Journal of clinical anesthesia
-
This report describes complete airway obstruction following anterior cervical fusion caused by extreme, fixed flexion of the neck in a halo device. The causes and treatment of such an airway complication are reviewed.
-
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.
-
Case Reports
Pseudocholinesterase hyperactivity with succinylcholine resistance: an unusual cause of difficult intubation.
We describe a case of difficult intubation, possibly due to marked pseudocholinesterase hyperactivity that caused rapid inactivation of succinycholine. Possible causes of difficult intubation and pseudocholinesterase hyperactivity are discussed. ⋯ It is concluded that pseudocholinesterase hyperactivity may be a rare cause of difficult intubation. We recommend that pseudocholinesterase activity should be determined in all patients who appear to be resistant to the action of normal doses of succinylcholine or mivacurium.
-
Beta-adrenergic agents have been widely used in obstetrics to attenuate premature labor (termed tocolytic therapy), delay delivery, allow fetal maturation, and thereby reduce neonatal morbidity and mortality. Hypokalemia is a common side effect during beta-adrenergic tocolytic therapy for the treatment of preterm labor. Although rebound hyperkalemia after cessation of tocolytic therapy with ritodrine has been reported, there have been no reports of hyperkalemia occurring after the cessation of beta-adrenergic tocolytic therapy with terbutaline for preterm labor; we report such a case.