Journal of clinical anesthesia
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Case Reports
Use of the Augustine stylet anticipating difficult tracheal intubation in Treacher-Collins syndrome.
Treacher-Collins syndrome is a familial and congenital condition often associated with a difficult airway. Although the condition is rare, the anesthesia care provider may encounter it on occasion. ⋯ A nasotracheal intubation using the stylet component of a recently introduced airway device, the Augustine Guide, was successfully performed. This is believed to be the first reported use of this method using the Augustine stylet.
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Although digoxin remains one of the most widely prescribed drugs in the United States, potential pharmacodynamic and pharmacokinetic interactions between this compound and other drugs, diseases, and events commonly encountered in the perioperative period remain largely unappreciated. Furthermore, the therapeutic benefit of discontinuing or initiating digoxin treatment preoperatively remains unclear. We present a basic review of current knowledge regarding digoxin pharmacology and examine those concepts from the perspective of clinical anesthesiologists.
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Randomized Controlled Trial Clinical Trial
Lidocaine inhalation attenuates the circulatory response to laryngoscopy and endotracheal intubation.
To evaluate the effect of lidocaine inhalation on the circulatory response to direct laryngoscopy and endotracheal intubation. ⋯ Inhalation of lidocaine 120 mg prior to induction of anesthesia is an effective, safe, and convenient method to attenuate the circulatory response to laryngoscopy and endotracheal intubation.
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Randomized Controlled Trial Clinical Trial
Butorphanol for the relief of shivering associated with extradural anesthesia in parturients.
To assess the efficacy of butorphanol for the relief of shivering following the epidural administration of 2% lidocaine. ⋯ Epidural butorphanol is effective in the treatment of postepidural shivering associated with epidural lidocaine. Epidural agonist opioids have been reported to be efficacious in the management of postepidural shivering. This study demonstrated that a partial agonist opioid also is effective in the treatment of postepidural shivering.
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Randomized Controlled Trial Clinical Trial
Elderly patients recover more rapidly from desflurane than from isoflurane anesthesia.
To compare the hemodynamic, emergence, and recovery characteristics of desflurane-nitrous oxide (N2O) anesthesia with those of isoflurane-N2O anesthesia in elderly patients. ⋯ Desflurane may benefit elderly patients by providing a more rapid recovery from anesthesia, leading to a shorter PACU stay.