Journal of anesthesia
-
Journal of anesthesia · Dec 2010
Using a modified nasotracheal tube to prevent nasal ala pressure sore during prolonged nasotracheal intubation.
Nasotracheal tube induced nasal ala pressure sores or necrosis during prolonged nasotracheal intubation have been reported, and it is a serious but preventable complication. Here we introduce a modified nasotracheal tube to prevent this complication. This modified nasotracheal tube is composed of two parts, an oral endotracheal tube and a proximal part of a preformed nasotracheal tube, which are linked by a connector. The use of this modified nasotracheal tube can prevent nasal ala pressure sores during prolonged nasotracheal intubation.
-
Journal of anesthesia · Dec 2010
Chronic opioid therapy in patients with chronic noncancer pain in Taiwan.
Our aim was to analyze the physiopsychosocial variables in patients with long-term opioid therapy for chronic noncancer pain (CNCP) in Taiwan. ⋯ The long-term use of opioids provided significant improvement of pain relief and quality of life in these patients with CNCP; this therapy is a good solution if other modalities are not effective or useful.
-
Journal of anesthesia · Dec 2010
Gentle chest compression relieves extubation laryngospasm in children.
Extubation laryngospasm is frequently encountered in children undergoing upper airway surgery. Different drugs and techniques have been used for its treatment. The objective of this study was to examine gentle chest compression as an alternative to standard practice for relief of laryngospasm. ⋯ Gentle chest compression with 100% oxygen is a simple and effective technique for immediate management of post extubation laryngeal spasm in children.
-
Journal of anesthesia · Dec 2010
Monitoring of vecuronium-induced neuromuscular block at the sternocleidomastoid muscle in anesthetized patients.
To assess the degree of neuromuscular block acceleromyographically at the sternocleidomastoid muscle. ⋯ The sternocleidomastoid muscle is more resistant to vecuronium than the adductor pollicis muscle. Recovery from neuromuscular block is faster at the sternocleidomastoid muscle than at the adductor pollicis muscle.