Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To determine the success rate, safety and complications using a standard protocol and trained nurses to provide sedation for MRI under the supervision of a radiologist. ⋯ A high success rate can be achieved as experience is gained using a standard protocol and trained nurses to sedate children for MRI.
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Case Reports
Sevoflurane mask anesthesia for urgent tracheostomy in an uncooperative trauma patient with a difficult airway.
Proper care of the trauma patient often includes tracheal intubation to insure adequate ventilation and oxygenation, protect the airway from aspiration, and facilitate surgery. Airway management can be particularly complex when there are facial bone fractures, head injury and cervical spine instability. ⋯ Continuous mask ventilation with sevoflurane is an appropriate technique when confronted with an uncooperative trauma patient with a difficult airway.
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To present a case of delayed serotonin syndome (SS), a less well-known adverse effect of fluoxetine intoxication. ⋯ Physicians managing patients presenting with fluoxetine intoxication must be aware of the potential risk of SS. Treatment is symptomatic, but SS may be severe and require vital support in the intensive care environment. Review of published reports does not allow the authors to recommend a specific anesthetic management.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of midazolam, alfentanil and propofol for sedation in outpatient intraocular surgery.
To determine the ideal sedative regimen for intraocular surgery under peribulbar or retrobulbar block. The addition of alfentanil and or propofol to midazolam was evaluated with regard to hemodynamic variables, respiratory rate, pain, anxiety, sedation, postoperative recovery and patient satisfaction. ⋯ The addition of alfentanil to midazolam is advantageous in providing sedation for insertion of intraocular block.