Journal of clinical anesthesia
-
To determine the sensitivity and specificity of direct laryngoscopy in the conscious patient as a diagnostic test for difficult direct laryngoscopy in the unconscious patient. ⋯ Using remifentanil as the sole analgesic allows evaluation of the larynx with direct laryngoscopy in a conscious patient. A poor Cormack-Lehane grade in a conscious patient may or may not improve with general anesthesia.
-
To evaluate the relationship between body mass index (BMI) and blood pressure (BP) elevation during electroconvulsive therapy (ECT). ⋯ BMI correlates with BP elevation during ECT.
-
Case Reports
Successful management of rocuronium-induced anaphylactic reactions with sugammadex: a case report.
Sugammadex, a new reversal agent for rocuronium, encapsulates the rocuronium molecule and results in rapid reversal of rocuronium-induced neuromuscular blockade. A case in which sugammadex was used to treat an anaphylactic reaction that occurred after rocuronium is presented. The binding/encapsulation of rocuronium by sugammadex may selectively eliminate the antigenic quaternary ammonium activity of circulating rocuronium, and prevent the propagation of rocuronium-induced anaphylaxis.