Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2013
Case ReportsHigh inspired carbon dioxide levels due to misplaced central tubing of the absorbent canister.
The authors present a case of unusual rise in inspired carbon dioxide due to misplaced absorbent canister.
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Middle East J Anaesthesiol · Jun 2013
Case ReportsAnesthesia considerations in stiff person syndrome.
A 34 year old morbidly obese stiffperson syndrome (SPS) patient was scheduled for a permanent catheter placement. SPS is a rare neurologic condition with a suspected autoimmune etiology. ⋯ This case report describes a patient with SPS and morbid obesity, and his subsequent management perioperatively for a permanent catheter placement under monitored anesthesia care. Careful and methodical management of patients with SPS is strongly suggested given their sensitivity to inhalational anesthetics and neuromuscular blockers.
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Middle East J Anaesthesiol · Jun 2013
Case ReportsRole of laryngeal mask airway in interventional bronchoscopy procedures for upper tracheal stenosis: case series.
Bronchoscopic interventional procedures are novel means of treating airway lesions which are less invasive and well tolerated for patients with endo-luminal lesions, but managing the airway and oxygenating the patient in a field that is shared by both anesthesiologist and bronchoscopist is a major concern. Also in cases with subglottic and upper tracheal stenotic lesions an airway device placed inside the lumen interferes with the procedure and occasionally bears the hazard of ignition. Therefore, an airway device placing above the glottis with effective oxygenation is required. Laryngeal mask airway is a supra-glottic device which facilitates assisted or spontaneous positive pressure ventilation. ⋯ Laryngeal mask airway could be regarded as a reliable alternative for airway management during interventional bronchoscopic procedures, especially when they are located near the glottis or in the upper third of the trachea.