Acta anaesthesiologica Belgica
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Acta Anaesthesiol Belg · Jan 2015
Case ReportsA novel method of intubation and orogastric tube insertion using a C-MAC-D-blade videolaryngoscope-bougie technique.
Expertise in airway management is a fundamental aspect of anesthesia practice. Fortunately 'can't intubate, can't ventilate' scenarios are extremely rare. In particular, patients with tumors on the right side of the oropharynx and larynx can be very problematic to intubate. ⋯ The C-MAC D-Blade videolaryngoscope-bougie technique provides an alternative method to intubate patients with difficult airways, even in exceptional situations such as in patients with a large right-sided oropharynx-larynx tumor.
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Acta Anaesthesiol Belg · Jan 2015
Case ReportsLeft mainstem bronchus rupture due to a left-sided double lumen tube.
Double lumen tubes (DLT) are a cornerstone in thoracic anaesthesia to achieve onelung ventilation. Due to the shape and size of these devices, airway injuries might occur. ⋯ In the past, treatment of tracheobronchial ruptures was performed surgically, nowadays conservative treatment can be considered (3, 4). Here, we report a case of tracheobronchial rupture during oesophageal surgery.
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Acta Anaesthesiol Belg · Jan 2015
ReviewClinical evidence for dorsal root ganglion stimulation in the treatment of chronic neuropathic pain. A review.
Treating chronic neuropathic pain remains a challenge, despite the existing therapies. Recent years have seen the emergence of promising new technologies, such as the neurostimulation of the dorsal root ganglion (DRG). ⋯ To improve the level of proof, larger randomized controlled trials are needed. These should include well-described populations, a sufficiently long follow-up and a detailed description of concurrent treatments (pharmacologic and patient integration in a multidisciplinary approach).