Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2006
Randomized Controlled TrialEvaluation of remifentanil in endoscopic retrograde cholangio-pancreatography.
Endoscopic retrogade cholangio-pancreatography (ERCP) is a painful procedure that requires transient analgesia and conscious sedation. Remifentanil an ultrashort, very potent narcotic, is eliminated by plasma esterases, and does not interfere with liver function. It does not accumulate and is free of residual depression. Our aim is to find out if remifentanil can provide safe and effective sedation in ERCP, without undue technical difficulty secondary to sphincter spasm. ⋯ We recommend remifentanil in ERCP. Vigilance, however, must be exercised in titration and supervision of patients.
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Middle East J Anaesthesiol · Oct 2006
Case ReportsCervical plexus block for carotid endarterectomy followed by general anesthesia for abdominal aortic surgery--a case report.
The aim of this clinical report is to describe the use of sequential regional and general anesthesia for concomitant carotid and abdominal aortic surgery. We performed, in a 70-year-old man, a cervical plexus block for carotid endarterectomy (CEA) followed immediately by general anesthesia for resection of an abdominal aortic aneurysm. ⋯ Sequential regional and general anesthesia may be an alternative to general anesthesia for concomitant carotid and abdominal aortic surgery. This approach offers an adequate neurological monitoring during the CEA phase of the combined surgery and the opportunity to postpone the aortic surgery should the CEA be associated with a non-reversible neurological deficit.