Journal of clinical anesthesia
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Comparative Study
Frequency of anesthetic cardiac arrests in infants: effect of pediatric anesthesiologists.
To determine whether the presence of pediatric anesthesiologists decreases the frequency of anesthetic-related cardiac arrests in infants (children who are 1 year of age or younger). ⋯ The results suggest that the use of pediatric anesthesiologists for all infants 1 year of age or younger might decrease anesthetic morbidity in this age-group.
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The Bullard laryngoscope is a rigid fiber-optic device that offers a new approach to oral laryngoscopy. In this report, I present five cases illustrative of the use of the Bullard laryngoscope in patients with demonstrated or suspected difficult laryngoscopy and intubation.
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Hyperkalemia was found in an immunocompromised patient undergoing emergency cystoscopy. The cause of the hyperkalemia was an intraperitoneal rupture of the bladder. This case report discusses conditions that predispose patients to bladder rupture and anesthetic management of hyperkalemia.
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Review Case Reports
Anesthetic management of obstructive sleep apnea patients.
Presented in an illustrative case report and a review of the anesthetic management of obstructive sleep apnea patients. Preoperative evaluation should include a thorough airway evaluation and a comprehensive cardiovascular and pulmonary evaluation. With polysomnography, identification of the severity of sleep apnea can be idenified. ⋯ Opioids and sedatives should be avoided, as should other drugs that have central and sedating effects. Postoperative pain is effectively controlled with acetaminophen and topical anesthetic sprays. Postoperative monitoring for apnea, desaturation, and dysrhythmias is a necessity in sleep apnea patients.