Ann Acad Med Singap
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Ann Acad Med Singap · Mar 2000
Comparative Study Clinical Trial Controlled Clinical TrialTotal intravenous anaesthesia using 3-in-1 mixture of propofol, alfentanil and mivacurium.
To avoid errors and confusion associated with 3 separate infusions, we conducted a feasibility study of total intravenous anaesthesia (TIVA) using 1 electrically-powered syringe pump to deliver a 3-in-1 mixture containing fixed proportions of propofol, alfentanil and mivacurium. ⋯ The 3-in-1 mixtures remained stable for up to 5 hours after preparation. It may be feasible to provide TIVA using the 3-in-1 mixture for induction and maintenance of anaesthesia in ASA 1 patients.
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Ann Acad Med Singap · Mar 2000
Case ReportsA case report of Aspergillus hypersensitivity syndrome with obstructing bronchial aspergillosis.
A 62-year-old Indian male with diabetes mellitus presented with atypical, overlap features of Aspergillus hypersensitivity syndrome and obstructing bronchial aspergillosis. ⋯ Culture and histologic examination of bronchoscopically identified tracheobronchial mucus plugs should be performed as early treatment may be life-saving.
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Ann Acad Med Singap · Mar 2000
Case ReportsSubcutaneous emphysema and pneumomediastinum after endotracheal anaesthesia.
We report a case of subcutaneous emphysema and pneumomediastinum that presented postoperatively after tracheal extubation. ⋯ We discussed the possible causes.
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Ann Acad Med Singap · Jan 2000
Endobronchial stenting in patients requiring mechanical ventilation for major airway obstruction.
To examine the value of therapeutic rigid bronchoscopy on subsequent ventilator weaning in ventilated patients with major airway obstruction. ⋯ Therapeutic rigid bronchoscopy is effective in the acute management of respiratory distress from central airway obstruction. Dramatic improvements in ventilatory status following therapeutic rigid bronchoscopy allow ventilator liberation in a select group of patients with an otherwise good performance status.
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Neonatal lupus erythematosus (NLE) presents clinically with either cutaneous lesions or cardiac involvement and is related to the transplacental passage of anti-Ro antibodies from mother to foetus. We report a series of 10 cases seen at the National Skin Centre between 1990 and 1998 including a pair of siblings. ⋯ The rash resolved spontaneously by 3 to 6 months of age.