Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2009
Upper lip bite test as a predictor of difficult mask ventilation: a prospective study.
Oxygenation and ventilation by means of bag-mask and ambubag play a significant role in maintaining an optimal oxygen saturation of blood and hence the essence of life itself. Predicting difficulty in mask ventilation is again of paramount importance at the time of induction of anesthesia, and in emergency situations. In this study we aimed at evaluating factors that could help in predicting the difficulty of bag-mask ventilation. ⋯ ULBT class alone was of value in predicting difficulty in mask ventilation, but a combination of the three tests significantly improved the predictive value.
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The purpose of this study was to examine whether sedation goals, utilizing a validated sedation assessment scale, the Riker Sedation-Agitation Scale (SAS), and a standardized sedation protocol, were achieved in Intensive Care Unit (ICU) patients. ⋯ Achieved levels of SAS score were consistently lower than what was requested by physicians despite an educational program and the use of a standardized protocol. Differences between targeted and achieved SAS scores persisted throughout the whole study period even three months after protocol implementation. These data suggest the need for alternative, more sensitive and precise approaches, to titrate sedation to targeted levels.
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Middle East J Anaesthesiol · Oct 2009
Case ReportsSonographic diagnosis of catheter malposition in a patient with postoperative plexus lesion after right internal jugular vein catheterization--case report.
Postoperative brachial plexus lesion has been reported only rarely after catheterization of the right internal jugular vein (RIJV), and then is usually considered to be the result of puncture hematoma. ⋯ Every case of plexus brachialis injury after catheterization of the RIJV should be followed up by an emergency sonogram to rule out hematoma or catheter malposition. Running head: Sonographic diagnosis of catheter malposition after RIJV catheterization.
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Middle East J Anaesthesiol · Oct 2009
Case ReportsAcute respiratory distress syndrome: rapid and significant response to volume-controlled inverse ratio ventilation--a case report.
Pulmonary complications following cardiopulmonary bypass (CPB) are relatively common, with up to 12% of patients experiencing acute lung injury (ALI). The treatment for ALI or acute respiratory distress syndrome (ARDS) is primarily supportive with specific modes of mechanical ventilation. We report a 46-year-old man withARDS after cardiac surgery whose arterial oxygenation was surprisingly improved 1 hour after using volume-controlled inverse ratio ventilation (VC-IRV).
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Middle East J Anaesthesiol · Oct 2009
Acute postoperative pain management by a surgical team in a tertiary care hospital: patients satisfaction.
To assess the acute postoperative pain management by a surgical team and patient satisfaction in a tertiary care teaching hospital. ⋯ Overall management of acute postoperative pain by surgical team in a tertiary care hospital was satisfactory. Most of patients were moderately to very satisfied by the care provided.