An adult patient with Klippel-Feil syndrome presenting for repeat operation: a cautionary tale of the GlideScope.

The introduction of video laryngoscopes has increased the success of intubating the difficult airway. However, failures have been reported in the literature that are associated with certain patient characteristics. Klippel-Feil Syndrome is a condition that typically presents with decreased cervical spine motion, a characteristic that has been associated with GlideScope failure.

Extravasation injury of the upper extremity by intravenous phenytoin.

Extravasation or IV injury attributable to phenytoin can cause severe soft tissue damage. Anesthesiologists are likely to encounter this problem and should recognize it and the potential complications. With increased awareness, the occurrence may be minimized.

Subdural air collection: a likely source of radicular pain after lumbar epidural.

This case conference reports two cases of epidural anesthesia in which air was used to identify the epidural space during a loss-of-resistance placement technique. Both patients subsequently complained of severe pain and subdural air was demonstrated in case 1 by computed tomography and in case 2 by magnetic resonance imaging. The possible causes of the pain syndrome experienced by both patients are discussed.

A comparison of remifentanil and fentanyl in patients undergoing surgery for intracranial mass lesions.

Unlabelled: We compared the effects of remifentanil versus fentanyl during surgery for intracranial space-occupying lesions. Patients were randomly assigned to receive either remifentanil (0.5 microg.