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1.
Saudi J Anaesth ; 9(1): 82-5, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25558204

ABSTRACT

Intraoperative management of a known acute intermittent porphyria patient is a challenge requiring awareness of factors, which trigger an acute crisis, clinical features of a porphyric attack, knowledge of safe pharmacologic intervention, and preparedness for reintubation and ventilatory support. The classical signs of a porphyric crisis such as pain abdomen, vomiting and neuropsychiatric symptoms are masked under general anesthesia and can be confused with postoperative pain and vomiting and postoperative cognitive dysfunction, especially for intra-abdominal surgeries. Eternal vigilance for onset of an acute crisis is imperative. After a crisis of acute intermittent porphyria, residual paresis may persist for years in the absence of further attacks.

2.
Indian J Chest Dis Allied Sci ; 38(2): 129-33, 1996.
Article in English | MEDLINE | ID: mdl-8822648

ABSTRACT

Two patients with post-ventilatory tracheal stenosis were treated by repeated dilatation with oesophageal dilators under general anaesthesia, and direct vision of the fiberoptic bronchoscope. The results of dilatations were remarkable and the patients continue to be asymptomatic after a follow up of more than two years.


Subject(s)
Dilatation/methods , Tracheal Stenosis/therapy , Adult , Female , Humans , Intubation, Intratracheal/adverse effects , Male , Tracheostomy
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