Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists
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Acta Anaesthesiol Taiwan · Jun 2004
Randomized Controlled Trial Clinical TrialOral slow release dextromethorphan premedication provides a pethidine spare effect on posthemorrhoidectomy pain management.
In our previous study, we had demonstrated that intramuscular (i.m.) dextromethorphan (DM) could provide a preemptive analgesic effect and improve postoperative pain management. Regrow is a long-duration slow-release oral dextromethorphan available for clinical use with good patient compliance. The present study was designed to examine whether oral regrow may also offer the same preemptive analgesic effect as i.m. DM does in postoperative pain management. ⋯ This study revealed that premedication of oral regrow 240 mg provided a preemptive analgesic effect, thus reducing the severity of postoperative pain and pethidine requirement in post-hemorrhoidectomy patients.
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Acta Anaesthesiol Taiwan · Jun 2004
Case ReportsSuccessful detection and management of unexpected endotracheal tube kinking during neurosurgery--a case report.
Kinking of endotracheal tube (ETT) is not an infrequent problem during general anesthesia. However, failure to secure free airway following airway obstruction due to kinking of endotracheal tube or other tube problems may lead to lethality instead of lifesaving. We describe a case of unexpected kinking of ETT intraorally while craniotomy was underway. ⋯ In this case report we would like to highlight how to accurately and quickly diagnose and manage the ETT kinking intraorally while craniotomy was in process under anesthesia. Emphasis is also laid on the importance of properly positioning of the head and neck prior to any operation especially in craniotomy. Besides, the flexometallic (FM) or armoured endotracheal tubes may be good substitutes for the polyvinyl chloride (PVC) ones in preventing the ETT kinking during general anesthesia.
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Acta Anaesthesiol Taiwan · Mar 2004
Risk factors associated with postoperative sore throat after tracheal intubation: an evaluation in the postanesthetic recovery room.
Postoperative sore throat after tracheal intubation is an unpleasant and distressing experience to patients. The aim of the study was to carry out a large-scale search for the risk factors of postoperative sore throat in patients undergoing endotracheal general anesthesia. ⋯ Five risk factors related to postoperative sore throat were identified in our study.
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Acta Anaesthesiol Taiwan · Mar 2004
Case ReportsApplication of wire-guided endobronchial blocker for one-lung ventilation in patient with tracheostomy--a case report.
One-lung ventilation (OLV) with a double-lumen endotracheal tube or Univent may be achieved difficulty in morbidly obese, mouth opening-limited or critically ill patients. Now, a new fiberoptically directed wire-guided endobronchial blocker (WEB) can be applied for these conditions. We report the use of a new endobronchial blocker in a pharyngeal cancer patient after pharyngectomy. ⋯ Then we use the WEB to achieve OLV. The WEB was guided by a loop, and through the appropriate position of left main bronchus by pediatric fiberoptic bronchoscope. Finally, OLV was accomplished smoothly with combination of a non-kinking endotracheal tube and a WEB.