Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To describe the clinical use of a new videolaryngoscope in a patient who had repeatedly been difficult or impossible to intubate by conventional direct laryngoscopy. This device provided excellent glottic visualization and permitted easy endotracheal intubation. ⋯ This new videolaryngoscope provided excellent laryngeal exposure in a patient whom multiple experienced anesthesiologists had repeatedly found to be difficult or impossible to intubate using direct laryngoscopy. The clinical role of this device awaits confirmation in a large series of difficult airways.
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The aims of this study are to determine if the injection of a single large dose of local anesthetics into the paravertebral space increases the risks of inducing toxicity compared with multiple small injections and to describe ropivacaine plasma concentrations resulting from paravertebral blockade. ⋯ The injection of a single large bolus of local anesthetics into the paravertebral space does not increase its absorption. Maximal ropivacaine plasma concentrations resulting from paravertebral blockade are similar to those reported with equivalent doses of bupivacaine.
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Case Reports
Dexmedetomidine and low-dose ketamine provide adequate sedation for awake fibreoptic intubation.
We report the use of the alpha2 agonist, dexmedetomidine, with low-dose ketamine as a safe and effective treatment strategy to provide adequate comfort and sedation for a patient who fulfilled criteria of a difficult airway and required awake fibreoptic intubation (AFOI). ⋯ Dexmedetomidine and concurrent low-dose ketamine provided sedation and comfort to this patient who required an AFOI.
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To describe the modification of the ropivacaine (R) pharmacokinetics produced by the addition of epinephrine (E). ⋯ The addition of E significantly modifies the pharmacokinetics of R injected caudally.
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Letter Case Reports
Ventilation of a patient after esophageal intubation with a double-lumen tube.