Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2013
Case ReportsIncidental finding of foreign bodies during nasal intubation in a mentally challenged patient.
Nasal foreign bodies are frequently encountered among children and mentally challenged patients. They are often asymptomatic and may remain undetected for years. We are presenting a case of an incidental finding of foreign bodies during nasal intubation in a mentally challenged patient.
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Middle East J Anaesthesiol · Jun 2013
Comparative StudyEffects of liberal vs. conventional volume regimen on pulmonary function in posterior scoliosis surgery.
We observed an increased rate of pulmonary complications (hypoxemia, pulmonary edema, re-intubation) in some patients after posterior spinal fusion, though standardized intraoperative volume regimens for major surgery were used. Therefore, we focused on the effects of two different standardized fluid regimens (liberal vs. conventional) as well as on two different types of postoperative pain management (thoracic epidural catheter vs. intravenous analgesia) concerning pulmonary function in patients undergoing posterior spinal fusion. ⋯ The combination of a more restrictive fluid management (better pulmonary oxygen uptake and ventilation, less pulmonary edema) and a thoracic epidural catheter (sympatholysis, pain management) in posterior spinal fusion may be advantageous as both factors can improve pulmonary outcome.
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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.