Articles: general-anesthesia.
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Case Reports
An anesthetic for the adult patient with congenital tracheoesophageal fistula: a case report.
A 20-year-old male with a history of recurrent pneumonia was diagnosed as having an N-type tracheoesophageal fistula. A general anesthetic was planned to facilitate the repair of the tracheoesophageal fistula using a left anterior cervical approach. Intraoperatively, the surgeons were unable to identify the defect after surgical exposure. ⋯ Ease of identification allowed the tracheoesophageal fistula to be quickly repaired. At the completion of the surgery, the patient was extubated, and recovery was uneventful. The patient was discharged 48 hours postoperatively.
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La Radiologia medica · Dec 1994
Comparative Study[Anesthesiological problems in magnetic resonance].
A prospective study was carried out on 68 patients examined with Magnetic Resonance Imaging (MRI) under general anesthesia. Mean patients age was 10 years (range: 9 days to 77 years). MRI was performed with a 1.5 T superconductive magnet and different anatomical regions were studied: the brain in 63 cases, the lumbar spine in 3, the cervical spine in 1 and finally the upper abdomen in 1 patient. ⋯ Minor complications occurred in 5 more patients. Image quality was excellent in 75% of cases, while few movement artifacts were observed in the extant 25%. To conclude, isoflurane anesthesia is a safe, effective and efficient type of sedation for the patients to be submitted to MRI which can be used also on an outpatient basis.
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We describe a technique involving the use of a laryngeal mask airway, fibreoptic bronchoscope and a guide wire to manage the intubation of a child who was known to be a difficult intubation. The technique is simple, atraumatic, permits the use of an adult bronchoscope for infants and children, and allows control of the airway and ventilation throughout the period of intubation.
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Ulnar neuropathy is well-recognized as a potential complication of procedures performed on anesthetized patients. However, reported outcomes and risk factors for this problem are based on small series and anecdotes. ⋯ These data suggest that perioperative ulnar neuropathies are associated with factors other than general anesthesia and intraoperative positioning. Men at the extremes of body habitus who have prolonged hospitalizations are particularly susceptible to development of ulnar neuropathies.