Journal of clinical anesthesia
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Comparative Study
Pain assessment following general anesthesia using the Toddler Preschooler Postoperative Pain Scale: a comparative study.
To evaluate the reliability of the Toddler Preschooler Postoperative Pain Scale (TPPS) following general anesthesia as a guide to analgesic administration, and to compare the validity of this scale with other observational measures of pain in children. ⋯ Following procedures that are likely to produce pain, TPPS, FLACC, and the COMFORT scale, modified as a purely behavioral tool, can be recommended for postoperative assessment of patients aged 1 to 5 years. The TPPS may be preferred for the discrimination between painful and nonpainful states.
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Comparative Study
Orthotopic liver transplant patients require less postoperative morphine than do patients undergoing hepatic resection.
To compare postoperative morphine use, analgesic efficacy, and side effect profiles in patients following orthotopic liver transplantation (OLTx) and liver resection (LR). ⋯ Orthotopic liver transplant patients experienced less pain and used less morphine postoperatively than did liver resection patients.
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We present here a case of a common problem for the anesthesiologist, i.e., difficulty in placing a Laryngeal Mask Airway (LMA). One solution is the use of the Yodfat technique to facilitate placement of the LMA.
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Case Reports
Unilateral Horner's syndrome and brachial plexus anesthesia during lumbar epidural blockade.
Horner's syndrome is a rare side effect of epidural analgesia. In association with ipsilateral brachial plexus block, it has only been reported once before, in French. Unilateral blockade has also been reported, although its etiology is unclear and may be multifactorial. The patient described here experienced an asymmetrical epidural blockade with a unilateral Horner's syndrome and ipsilateral brachial plexus block.