Subject(s)
Anesthesiology/instrumentation , Nebulizers and Vaporizers , Adult , Equipment Failure , Humans , MaleABSTRACT
We report our experience of using the laryngeal mask airway (LMA) over a period of 18 months in 217 patients undergoing a variety of otorhinolaryngological operations. Advantages over conventional intubation for both patient and surgeon are suggested in both safety, speed and economy. An inadequate airway, necessitating replacement of the LMA, only occurred on two occasions whilst two known cases of difficult intubation easily had their airways secured by use of the LMA. Protection of the lower airways from secretions, fluid or blood, arising above the LMA, would appear to be confirmed.
Subject(s)
Intubation/instrumentation , Otorhinolaryngologic Diseases/surgery , Humans , Intubation/methodsABSTRACT
Oral slow release morphine 30 mg and temazepam 30 mg given as premedication 2 hours before operation were compared in 62 patients who underwent extraction of four third molar teeth in a randomised double-blind trial. There was no significant difference in pre-operative sedation; the majority were mildly or moderately sedated. Patients in the morphine group woke up significantly faster and had significantly reduced requirements for analgesics after operation.
Subject(s)
Anesthesia, Dental , Anti-Anxiety Agents , Morphine , Preanesthetic Medication , Temazepam , Administration, Oral , Adult , Anesthesia Recovery Period , Clinical Trials as Topic , Delayed-Action Preparations , Double-Blind Method , Female , Humans , Male , Morphine/administration & dosage , Random Allocation , Tooth Extraction , Tooth, Impacted/surgerySubject(s)
Hyperbaric Oxygenation , Mandibular Diseases/therapy , Osteoradionecrosis/therapy , Radiation Injuries/therapy , Aged , Humans , MaleABSTRACT
A patient with Klippel-Feil syndrome who underwent abdominal surgery is presented and the anomaly reviewed. The anatomical abnormality and potentially unstable neck provide a potentially difficult tracheal intubation which was undertaken using an awake fibreoptic technique. The role of the fiberscope and the advantage of pre-operative assessment of the difficult airway are discussed.
Subject(s)
Anesthesia, Endotracheal/methods , Fiber Optic Technology , Intubation, Intratracheal/methods , Klippel-Feil Syndrome/complications , Cholecystectomy , Cholelithiasis/complications , Cholelithiasis/surgery , Female , Humans , Middle AgedABSTRACT
Total transection of the retrohepatic inferior vena cava from blunt trauma is a rare and usually fatal injury. Such an injury in a patient with total situs inversus and previous surgical correction of great vessel transposition is described. A possible mechanism for the injury is suggested.
