Revista brasileira de anestesiologia
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Rev Bras Anestesiol · Sep 2011
Can manual hyperinflation maneuvers cause aspiration of oropharyngeal secretions in patients under mechanical ventilation?
To evaluate whether manual hyperinflation maneuvers can cause aspiration of oropharyngeal secretions in patients under mechanical ventilation. ⋯ Manual hyperinflation maneuvers did not cause aspiration of oropharyngeal secretions in patients under mechanical ventilation.
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Rev Bras Anestesiol · Jul 2011
Case ReportsRetrograde orotracheal intubation with a double-lumen tube.
Difficult airway management in thoracic surgeries is a peculiar subject due to the demands of monopulmonary ventilation with double-lumen tubes. Flexible bronchoscopy guidance is extremely important, but it is not always available. The objective of this report was to describe a case of retrograde selective orotracheal intubation in the absence of specific endoscopy equipment for the procedure. ⋯ Retrograde selective orotracheal intubation is a minimally invasive technique, low cost, safe, and extremely useful whenever flexible bronchoscopy is not available.
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Rev Bras Anestesiol · Jul 2011
Case ReportsAnaesthesia for caesarean section in a patient with lumbar syringomyelia.
Syringomyelia is a rare neurological condition characterized by the presence of an expansive cystic cavity in the spinal cord, resulting in several neurologic manifestations. The objective of the present report was to address the safety of general anesthesia in this group of patients. ⋯ General anesthesia can be safely used in patients with syringomyelia. Care should be taken to prevent increase in intracranial pressure and neuromuscular blockade should be monitored.