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Laryngospasm Treated With Intramuscular Rocuronium in a Pediatric Patient Without Intravenous Access: A Case Report.
Cureus
March 2024
Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, JPN.
Article Synopsis
- A case study details the successful use of intramuscular rocuronium to treat laryngospasm in an 11-month-old infant undergoing elective hernia surgery.
- The baby, who could not be ventilated after anesthesia induction, received 10 mg of rocuronium when intravenous access failed.
- This intervention allowed for effective ventilation within one minute and facilitated safe endotracheal intubation, ultimately leading to a smooth recovery post-surgery.
Identification of Drugs in Parenteral Pharmaceutical Preparations from a Quality Assurance and a Diversion Program by Direct Analysis in Real-Time AccuTOFTM-Mass Spectrometry (DART-MS).
J Anal Toxicol
October 2016
Department of Forensic Science, Virginia Commonwealth University, Richmond, VA 23284-3079, USA.
In healthcare settings drug diversion and impairment of physicians are major concerns requiring a rapid and efficient method for surveillance and detection. A Direct Analysis in Real Time ion source coupled to a JEOL AccuTOF time-of-flight mass spectrometer (DART-MS) method was developed to screen parenteral pharmaceutical formulations for potential drug diversion. Parenteral pharmaceutical formulations are also known as injectable formulations and are used with intravenous, subcutaneous, intramuscular and intra-articular administration.
View Article and Find Full Text PDFHomicide by Sch from a syringe-like dart ejected by a compound crossbow.
J Forensic Leg Med
February 2015
Department of Forensic Medicine, Basic Medicine College, Wuhan University, Wuhan 430071, People's Republic of China. Electronic address:
The compound crossbow can be used to eject syringe-like dart loaded with poisonous solution. Succinylcholine (Sch) is a short-acting neuromuscular blocker medically used to achieve complete relaxation of muscle for a good intubation condition. Without the help of an artificial respirator, intramuscular injection of a large dose of Sch can paralyze the respiratory muscle and result in the receiver's death.
View Article and Find Full Text PDFA minimal-invasive metabolic test detects malignant hyperthermia susceptibility in a patient after sevoflurane-induced metabolic crisis.
Case Rep Anesthesiol
January 2014
Department of Anaesthesia, Landshut-Achdorf Hospital, Achdorfer Weg 3, 84036 Landshut, Germany.
Malignant hyperthermia is a rare but life-threatening complication of general anesthesia in predisposed patients usually triggered by potent inhalation anesthetics and/or the depolarizing muscle relaxant succinylcholine. The authors present a case of delayed sevoflurane-induced malignant hyperthermia in a 21-year-old male patient that was sufficiently treated by discontinuation of trigger agent application and dantrolene infusion. After surviving an MH episode diagnostic procedures are indicated to increase patient safety.
View Article and Find Full Text PDFField immobilization of feral 'Judas' donkeys (Equus asinus) by remote injection of medetomidine and ketamine and antagonism with atipamezole.
J Wildl Dis
April 2012
Vertebrate Pest Research Section, Department of Agriculture and Food, 100 Bougainvillea Avenue, Forrestfield, Western Australia 6058, Australia.
The Judas technique is a method used for landscape control of feral donkeys (Equus asinus) in northern Australia. Central to the success of any Judas program is the safe, efficient, and humane attachment of the telemetry device. For feral donkeys, this involves the use of field immobilization.
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