Masui. The Japanese journal of anesthesiology
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The "BURP" maneuver (back, upward, right lateral, pressure) improves the visualization of the larynx for experienced anesthesiologists during orotracheal intubation in patients with difficult airway. We investigated whether this maneuver has same efficacy for inexperienced residents in anesthesiology. ⋯ We concluded that "BURP" maneuver was effective even for inexperienced residents. More than two months were required for the residents to develop laryngoscopy skill.
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Dexmedetomidine (DEX) has analgesic, anxiolytic, and antidelirium effects, and causes little respiratory depression. Behavioral disturbances such as agitation, aggression, and sleep disorder are common in cognitive impairment; this impairment may be one of the risk factors for postoperative delirium. We studied the effects of postoperative DEX administration in elderly patients with cognitive impairment. ⋯ Low-dose DEX is safe and useful for postoperative sedation in elderly patients with cognitive impairment.