoperative period, without any significant adverse effects. The role of MgSO4 as an adjuvant analgesic in open cholecystectomy needs to be studied further.