Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2012
Randomized Controlled TrialRecovery profile and emergence delirium following sevoflurane and isoflurane anesthesia in children posted for cleft lip surgery.
This prospective, randomized, double control study was carried out in 84 children aged 2-24 months posted for elective cleft lip surgery. ⋯ Our study confirms that the recovery profile of sevoflurane in children less the two years is superior compared to isoflurane.
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Middle East J Anaesthesiol · Jun 2012
ReviewHyperparathyroidism, hypercalcemia and difficult laryngoscopy: a retrospective review.
The incidence of difficulty with intubation in the general population depends upon the definition used but results as high as 37% have been published. Endocrine disorders such as diabetes and hyperthyroidism have been linked to an increased incidence of difficult intubation via laryngoscopy. Hypercalcemia with resulting calcification has been demonstrated to result in neck pain, decreased cervical range of motion, and loss of skin and tendon compliance. We speculated that patients with hyperparathyroidism and resulting hypercalcemia would have an increased incidence of intubation difficulty via laryngoscopy. ⋯ To our knowledge, this is the first manuscript evaluating the impact of parathryoidectomy surgery and hypercalcemia on ease of intubation via laryngoscopy. Despite the fact that patients presenting for parathyroidecomy have many potential etiologies of increased difficulty with laryngoscopy, they do not appear to be at increased risk of laryngoscopy problems. The same is true of those patients presenting with hypercalcemia. Source(s) of support: There was no source of funding for this study. Presentation at a meeting: Society for Airway Management Annual Meeting 2009 Las Vegas NV and American Society of Anesthesiologists Annual Meeting 2010 San Diego, CA. Conflicting Interest (If present, give more details): With regard to conflict of interest, Dr. Arndt is a paid consultant for Cook Medical and receives royalties based on the sale of products that he invented.
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Middle East J Anaesthesiol · Jun 2012
Randomized Controlled Trial Comparative StudyCombined axillary block with "selective" injection of nerves and the axillary catheter: comparison of bupivacaine 0.25% or levobupivacaine 0.25%.
The aim of this study is to apply combination of axillary plexus block with "selective" injection of nerves and continuous catheter technique, and to compare the anesthetic and postoperative analgesic effects of bupivacaine and levobupivacaine. ⋯ In this tecnique, for median and radial nevre, bupivacained 0.25% produced slightly beter sensory and motor block intensity than levobupivacaine 0.25% in onset of the block. General success in relation to surgery and in the duration of the analgesia was identical in the two groups.
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Middle East J Anaesthesiol · Jun 2012
Randomized Controlled Trial Comparative StudyAnalgesia with remifentanil versus anesthesia with propofol-alfentanil for transvaginal oocyte retrieval: a randomized trial on their impact on in vitro fertilization outcome.
The aim of this study was to compare the effects of analgesia with remifentanil versus anesthesia with propofol and alfentanil on in vitro fertilization outcome. ⋯ Analgesia with remifentanil compared with anesthesia with propofol and alfentanil, provided equally effective and safe anesthesia during ultrasound transvaginal oocyte retrieval.
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Middle East J Anaesthesiol · Jun 2012
Case ReportsDelayed recovery from rocuronium block in an infant.
Prolonged duration of action of rocuronium in an infant patient is rare. We report an unusual case of prolonged neuromuscular blockade with rocuronium in an infant undergoing cleft lip repair anesthetized with sevoflurane and management of the patient.