Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2011
The effects of tourniquet on intraocular pressure during knee surgery.
In this prospective study we aimed at examining the effects of pneumatic tourniquet on intraocular pressure during elective knee surgery. ⋯ Pneumatic tourniquet may cause a significant IOP increase in patients performing knee surgery under general anesthesia.
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Middle East J Anaesthesiol · Feb 2011
Effects of enflurane and propofol on seizure duration and recovery profiles in electroconvulsive therapy.
The aim of this study is to investigate effect of enflurane that is a pro-convulsive anesthetic agent and propofol on seizure durations and recovery times during electroconvulsive therapy. ⋯ High incidence of spike activity on EEG and grand mal seizure patterns could be induced by enflurane. But motor and EEG seizure times were not prolonged by enflurane in the presence normocapnia. In conclusion, propofol is more suitable anesthetic agent for ECT, but enflurane might be preferred in patients because of rapid recovery.
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Middle East J Anaesthesiol · Feb 2011
Case ReportsPlacement of a double lumen tube in a patient with difficult intubation due to ankylosing spondylitis--a case report.
During insertion of the double lumen tube in patients with ankylosing spondylitis, cervical neutral position should be maintained to avoid vertebral and spinal injuries. Although flexible fiberoptic bronchoscopic intubation is the gold standard, available FOB size is not compatible with that of the endobronchial lumen of the double lumen tube. This problem should be solved according to institutional capabilities. In this report we present a case of insertion of double lumen tube in neutral position using flexible fiberoptic bronchoscope and airway exchanger catheter in a thoracotomy patient with extremely limited neck mobility due to ankylosing spondylitis.
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Middle East J Anaesthesiol · Feb 2011
Comparative StudyComparison of the Airtraq, Airway Scope, and disposable Macintosh laryngoscope blade.
The present study was performed to 1. compare usefulness of the Airtraq (ATQ) and the Airway Scope (AWS) with the Macintosh laryngoscope (MAC), 2. compare usefulness of the ATQ with the AWS, 3. compare usefulness of the AWS with the tip of the blade under the epiglottis as recommended by the manufacturer (AWS-Miller) and the AWS with the tip of the blade in the vallecula as the MAC (AWS-MAC), in tracheal intubation by expert anesthesiologists. ⋯ The MAC and ATQ were better than the AWS-Miller for patients with easy intubation, while the ATQ was better than the MAC for difficult intubation when the expert anesthesiologists did the intubation.
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Middle East J Anaesthesiol · Feb 2011
Case ReportsAsymptomatic epiglottic cyst: a rare cause of unanticipated difficult intubation.
Cysts of epiglottis are rare. Following induction of anesthesia, asymptomatic cysts may lead to unanticipated difficulty in ventilation or intubation or both and can be potentially life threatening in such situations.