Acta anaesthesiologica Belgica
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Acta Anaesthesiol Belg · Jan 2009
Case ReportsNasogastric tube aided fiberoptic intubation through laryngeal mask airway (case report).
Burn scars in early childhood often impairs normal development of the structures of the face. Multiple reconstructive interventions contribute to airway deformity with excessive scar and contracture band formation. ⋯ For this purpose, we report about a patient with an anticipated difficult airway who has rejected awake fiberoptic intubation. The patient was managed successfully using classical laryngeal mask airway and nasogastric tube with the guidance of fiberoptic bronchoscope under deep sedation.
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Acta Anaesthesiol Belg · Jan 2009
Randomized Controlled Trial Comparative StudyHydroxyethyl starch 130/0.4 versus modified fluid gelatin for cardiopulmonary bypass priming: the effects on postoperative bleeding and volume expansion needs after elective CABG.
Concerned about high dose starches and potential coagulopathy, we performed a double blinded randomised prospective study on the influence of gelatine or 6% HES 130/04 pump prime on postoperative blood loss and transfusion requirements after CABG surgery. ⋯ 6% HES 130/0.4 is a safe alternative to gelatine pump prime with a volume effect persisting longer in the postoperative phase, mandating less volume expansion with artificial colloid during the first 24 postoperative hours and not causing additional allogeneic blood component exposure.
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Acta Anaesthesiol Belg · Jan 2009
Effectiveness of intubating laryngeal mask airway (ILMA Fastrach) used by nurses during out of hospital cardiac arrest resuscitation.
ILMA Fastrach is a recognized alternative to classic laryngoscopic intubation. In this study, we evaluated the success rate of intubation with Fastrach, used by emergency nurses who have no experience of field intubation. ⋯ ILMA Fastrach is a good alternative to classical laryngoscopic intubation by untrained nurses, even in difficult conditions such as OHCAs.
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Acta Anaesthesiol Belg · Jan 2009
ReviewPostoperative respiratory problems in morbidly obese patients.
Morbid obesity results in a restrictive pulmonary syndrome including decreased functional residual capacity. General anaesthesia further decreases functional residual capacity, and consequently alters gas exchanges more profoundly in morbidly obese patients than in nonobese patients. Moreover, these changes persist longer during the postoperative period, rendering obese subjects vulnerable to postoperative respiratory complications. ⋯ Whether these measures affect outcome remains however unknown. Patients suffering from obstructive sleep apnoea syndrome deserve special considerations that are briefly described. Finally, the algorithm of the postoperative respiratory management of morbid obese patients used in our institution is provided.
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Acta Anaesthesiol Belg · Jan 2009
Review Comparative StudyComparison of contemporary EEG derived depth of anesthesia monitors with a 5 step validation process.
During the last decennium, a growing number of depth of anesthesia monitors, extracting information from the spontaneous electroencephalogram (EEG) have been developed and commercialized. The growing interest in depth of anesthesia monitoring resulted in an intensified technological progress. ⋯ In this review, the authors present a strategy to compare monitors of the hypnotic component of anesthesia, based on the available literature and their own experience with validation studies. They also discuss the level of validation of the most commonly used EEG derived depth of anesthesia monitors.