Middle East journal of anaesthesiology
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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.
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Middle East J Anaesthesiol · Oct 2009
Randomized Controlled Trial Comparative StudyOxygenation during one-lung ventilation with propofol or sevoflurane.
60 patients, ASA I-III, underwent one-lung ventilation for open or video-assisted thoracic surgery randomized either with intravenous anesthesia with propofol or with inhalational anesthesia with 1 MAC sevoflurane. Propofol was titrated during one-lung ventilation to achieve a mean arterial pressure of 75-80 mmHg. ⋯ At all time points, hemodynamic and respiratory parameters were comparable in both groups. Oxygenation did not differ between groups at comparable mean arterial blood pressures.