Acta anaesthesiologica Sinica
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Acta Anaesthesiol. Sin. · Dec 1997
Low-flow anesthesia in adult orthotopic liver transplantation: a preliminary clinical experience.
Anesthesia in orthotopic liver transplantation (OLT) may carry with complex hemodynamic, body temperature, and metabolic alterations. Although OLT cases increased in recent years in Taiwan, experiences remained limited. Notable advantage of low flow anesthesia may include reduced consumption of anesthetic gases and vapors, reduced environmental pollution and cost-saving. This study investigated patient profiles and the feasibility of low-flow rebreathing technique for adult orthotopic liver transplantation. ⋯ Low-flow rebreathing anesthetic technique maintained acceptable patient profiles and good body temperature preservation in orthotopic liver transplantation. These characteristics make it a promising method in maintenance of anesthesia for OLT.
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Acta Anaesthesiol. Sin. · Dec 1997
A new device: Tube Securer. An endotracheal tube holder with integrated bite-block.
Endotracheal intubation is the most commonly employed technique in airway management. Having an endotracheal tube (ETT) in place, however, does not guarantee a patent airway. Tube obstruction due to kinking, blood clots/secretion, dislodgment, or patient's biting can occur. ⋯ The author therefore proposed that this practice should have room for improvement and has made effort to design a new device for the purpose. The new dual function endotracheal tube holder with integrated bite-block as described can firmly secure the ETT in place and effectively prevent patient's biting on the tube. Therefore, it helps prevent the most serious complication of endotracheal intubation and subsequently improves patient safety.
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Acta Anaesthesiol. Sin. · Sep 1997
Randomized Controlled Trial Comparative Study Clinical TrialComparison of neuromuscular action of rocuronium, a new steroidal non-depolarizing agent, with vecuronium.
Rocuronium is a new nondepolarizing muscle relaxant. It features a rapid onset and lack of histamine release: It has an intermediate onset of action as vecuronium. The purpose of this study was to compare the neuromuscular action and condition of intubation after a bolus dose of rocuronium or vecuronium (2 x ED90). We also compared the duration of relaxation after intubation and maintenance doses of each drug. ⋯ We conclude that rocuronium provides a more rapid onset of action than that of vecuronium. Rocuronium is an intermediate-acting muscle relaxant as vecuronium with good to excellent intubation condition. It may be an useful alternative to vecuronium for rapid tracheal intubation.
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Acta Anaesthesiol. Sin. · Sep 1997
Evoked facial nerve EMG and brainstem auditory evoked potential monitoring in cerebellopontine angle tumor resection.
The preservation of normal nerve function or identification of nerve route is critical in some surgeries of cerebellopontine angle tumors. Over the last 5 years, intraoperative facial nerve electromyogram (EMG) and brainstem auditory evoked potential (BAEP) were applied for evaluation of facial nerve integrity and brainstem function in patients while undergoing resection of cerebellopontine angle (CPA) tumor. This report represents the retrospective analysis of our results. ⋯ The low incidence of false negative test suggests that facial nerve EMG is valuable in detection of facial nerve function in CPA tumor resection. Intraoperative BAEP abnormality is possibly useful in identifying postoperative brainstem dysfunction.
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Acta Anaesthesiol. Sin. · Sep 1997
Case ReportsAnesthetic management in a parturient with progressive systemic sclerosis during cesarean section--a case report.
This case report concerns a successful Cesarean section (C/S) delivery in an expectant woman affected with progressive systemic sclerosis (PSS) with clinical manifestations of severe pulmonary hypertension (PH), cor pulmonale, severely restrictive ventilatory impairment, pregnancy-induced hypertension (PIH), and esophageal dysfunction under general anesthesia (GA). This is an extremely rare condition in obstetrics and the victim is usually in a great peril of conception, delivery, surgery and anesthesia because of poor pulmonary and cardiac reserves. We herewith reported our experience in two GAs given uniquely to the same patient who was affected with the disorder and discuss the problem.