Journal of clinical anesthesia
-
Stereotactic neurosurgery is a procedure that usually requires monitored sedation or general anesthesia. The authors report a case in which stereotactic irrigation of a brain cyst was temporally associated with respiratory distress. Additionally, the stereotactic apparatus limits the anesthesiologist's access to the airway.
-
Anesthetic experience with three cases of the resection of glucagonoma, a rare tumor of alpha cells of pancreatic islets, is presented. Marked increases of blood glucagon and glucose levels, with the potential for clinically significant metabolic and myocardial dysfunction, did not occur during anesthesia and surgery. Associated tumors of other endocrine cell types also were absent in the three study patients. Strategies for anticipating and managing other perioperative problems associated with glucagonoma also are discussed.
-
Case Reports Randomized Controlled Trial Clinical Trial
A management option for leaking endotracheal tube cuffs: use of lidocaine jelly.
To evaluate the effectiveness of methods for sealing a small endotracheal tube cuff perforation. ⋯ The authors' in vitro results, in conjunction with the observations from their two cases, suggest that lidocaine jelly mixed with 1 to 3 parts normal saline may be useful in managing certain types of endotracheal tube cuff incompetence.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Sedative infusions during local and regional anesthesia: a comparison of midazolam and propofol.
To compare the intraoperative effects and recovery characteristics when either midazolam or propofol was used for sedation during local or regional anesthesia. ⋯ Propofol infusion is a clinically useful alternative to midazolam for sedation during ambulatory surgery under local or regional anesthesia.