Journal of clinical anesthesia
-
Review Case Reports
Care of the injured Jehovah's Witness patient: case report and review of the literature.
Care for the Jehovah's Witness patient can be a challenge and often a dilemma to clinicians because of the patient's religious beliefs and teachings against receiving blood and blood products, especially in emergency or trauma settings. We present a case of a severely injured elderly Jehovah's Witness patient who survived. We also review the literature and offer an organized approach to care for such patients.
-
Randomized Controlled Trial Comparative Study Clinical Trial
The effects of alfentanil or remifentanil pretreatment on propofol injection pain.
To compare the efficacy of alfentanil, remifentanil, and saline in minimizing the propofol injection pain. ⋯ The remifentanil and alfentanil groups showed significantly less frequency and severity of pain than did the saline group. Remifentanil was effective in preventing propofol injection pain, and should be used at a dose of at least 0.02 mg for this purpose. Remifentanil may be an alternative drug for prevention of propofol injection pain.
-
Case Reports
Propofol and remifentanil total intravenous anesthesia for a patient with Huntington disease.
Huntington disease presents many challenges for the anesthetist. Of primary importance is that these patients are at increased risk of pulmonary aspiration. The use of short-acting anesthetic drugs should, therefore, be advantageous in promoting the rapid return of protective airway reflexes. We report the first documented use, to date, of propofol and remifentanil total intravenous anesthesia in a patient with Huntington disease and demonstrate its efficacy and safety.
-
Case Reports
Emergency airway management with a laryngeal mask airway in a patient placed in the prone position.
Accidental extubation of a patient while placed in the prone position is a life-threatening, anesthesia-related complication. We describe a case of accidental extubation of the trachea during spine surgery in a patient placed in the prone position. We successfully managed this emergent problem by inserting a Laryngeal Mask Airway while maintaining the patient in the same position.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Postoperative analgesic effect of epidural neostigmine and plasma cortisol and IL-6 responses.
To examine whether epidural administration of neostigmine reduces the stress and inflammatory responses thereby improving postoperative pain status. ⋯ The preincisional epidural neostigmine transiently suppresses the stress responses during surgery and improves postoperative analgesia in patients undergoing lower open abdominal surgery.