Middle East journal of anaesthesiology
-
Middle East J Anaesthesiol · Oct 2010
Review Case ReportsThe video laryngoscopes blind spots and possible lingual nerve injury by the Gliderite rigid stylet--case presentation and review of literature.
We report the first case of near serious lingual nerve injury in an 80-y-old female caused by the Rigid GlideScope Stylet. This complication was discovered during oral surgery and may have been missed if the site of surgery was not oral cavity.
-
Middle East J Anaesthesiol · Oct 2010
Randomized Controlled TrialAirway management and hemodynamic response to laryngoscopy and intubation in supine and left lateral positions.
Intubation in the lateral position is desirable in several conditions. We compared the technical ease and hemodynamic response to laryngoscopy and intubation in the lateral (group L) and supine (group S) positions in 120 patients with normal airway in a prospective randomized controlled study. ⋯ Ventilation and intubation in lateral position was more difficult technically than in the suprine position, and the BP response was exaggerated in the lateral position.
-
Middle East J Anaesthesiol · Oct 2010
Case ReportsAnesthetic management of achondroplastic dwarf undergoing cesarean section--a case report.
There are more than 100 different types of dwarfism. Achondroplasia is the most common of these conditions. The aim of this report is to describe the anesthetic management of these patient, discussing the anesthetic considerations and emphasizing the difficulties encountered. ⋯ There are risks for both regional and general anesthesia in achondroplastic patients. The most important point is the careful preoperative assessment. Anesthesia plan should be specified to individual basis.
-
Middle East J Anaesthesiol · Oct 2010
Case ReportsAwake craniotomy using initial sleep with laryngeal mask airway in depressed agitated patient--a case report.
Depressed patients with brain tumors are often not referred to awake craniotomy because of concern of uncooperation which may increase the risk of perioperative complications. This report describes an interesting case of Awake Craniotomy for frontal lobe glioma in 41 year old woman undergoing language and motor mapping intra-operatively. ⋯ Then patient reverted to awake state to continue the intended neurosurgical procedure. Patient tolerated the situation satisfactory and was cooperative till the finish without any event.
-
Middle East J Anaesthesiol · Oct 2010
Continual infusion of intrathecal baclofen (ITB): long-term effect on spasticity.
Spasticity is a disorder of muscular function causing muscular tightness or spasm which occurs when there is damage to the central nervous system whether it is of spinal cord or brain origin. This insult could be either pathological or traumatic. ⋯ The number of complications was acceptable, and generally were not life-threatening. Infection was the significant complication in two patients and this led to explantation of their pumps. Patient satisfaction was very high and was related to improvement in the quality of life for the patients.