Journal of anesthesia
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Journal of anesthesia · Dec 2010
Case ReportsAnesthesia for a 16-month-old patient with Prader-Willi syndrome.
Prader-Willi syndrome (PWS) is a rare disorder of chromosome abnormalities in which the paternal genes in chromosome 15 are lacking. The clinical course is characterized by hypotonia, hyperphagia, and morbid obesity. ⋯ The clinical course of the patient was uneventful during the procedure and postoperative period. However, arrangements with a pediatric intensive care setting for the postoperative period are recommended for patients with PWS undergoing surgery.
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Journal of anesthesia · Dec 2010
Back massage therapy promotes psychological relaxation and an increase in salivary chromogranin A release.
Massage therapy promotes psychosocial relaxation, reduces stress and has been reported to improve the immune function. As such, massage therapy is currently used in palliative care for the relief of anxiety and pain. Although psychosocial status has been evaluated using subjective psychological tests, such as State-Trait Anxiety Inventory (STAI), subjective psychological tests are of limited value if the subjects fail to report reliably. ⋯ In contrast, the level of salivary chromogranin A significantly increased. We therefore conclude that changes in the salivary biomarkers tested here may not indicate changes in psychological status following massage therapy. However, the increase in chromogranin A release may contribute to the immunologically beneficial effects of massage therapy as chromogranin A has antibacterial and antifungal activity.
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Journal of anesthesia · Dec 2010
Letter Randomized Controlled TrialParker Flex-Tip Tube(®) facilitates intubation when the Pentax-AWS(®) fails to reach the larynx.