Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2005
Clinical TrialPresurgical caudal block attenuates stress response in children.
Our aim was to determine if the anesthesia technique for pain relief in children affects the stress response after minor surgery. A rise in blood glucose reflects stress-related effects in children who do not receive glucose perioperatively. ⋯ Presurgical caudal analgesia attenuates the stress response of anesthesia and surgery and decreases postoperative narcotic use while narcotics prolong PACU and discharge times.
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Middle East J Anaesthesiol · Jun 2005
Clinical TrialMuallem endo-tracheal tube introducer: (METTI)--an aid for the difficult airway.
This is a brief report evaluating a new single use endotracheal tube introducer (METTI) which has a soft curved atraumatic tip. The introducer was tried in 44 patients, whose direct laryngoscopic view was simulated to Cormack IIIb score, and in six patients with real Cormack III score. The overall success rate of railroading of the tracheal tube over the introducer was 94% from the first attempt.
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Middle East J Anaesthesiol · Jun 2005
Case ReportsManagement of difficult intubation in a patient with ankylosing spondylitis--a case report.
We describe a case of difficult intubation in a patient suffering from ankylosing spondylitis undergoing total hip replacement surgery. The anesthetic management of 42 year old patient with difficult airway is discussed. Failure of epidural anesthesia procedure necessitated general anesthesia. ⋯ Cricoarytenoid cartilages involvement may result in upper airway compromise. Furthermore cervical spine vertebrae are prone to fractures, especially on hyperextension and may lead to spinal cord transection and quadriplegia. In this case report we describe the airway management of such patient with fixed rigidity of cervical spine and thoracolumbar kyphosis.
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Middle East J Anaesthesiol · Jun 2005
Case ReportsAnesthetic implications for video assisted thoracoscopic thymectomy in myasthenia gravis.
Thymectomy is an established therapy in the management of generalized myasthenia gravis (MG). However, the optimal surgical approach to thymectomy has remained controversial. There are advocates for transternal, transcervical approaches for "maximal" thymectomy. ⋯ We believe that the use of NMRT provides good operative and postoperative conditions. In this report we have described two different NMRTs, one with TEA and the other without. Further studies are needed on large number of cases to establish an anesthetic protocol for VATT.
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Middle East J Anaesthesiol · Jun 2005
Case ReportsA novel technique for off pump bidirectional Glenn shunt--safety issues--a case report.
A new technique to decompress the superior vena cava (SVC) during off pump bi-directional Glenn [BDG] shunts is described. Cerebral protection maneuvers and the safety concerns of the technique are addressed.