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https://www.readbyqxmd.com/read/25885624/anesthetic-management-in-a-child-with-job-s-syndrome
#1
Prasad Kulkarni, Riddhi Shah, V N Priyanka
Job's syndrome also known as hyper-IgE syndrome is a rare disorder associated with immunodeficiency. It includes recurrent abscesses of staphylococcal origin affecting skin and musculoskeletal system, recurring pneumonia and pneumatoceles, eosinophilia, craniofacial, and bone growth changes. This case report describes the disease and anesthetic management. Ten-year-old male child weighing 18 kg was diagnosed recently as Job's syndrome and was posted for abscess drainage over chest, back, upper, and lower limb...
July 2012: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/24665249/anesthetic-management-of-descending-thoracic-aortobifemoral-bypass-for-aortoiliac-occlusive-disease-our-experience
#2
Anjum Saiyed, Reema Meena, Indu Verma, C K Vyas
BACKGROUND: Complete obstruction of the abdominal aorta at the renal artery level is a difficult surgical problem. Aortic clamping and declamping can lead to profound haemodynamic changes, myocardial infarction, ventricular failure or even death may result. These complications are important challenges in anesthetic management of these patients. METHODS: Between August, 2010 and April, 2012, descending thoracic aorta to femoral artery bypass grafting was used to revascularize lower limbs in 11 patients in our institute...
January 2014: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/24046803/pyridostigmine-induced-high-grade-sa-block-in-a-patient-with-myasthenia-gravis
#3
Sarmad Said, Chad J Cooper, Haider Alkhateeb, Sherif Elhanafi, Jorge Bizet, Sucheta Gosavi, Zainul Abedin
PATIENT: Female, 70 FINAL DIAGNOSIS: SA block induced by pyridostigmine Symptoms: Asymptomatic Medication: Pyridostigmine Clinical Procedure: Pacemaker insertion Specialty: Electrophysiology. OBJECTIVE: Unusual clinical course. BACKGROUND: Myasthenia gravis requires a long-term treatment with a parasympathomimetic agent, which may result in bradycardia and asystole. Pharmacologic treatment with a reversible inhibitor of inosine monophosphate dehydrogenase (IMPDH) and Methylprednisolone is seen to improve the muscular symptoms but may reinforce potential bradyarrhythmias...
2013: American Journal of Case Reports
https://www.readbyqxmd.com/read/23766543/effect-of-the-mixed-phosphodiesterase-3-4-inhibitor-rpl554-on-human-isolated-bronchial-smooth-muscle-tone
#4
Luigino Calzetta, Clive P Page, Domenico Spina, Mario Cazzola, Paola Rogliani, Francesco Facciolo, Maria Gabriella Matera
The phosphodiesterase (PDE) enzyme family hydrolyzes cAMP and cGMP, second messengers that regulate a variety of cellular processes, including airway smooth muscle (ASM) relaxation and the inhibition of inflammatory cells. We investigated the activity of RPL554 [9,10-dimethoxy-2(2,4,6-trimethylphenylimino)-3-(n-carbamoyl-2-aminoethyl)-3,4,6,7-tetrahydro-2H-pyrimido[6,1-a]isoquinolin-4-one], a dual PDE3/PDE4 inhibitor that exhibits bifunctional activity for its effects on the tone of human isolated ASM and any potential synergistic interactions with muscarinic receptor antagonists or a β2-agonist...
September 2013: Journal of Pharmacology and Experimental Therapeutics
https://www.readbyqxmd.com/read/23741140/glycopyrrolate-induced-bilateral-angle-closure-glaucoma-after-cervical-spine-surgery
#5
Mahmoud Jaroudi, Maalouf Fadi, Fadi Farah, Georges M El Mollayess
To report a case of bilateral acute angle closure glaucoma (AACG) that occurred after cervical spine surgery with the use of glycopyrolate. A 59-year-old male who presented with severe bilateral bifrontal headache and eye pain that started 12 h postextubation from a cervical spine surgery. Neostigmine 0.05 mg/kg (4.5 mg) and glycopyrrolate 0.01 mg/kg (0.9 mg) were used as muscle relaxant reversals at the end of the surgery. Ophthalmic examination revealed he had bilateral AACG with plateau iris syndrome that was treated medically along with laser iridotomies...
April 2013: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/21804701/evaluation-of-intubating-conditions-with-varying-doses-of-propofol-without-muscle-relaxants
#6
Mangesh S Gore, Kalpana D Harnagale
BACKGROUND: Since 1988 anaesthesiologist have proved that induction dose of propofol is sufficient to intubate patient without muscle relaxants. Propofol is unique in having property to suppress airway reflexes better than any other agent. Therefore study was undertaken to evaluate clinically acceptable intubating conditions with different doses of propofol without muscle relaxants. PATIENTS AND METHODS: 90 ASA grade I and II patients posted for elective surgery requiring general anesthesia divided randomly into group I (propofol 2 mg kg(-1)); group II (2...
January 2011: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/20661347/prospective-randomized-comparative-study-of-use-of-plma-and-et-tube-for-airway-management-in-children-under-general-anaesthesia
#7
Mamta G Patel, Vn Swadia, Geetika Bansal
ProSeal(TM) Laryngeal Mask Airway (PLMA) for children had been introduced in 2004, by Dr. Archie Brain. It has, in addition to Classic Laryngeal Mask Airway (CLMA), a drainage tube for providing a bypass channel for gastric contents to prevent regurgitation and pulmonary aspiration. A randomized prospective study was performed comprising of 60 ASA - I/II patients, between the age groups of 3 and 10 years, of either sex. All the patients were premedicated with oral Midazolam and Glycopyrollate. General anaesthesia with caudal epidural analgesia was given in all the cases...
March 2010: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/15935642/c1-esterase-inhibitor-deficiency-and-elective-caesarean-section
#8
R J Griffiths, G O'Sullivan
C1-esterase inhibitor deficiency is a rare disorder of the complement system characterised by episodes of cutaneous and mucosal oedema. Life-threatening airway oedema can follow airway instrumentation or minor trauma. We describe the successful management of a 37-year-old primiparous woman with inherited C1-esterase inhibitor deficiency who was admitted at 38 weeks' gestation for elective caesarean section. Whilst undergoing general anaesthesia 18 months previously she had experienced facial and pharyngeal oedema despite prophylaxis (one unit of fresh frozen plasma)...
July 2005: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/10740557/comparison-of-different-doses-of-remifentanil-on-the-cardiovascular-response-to-laryngoscopy-and-tracheal-intubation
#9
RANDOMIZED CONTROLLED TRIAL
A P Hall, J P Thompson, N A Leslie, A J Fox, N Kumar, D J Rowbotham
We have compared three bolus and infusion regimens of remifentanil on the cardiovascular response to laryngoscopy and orotracheal intubation in three groups of 20 ASA I-II female patients, in a randomized, double-blind study. Patients in group 1 received glycopyrolate 200 micrograms i.v. followed by a bolus dose of remifentanil 1 microgram kg-1 over 30 s and an infusion of remifentanil at a rate of 0.5 microgram kg-1 min-1. The other patients received remifentanil 0.5 microgram kg-1 over 30 s and an infusion of 0...
January 2000: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/10555590/update-on-medications-used-to-treat-gastrointestinal-disease-in-children
#10
REVIEW
J S Evans, S Huffman
Progress in the pharmacotherapy of pediatric gastrointestinal diseases continued during 1998 despite ongoing obstacles encountered by clinicians and researchers. The major change involved warnings that cisapride, a widely used prokinetic agent, could cause potentially fatal arrythmias in susceptible people. The risk for children is unclear and a consensus of prescribing guidelines is needed. Excellent pediatric-oriented reviews have been published that summarize our knowledge of proton pump inhibitors, probiotics, 5-hydroxtryptamine-3 (5-HT3) antagonists, and the treatment of gastrointestinal infections and chronic abdominal pain...
October 1999: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/10233600/the-use-of-topical-glycopyrrolate-in-the-treatment-of-hyperhidrosis
#11
D C Seukeran, A S Highet
The use of an aqueous solution of 0.5% topical glycopyrollate was effective in the treatment of hyperhidrosis of the scalp and forehead after other treatments had proved ineffective; this appears to be the first report of its use in this condition.
September 1998: Clinical and Experimental Dermatology
https://www.readbyqxmd.com/read/8773869/failure-of-neuromuscular-blockade-reversal-after-rocuronium-in-a-patient-who-received-oral-neomycin
#12
D L Hasfurther, P L Bailey
PURPOSE: Because the aminoglycoside antibiotics and nondepolarizing muscle relaxants have interactions that vary, it is necessary to update the potential for such interactions when new drugs are introduced clinically. Rocuronium is a newly released steroidal nondepolarizing muscle relaxant with an intermediate duration of action. The following report is the first description of prolonged neuromuscular blockage after rocuronium in a patient who had received oral neomycin in anticipation of open bowel resection...
June 1996: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/8111941/recovery-of-neuromuscular-function-after-atracurium-and-pancuronium-maintenance-of-pancuronium-block
#13
RANDOMIZED CONTROLLED TRIAL
D G Whalley, B Lewis, N M Bedocs
The study was undertaken to determine whether a neuromuscular blockade induced with pancuronium but maintained with atracurium was associated with a shorter time to complete recovery after administration of neostigmine than if the blockade was maintained with pancuronium alone. Anaesthesia consisted of thiopentone, N2O/O2/enflurane and fentanyl, and the neuromuscular blockade, induced by pancuronium 0.1 mg.kg-1 was monitored by the force of contraction of adductor pollicis during major abdominal surgery lasting 2-5 hr...
January 1994: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/2493519/continuous-infusion-of-methohexital-and-alfentanil-hydrochloride-for-general-anesthesia-in-outpatient-third-molar-surgery
#14
COMPARATIVE STUDY
M T Dachowski, R Kalayjian, J C Angelillo, E A Dolan
Three anesthetic techniques were compared in this study: 1) Intermittent Brevital boluses supplemented with fentanyl and midazolam all titrated to patient movement, 2) constant infusion of Brevital supplemented with fentanyl and midazolam all delivered in calculated mg/kg doses based on total body weight, and 3) constant infusion of methohexital (Brevital) and alfentanil (Alfenta) supplemented by midazolam (Versed), droperidol, and glycopyrolate (Robinul) delivered in calculated mg/kg doses based on lean body mass...
March 1989: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/1532350/epidural-lidocaine-with-sufentanil-and-epinephrine-for-abdominal-hysterectomy-under-general-anaesthesia-respiratory-depression-and-postoperative-analgesia
#15
RANDOMIZED CONTROLLED TRIAL
R A Dyer, K Camden-Smith, M F James
The purpose of this investigation was to compare the analgesic actions and side-effects of a 50 micrograms epidural bolus of sufentanil and 50 micrograms epinephrine, with a control group receiving saline and epinephrine. The method employed was a prospective, randomised, double-blind trial involving 40 ASA I or II patients for total abdominal hysterectomy. All received 1.5% lidocaine with 1/200,000 epinephrine epidurally before operation, until a block to T4 was established. Patients were anaesthetised, their tracheas were intubated, and they were allowed to breathe spontaneously before administration of the test drug...
March 1992: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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