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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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.