Priming dose of intravenous rocuronium suppresses fentanyl-induced coughing.

Objectives: An intravenous bolus of fentanyl often induces a cough reflex. This study investigates whether priming with rocuronium can effectively attenuate fentanyl-induced coughing.

Methods: The study involved 260 participants, aged between 18 and 80 years of age, who were undergoing various elective surgeries.

Low-dose vasopressin infusion can be an alternative in treating patients with refractory septic shock combined with chronic pulmonary hypertension--a case report.

Septic shock is still the major cause of death in surgical intensive care unit. Fluid support, inotropic agents, and broad spectrum antibiotics are still the mainstay of traditional therapy. Here, we present a case of septic shock arising from gangrenous ischemic bowel, complicated by chronic pulmonary hypertension, which was refractory to catecholamine vasoprerssors.

Pulmonary artery rupture after attempted removal of a pulmonary artery catheter.

Withdrawal of a pulmonary catheter before initiation of cardiopulmonary bypass may prevent suturing the catheter to the pulmonary trunk and avoid the fatal complication of pulmonary artery rupture.