Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To describe the anesthetic management of a patient with extreme obesity undergoing bariatric surgery whose intraoperative narcotic management was entirely substituted with dexmedetomidine. ⋯ Dexmedetomidine may be a useful anesthetic adjunct for patients who are susceptible to narcotic-induced respiratory depression. In this morbidly obese patient the narcotic-sparing effects of dexmedetomidine were evident both intraoperatively and postoperatively.
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Multicenter Study
Early clinical experience with a new videolaryngoscope (GlideScope) in 728 patients.
To evaluate a new videolaryngoscope and assess its ability to provide laryngeal exposure and facilitate intubation. ⋯ GS laryngoscopy consistently yielded a comparable or superior glottic view compared with DL despite the limited or lack of prior experience with the device. Successful intubation was generally achieved even when DL was predicted to be moderately or considerably difficult. GS was abandoned in 3.7% of patients. This may reflect the lack of a formal protocol defining failure, limited prior experience or difficulty manipulating the endotracheal tube while viewing a monitor.
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Case Reports
Relief of pain in acute herpes zoster by nerve blocks and possible prevention of post-herpetic neuralgia.
This report describes two cases of acute herpes zoster (AHZ) treated by nerve block resulting in immediate pain relief and possible prevention of post-herpetic neuralgia (PHN). ⋯ This report illustrates the potential of nerve blocks in severe AHZ to treat acute pain and possibly prevent PHN.