Journal of clinical anesthesia
-
Randomized Controlled Trial
The effect of epidural methylprednisolone acetate injection on the hypothalamic-pituitary-adrenal axis.
To evaluate the effect of an epidural corticosteroid injection of 80 mg and 40 mg of methylprednisolone acetate on the hypothalamic-pituitary-adrenal axis and on back pain. ⋯ Epidural corticosteroid injection of methylprednisolone acetate in both groups was associated with very high rates of secondary adrenal insufficiency, but significantly more so in Group 1 at week one. This suppression was transient, with recovery of the gland in most patients noted over the ensuing weeks. An epidural corticosteroid injection of 80 mg had higher rates of favorable clinical response than a 40 mg injection, but significantly more so at week 4 only. This favorable response waned over a few weeks in both groups.
-
Randomized Controlled Trial Comparative Study
Comparing the novel GlideScope Groove videolaryngoscope with conventional videolaryngoscopy: a randomized mannequin study of novice providers.
To compare the GlideScope Groove (GG) with conventional GlideScope videolaryngoscopy (GVL) and direct laryngoscopy (DL) on intubation times, intubation attempts, and glottic visualization of an airway mannequin by medical students. ⋯ GG was not superior to DL or GVL in time-to-intubate an airway mannequin.
-
A patient developed brisk airway bleeding after being discharged earlier that day following an uneventful partial vocal cord cordectomy. This emergent complication required management by the team of anesthesiologists and otorhinolaryngologists. A plausible explanation for the occurrence of this complication was the presence of aberrant arterial blood supply in the area of the vocal cords where the surgery was performed.
-
Observational Study
Predictors of desaturation in the postoperative anesthesia care unit: an observational study.
To evaluate predictors of desaturation and to identify practice for patient transport following general anesthesia. ⋯ The majority of anesthesiologists did not use supplemental oxygen for patient transfer. As a result, a higher incidence of postoperative desaturation was noted in their patients. Significant predictors of desaturation after general anesthesia included patients' sedation score, low respiratory rate, and transport without oxygen. The use of oxygen almost completely prevented desaturation during transport.