Journal of anesthesia
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Journal of anesthesia · Dec 2010
Randomized Controlled TrialQuality of lidocaine analgesia with and without midazolam for intravenous regional anesthesia.
Midazolam has analgesic effects mediated by gamma aminobutyric acid-A receptors. This study was designed to evaluate the effect of midazolam on anesthesia and analgesia quality when added to lidocaine for intravenous regional anesthesia (IVRA). ⋯ Addition of midazolam to lidocaine for IVRA improves anesthesia quality and enhances intraoperative and postoperative analgesia without causing side effects.
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Journal of anesthesia · Dec 2010
Randomized Controlled TrialThe effect of injection speed on the spinal block characteristics of hyperbaric bupivacaine 0.5% in the elderly.
The purpose of this prospective, randomized, double-blind study was to compare anesthetic characteristics after two speeds of intrathecal injection of hyperbaric bupivacaine in elderly patients. ⋯ An eightfold difference in speed of intrathecal injection of 0.5% hyperbaric bupivacaine did not affect the clinical characteristics of spinal anesthesia in elderly patients undergoing transurethral surgery.
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Journal of anesthesia · Dec 2010
Comparative Study Clinical TrialThe LMA CTrach™ in morbidly obese and lean patients undergoing gynecological procedures: a comparative study.
The tracheas of obese patients may be more difficult to intubate than those of normal-weight patients. The aim of this study was to compare the airway management quality in morbidly obese and lean patients with use of the LMA CTrach. ⋯ We concluded that the time to intubate the trachea in obese patients was significantly longer than in lean patients when the LMA CTrach was used.
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Journal of anesthesia · Dec 2010
Randomized Controlled TrialLidocaine spray 10 min prior to intubation: effects on postoperative sore throat.
A sore throat is the most frequent adverse side effect of general anesthesia. The purpose of this study was to compare the different types and timing of lidocaine application based on the effectiveness of reducing postoperative sore throat (POST) after endotracheal intubation. In group A, 8% lidocaine was sprayed on laryngopharyngeal structures immediately before intubation, and the distal ends of the endotracheal tubes (ETTs) were lubricated with 2% lidocaine gel. ⋯ In 527 patients, 28.2% reported POST at 24 h following extubation. Statistically significant differences in the incidence of POST were found only between group E (16.0%) and each of the other groups (28.4-38.5%), except for group B (26.5%). In conclusion, 8% lidocaine spray significantly reduced the incidence of POST if it was sprayed on laryngopharyngeal structures 10 min prior to endotracheal intubation.
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Journal of anesthesia · Dec 2010
Case ReportsSpinal anesthesia in a child with Brachmann-de Lange (Cornelia de Lange) syndrome.
Providing anesthesia to patients with Brachmann-de Lange syndrome (BdLS) may be challenging, mainly because of intubation difficulty, gastroesophageal reflux disease, and aspiration complications. The use of spinal anesthesia (SA) in this population has not been reported. We report the uneventful administration of awake SA to a 7-month-old girl with BdLS who was scheduled for rectal biopsy. The current literature is reviewed to discuss the indications for SA in those patients.