Saudi journal of anaesthesia
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The newest variation of the i-gel supraglottic airway is a pediatric version. ⋯ Hemodynamic parameters, ease of insertion and postoperative complications were comparable among the i-gel, PLMA and cLMA groups, but airway sealing pressure was significantly higher in the i-gel group.
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Intrathecal magnesium has been found to prolong the duration of analgesia in various surgical procedures like lower limb surgeries and as adjuncts to general anesthesia for pain management. The present study was designed to examine whether addition of intrathecal magnesium sulfate would enhance the analgesic efficacy of intrathecal bupivacaine and fentanyl in patients undergoing total abdominal hysterectomy. ⋯ The addition of 100 mg intrathecal magnesium led to prolonged duration of analgesia significantly without increasing the incidence of side-effects. Also, there was a significant delay in the onset of both sensory and motor blockade.
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Different adjuvants have been used to improve the quality and increase the duration of local anesthetics during various nerve block techniques. The current study was aimed to evaluate the effect of adding dexamethasone to bupivacaine on the quality and duration of transversus abdominis plane (TAP) block. ⋯ Addition of dexamethasone to bupivacaine in TAP block prolonged the duration of the block and decreased the incidence of nausea and vomiting.
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The cervical spine has to be stabilized in patients with suspected cervical spine injury during laryngoscopy and intubation by manual in-line axial stabilization. This has the propensity to increase the difficulty of intubation. An attempt has been made to compare TruView EVO2 and McCoy with cervical spine immobilization, which will aid the clinician in choosing an appropriate device for securing the airway with an endotracheal tube (ETT) in the clinical scenario of trauma. ⋯ The TruView blade is a useful option for tracheal intubation in patients with suspected cervical spine injury.
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Regional anesthesia is one of the most satisfying expertise in anesthesia. Nerve stimulation guided peripheral nerve blocks greatly enhance the success rate of block. ⋯ We have proposed a simple innovation to create a nerve stimulation needle at the point of care that would overcome the limitation associated with commercially available needle for nerve stimulation. This innovation may prove instrumental in training of anesthesia residents at no extracost to the patient.