Journal of clinical anesthesia
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Case Reports
Remifentanil-nitroglycerin combination as an anesthetic support for ex utero intrapartum treatment (EXIT) procedure.
A 21 year old healthy parturient was diagnosed as having a fetus with micrognathia. She was scheduled for an ex-utero intrapartum treatment (EXIT) procedure. General anesthesia consisted of remifentanil, nitrous oxide, and midazolam. ⋯ This technique offered hemodynamic stability and provided uterine relaxation that may be rapidly terminated. For the fetus, it provided excellent transplacental anesthesia. Supplemental direct fetal anesthesia is recommended to prevent the rapid decline of analgesia/anesthesia that occurs after placental separation.
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Compartment syndrome caused by an infiltrated intravenous catheter has been previously reported, but there are no reports of compartment syndrome caused by fluids and/or medications dispensed by a properly functioning drug infusion pump. A case in which a commonly used drug infusion pump delivered propofol and remifentanil under high pressure, leading to compartment syndrome, is presented.
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Case Reports
The Storz C-MAC video laryngoscope: description of a new device, case report, and brief case series.
A new video laryngoscope and its early clinical application are presented. The device is a portable, battery operated video laryngoscope that resembles a standard Macintosh blade. The intubation technique is identical to conventional Macintosh laryngoscopy with the additional aid of a magnified video view.
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Comment Letter Comparative Study
The difficulty of choosing between two risks: laparoscopic or open cholecystectomy in the presence of a large patent foramen ovale.