Canadian journal of anaesthesia = Journal canadien d'anesthésie
-
To provide an evidence-based overview and update on the use of the Fastrach Intubating Laryngeal Mask Airway (FT-LMA) when used within operative and non-operative settings. ⋯ The FT-LMA has proven to be a useful difficult airway device both within and outside of the operating room. Effective ventilation is established in nearly all cases, and blind ETI is possible in the vast majority of cases if the optimal techniques described are used. Serious complications are uncommon.
-
Controlled Clinical Trial
No change in impedance upon intravascular injection of D5W.
Electrical impedance increases following test injections of non-conducting solutions around nerves; however, this increase should diminish rapidly with intravascular needle placement, wherein the systemic circulation will dissipate the solution. For this observational study, we hypothesized that the impedance increases significantly at the perineural space after an injection of 5% dextrose in water (D5W), but that it does not increase correspondingly at the intravascular location ⋯ The absence of a significant increase in impedance upon injection of D5W prior to injection of local anesthetic may provide useful information to warn of intravascular injection.
-
Various bibliometric citation indices have been used to evaluate research productivity and scientific impact, but recently, Hirsch's h-index has gained widespread recognition. Although described initially for physical sciences, h-indices are being used to assess research productivity and impact in other disciplines. ⋯ We describe the bibliographic characteristics of the research output of pediatric anesthesiologists in Canada. This study highlights the growing influence of scientometrics on the evaluation of scientific performance in medical specialties.
-
Strabismus surgery is one of the most common pediatric ophthalmic procedures. The purpose of this continuing professional development module is to update physicians on the anesthetic considerations of pediatric patients undergoing strabismus surgery. ⋯ To provide optimal care for the pediatric patient undergoing strabismus surgery, it is important to understand the unique anesthetic considerations for strabismus surgery and to appreciate how each decision regarding the anesthetic technique can alter these considerations.