The American journal of emergency medicine
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Comment Letter
Myasthenia gravis and Guillain-Barré co-occurrence syndrome.
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Randomized Controlled Trial
Assisted head extension minimizes the frequency of dental contact with laryngoscopic blade during tracheal intubation.
We hypothesized that the assisted maintenance of head extension would reduce the frequency of direct contact between the laryngoscope blade and the maxillary incisors during tracheal intubation. ⋯ The assisted maintenance of head extension during the simulation of tracheal intubation reduced the frequency of dental contact with the laryngoscopic blade without compromising the laryngoscopic views. The results of this study suggest that assisted head extension during tracheal intubation may reduce the possibility of unexpected dental injury.
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Clinical Trial
Efficacy of urine alkalinization by oral administration of sodium bicarbonate: a prospective open-label trial.
Urine alkalinization is indicated for various medical conditions. Alkalinization is usually achieved by intravenous administration of alkali substances titrated by repeated urinalyses. Some situations such as mass casualty events might require urine alkalinization by the oral route. We evaluated the efficacy of oral sodium bicarbonate administration for urine alkalinization. ⋯ Oral administration of a standard dose of sodium bicarbonate tablets resulted in effective urine alkalinization. Further research is needed to investigate the natural course of urine pH after cessation of our protocol and the efficacy of longer periods of treatment.