Journal of clinical anesthesia
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Comparative Study
A comparison of thromboelastogram and template bleeding time in the evaluation of platelet function after aspirin ingestion.
To compare template bleeding time (TBT) with thromboelastography (TEG) in human subjects after aspirin ingestion. ⋯ TEG results may not identify patients who have an increased bleeding time as a result of aspirin ingestion.
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Case Reports
Total airway obstruction with neck extension: airway management of a patient with pharyngeal tumor.
Airway obstruction with the induction of anesthesia in children is common. Normally, neck extension with jaw thrust improves the airway. Flexion typically completes the obstruction. ⋯ We present a case of complete airway obstruction with neck extension in the presence of a nasopharyngeal tumor. Flexion rather than extension of the neck relieved this airway obstruction. We highly recommend radiologic studies with neck extension and flexion in such cases.
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To compare a new, clear, unmarked polyvinylchloride (PVC) tracheal tube marketed for use during Neodymium-Yttrium-Aluminum-Garnet (Nd-YAG) laser surgery with a conventional marked PVC tracheal tube. ⋯ The clear, unmarked Sheridan PVC tracheal tube is not recommended for laser airway surgery.
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Case Reports
Application of the Mizus endotracheal obturator in tracheostomy and tentative extubation.
A variety of catheters, stylets, and obturators have been used to assist with problems in airway management. Obturators specifically designed for airway use are now available in different sizes. ⋯ Use of these obturators to preserve a path to the airway is described in cases of tracheostomy and tentative extubation. The advantages and disadvantages inherent in the use of such obturators are described.
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To determine whether a single epidural dose of morphine sulfate is effective in providing 12- to 24-hour pain relief in children. ⋯ Single-dose caudal epidural morphine in children is safe and effective when administered intraoperatively prior to surgery as the only opioid and coupled with appropriate monitoring, nursing education, and follow-up by the anesthesiologist. These patients can be followed on regular nursing floors with proper monitoring.