Journal of anaesthesiology, clinical pharmacology
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J Anaesthesiol Clin Pharmacol · Jan 2016
Dexmedetomidine provides optimum conditions during awake fiberoptic intubation in simulated cervical spine injury patients.
We undertook this study to assess if a small-dose of dexmedetomidine (DEX) for conscious sedation during awake fiberoptic intubation (AFOI) in simulated cervical spine injury (CSI) patients provides optimum conditions and fulfills the need of postintubation neurological examination required in such patients. The aim was to assess the efficacy of DEX on arousability and patient's comfort during AFOI in simulated CSI patients. ⋯ Dexmedetomidine provides optimum sedation without compromising airway or hemodynamic instability with better patient tolerance and satisfaction for AFOI. It also preserves patient arousability for the postintubation neurological assessment.
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J Anaesthesiol Clin Pharmacol · Jan 2016
Retraction Of PublicationRetraction: Intrathecal sufentanil versus fentanyl for lower limb surgeries: A randomized controlled trial.
[This retracts the article on p. 67 in vol. 27, PMID: 21804710.].
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J Anaesthesiol Clin Pharmacol · Jan 2016
ReviewPostoperative analgesia for cleft lip and palate repair in children.
Acute pain such as postoperative pain during infancy was ignored approximately three decades ago due to biases and misconceptions regarding the maturity of the infant's developing nervous system, their inability to verbally report pain, and their perceived inability to remember pain. More recently, these misconceptions are rarely acknowledged due to enhanced understanding of the developmental neurobiology of infant pain pathways and supraspinal processing. Cleft lip and palate is one of the most common congenital abnormalities requiring surgical treatment in children and is associated with intense postoperative pain. ⋯ Since in pediatric population, regional anesthesia is essentially performed under general anesthesia, association of these two techniques has dramatically cut down the risks of both procedures particularly those associated with the use of opioids and nonsteroidal anti-inflammatory drugs. Definitive guidelines for postoperative pain management in these patients have not yet been developed. Incorporation of multimodal approach as an institutional protocol can help minimize the confusion around this topic.
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J Anaesthesiol Clin Pharmacol · Jan 2016
Incidental finding of tracheal bronchus complicating the anesthetic management of a left video-assisted thoracoscopic procedure.
Congenital abnormalities of the large airways are uncommon, but may occasionally pose significant difficulties for anesthesiologists. The tracheal bronchus is an anatomical variant in which an accessory bronchus originates directly from the trachea rather than distal to the carina, as a takeoff from the right mainstem bronchus. Anesthesiologists should be aware of this uncommon anomaly, its different variants, and its management in order to successfully establish one lung ventilation (OLV) for surgical isolation. In this article, we report the challenges encountered in establishing OLV in a patient with a previously undiagnosed aberrant right upper lobe bronchus arising directly from the trachea.
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J Anaesthesiol Clin Pharmacol · Jan 2016
Comparative study evaluating efficacy of sufentanil versus midazolam in preventing myoclonic movements following etomidate.
Myoclonus is a major side-effect following etomidate injection requiring use of medical intervention. ⋯ The frequency, intensity and duration of myoclonus in the midazolam group, were significantly more prevalent than the sufentanil group.