Brazilian journal of anesthesiology (Elsevier)
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Venipuncture is one of the most common procedures performed in daily anesthetic practice. Though usually innocuous, peripheral nerve injuries with serious sequelae have been described following venipuncture. We present a case of venipuncture-related lateral antebrachial cutaneous nerve injury, alongside the essential diagnostic and prognostic information for day to day practice. ⋯ Peripheral nerve injuries have been described after venipuncture, but the literature is limited. Nerves in the antecubital fossa classically lie on a plane just beneath, and in close proximity to, the veins, making them susceptible to injury during phlebotomy; also it has been shown that there is a large range of anatomic variation, suggesting that even a non-traumatic, satisfactory venipuncture can directly damage these nerves. Anesthesiologists must be aware of this possible complication, diagnosis and prognostication to adequately counsel patients in the event that this complication occurs.
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The use of ultrasound for needle correct placement and local anesthetic spread monitoring helped to reduce the volume of local anesthetic required for peripheral nerve blocks. There are few studies of the minimum effective volume of local anesthetic for axillary brachial plexus block. The aim of this study was to determine the minimum effective volume (VE90) of 0.5% bupivacaine with epinephrine (1:200,000) for ultrasound guided ABPB. ⋯ This study is in agreement with some other studies, which show that it is possible to achieve surgical anesthesia with low volumes of local anesthetic for ultrasound-guided peripheral nerve blocks.
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The purpose of this study was to review the experiences of an anesthesiology department regarding the use of a C-MAC videolaryngoscope in unexpected failed intubation attempts. ⋯ These data provide evidence for the clinical effectiveness of C-MAC videolaryngoscope in managing the unexpected failed intubations in routine anesthesia care. The C-MAC videolaryngoscope is efficient and safe as a primary rescue device in unexpected failed intubations.
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In laparoscopic surgical procedures, experts recommend tracheal intubation for airway management. Laryngeal mask airway (LMA) can be a good alternative to intubation. In this case series, we aimed to examine the use of the Supreme™ LMA (SLMA) in laparoscopic surgical practice. ⋯ SLMA can be a suitable alternative to intubation in laparoscopic surgical procedures in a group of selected patients.
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Comparative Study
Comparison of laryngeal mask airway supreme and laryngeal mask airway proseal for laryngopharyngeal trauma and postoperative morbidity in children.
Laryngeal mask airway (LMA), which has been used frequently in airway management, can cause laryngopharyngeal injury and morbidity. In this trial, we compare the macroscopic changes on laryngopharyngeal structures and the postoperative laryngopharyngeal morbidity by using LMA supreme with LMA proseal in children. ⋯ LMA supreme insertion is faster and easier than LMA proseal and causes less laryngopharyngeal injury than LMA proseal in children.