Journal of anesthesia
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Journal of anesthesia · Dec 2010
Randomized Controlled TrialLidocaine spray 10 min prior to intubation: effects on postoperative sore throat.
A sore throat is the most frequent adverse side effect of general anesthesia. The purpose of this study was to compare the different types and timing of lidocaine application based on the effectiveness of reducing postoperative sore throat (POST) after endotracheal intubation. In group A, 8% lidocaine was sprayed on laryngopharyngeal structures immediately before intubation, and the distal ends of the endotracheal tubes (ETTs) were lubricated with 2% lidocaine gel. ⋯ In 527 patients, 28.2% reported POST at 24 h following extubation. Statistically significant differences in the incidence of POST were found only between group E (16.0%) and each of the other groups (28.4-38.5%), except for group B (26.5%). In conclusion, 8% lidocaine spray significantly reduced the incidence of POST if it was sprayed on laryngopharyngeal structures 10 min prior to endotracheal intubation.
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Journal of anesthesia · Dec 2010
Using a modified nasotracheal tube to prevent nasal ala pressure sore during prolonged nasotracheal intubation.
Nasotracheal tube induced nasal ala pressure sores or necrosis during prolonged nasotracheal intubation have been reported, and it is a serious but preventable complication. Here we introduce a modified nasotracheal tube to prevent this complication. This modified nasotracheal tube is composed of two parts, an oral endotracheal tube and a proximal part of a preformed nasotracheal tube, which are linked by a connector. The use of this modified nasotracheal tube can prevent nasal ala pressure sores during prolonged nasotracheal intubation.
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Journal of anesthesia · Dec 2010
Case ReportsSpinal anesthesia in a child with Brachmann-de Lange (Cornelia de Lange) syndrome.
Providing anesthesia to patients with Brachmann-de Lange syndrome (BdLS) may be challenging, mainly because of intubation difficulty, gastroesophageal reflux disease, and aspiration complications. The use of spinal anesthesia (SA) in this population has not been reported. We report the uneventful administration of awake SA to a 7-month-old girl with BdLS who was scheduled for rectal biopsy. The current literature is reviewed to discuss the indications for SA in those patients.
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Journal of anesthesia · Dec 2010
Chronic opioid therapy in patients with chronic noncancer pain in Taiwan.
Our aim was to analyze the physiopsychosocial variables in patients with long-term opioid therapy for chronic noncancer pain (CNCP) in Taiwan. ⋯ The long-term use of opioids provided significant improvement of pain relief and quality of life in these patients with CNCP; this therapy is a good solution if other modalities are not effective or useful.
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Journal of anesthesia · Dec 2010
Letter Randomized Controlled TrialParker Flex-Tip Tube(®) facilitates intubation when the Pentax-AWS(®) fails to reach the larynx.