Articles: general-anesthesia.
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Middle East J Anaesthesiol · Jun 1996
Comparative StudySevere neck burns and laryngeal mask airway for frequent general anesthetics.
Securing the airways in a patient suffering severe neck burns or its sequalae may present a challenge to the most experienced anesthesiologist. We investigate the utility of the Laryngeal Mask Airway (LMA) in this situation. We report on success, failure of complications of LMA insertion at the induction of general anesthesia in 23 patients of a Major Burns Unit and compare our results to our records of patients intubated endotracheally in the Unit. 14 out of 15 patients with neck burns had a LMA inserted with no difficulty or complications, while difficult endotracheal intubations in patients with neck burns were more frequent with statistical significance compared to patients with intact necks. LMA insertion seems to ignore the difficulties met with endotracheal intubation in this context.
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We studied prospectively 800 paediatric patients undergoing repair of cleft lip and palate to determine the predictors of difficult laryngoscopy. The incidence of difficult laryngoscopy (Cormack and Lehane grade III and IV) was 2.95% in patients with unilateral cleft lip, 45.76% in bilateral cleft lip and 34.61% in patients with retrognathia. Tracheal intubation was successful in 99% of patients in whom laryngoscopy was difficult. There was a significant association between age and laryngoscopic view (P < 0.01).
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To describe and evaluate anesthetic treatment during single lung transplantation (SLT). ⋯ In spite of the small series studied, the excellent results obtained lead us to conclude that our method is appropriate and that SLT is a valid therapeutic alternative for our patients.
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Acta Anaesthesiol Scand · May 1996
Recall of awareness during cardiac anaesthesia: influence of feedback information to the anaesthesiologist.
We interviewed 303 cardiac surgery patients to evaluate the incidence of intraoperative awareness with recall. First, we randomly interviewed 99 patients, of whom four patients (4%) reported awareness and recall. We informed the cardiac anaesthesiologists of the results of these interviews, and we also gave general information regarding means to reduce awareness and recall during general anaesthesia. ⋯ The patients with awareness were significantly younger than those not aware. In conclusion, with educational measures and vigilance over the problem, the incidence of intraoperative awareness during cardiac anaesthesia may be reduced. The incidence figure of 1.5% we observed is of the magnitude reported recently by others with modern cardiac anaesthesia techniques.