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Effect of propofol versus sevoflurane on cerebral oxygenation in childhood Moyamoya disease. A near infrared spectroscopy study.
Rev Esp Anestesiol Reanim (Engl Ed)
November 2024
All India Institute of Medical Sciences, New Delhi, India.
Introduction And Objectives: Anaesthesia during surgery for moyamoya disease (MMD) has different effects on cerebral physiology. Both sevoflurane and propofol have cerebral protective effects, albeit with different mechanisms. We used near infrared spectroscopy (NIRS) to observe the effect of sevoflurane and propofol on rSO in paediatric patients undergoing MMD surgery.
View Article and Find Full Text PDFReducing Respiratory Complications During Electroconvulsive Therapy (ECT) With Smaller Doses of Succinylcholine in a Morbidly Obese Patient: A Case Report.
Cureus
July 2024
Department of Psychiatry, University of Florida College of Medicine, Gainesville, USA.
Anesthesia for electroconvulsive therapy (ECT) requires proper medications and airway management. Besides an induction agent such as methohexital, a neuromuscular blocker such as succinylcholine (SCh) is often given for muscle relaxation. To maintain the patient's oxygen saturation, mask ventilation is required due to this transient chemical paralysis even in the presence of adequate preoxygenation.
View Article and Find Full Text PDFProspective Evaluation of a Modified Apnea Test in Brain Death Candidates that Does Not Require Disconnection from the Ventilator.
Neurocrit Care
December 2024
Department of Neurology and Clinical Neurophysiology (Klinik für Neurologie und Neurophysiologie), Freiburg University Medical Center (Universitätsklinikum Freiburg), Breisacherstr. 64, 79106, Freiburg, Germany.
Background: The apnea test (AT) is an important component in the determination of brain death/death by neurologic criteria (BD/DNC) and often entails disconnecting the patient from the ventilator followed by tracheal oxygen insufflation to ensure adequate oxygenation. To rate the test as positive, most international guidelines state that a lack of spontaneous breathing must be demonstrated when the arterial partial pressure of carbon dioxide (PaCO) ≥ 60 mm Hg. However, the loss of positive end-expiratory pressure that is associated with disconnection from the ventilator may cause rapid desaturation.
View Article and Find Full Text PDFApneic Oxygenation: A Summarized Review and Stepwise Approach.
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Anesthesia and Critical Care, Henry Ford Health System, Detroit, USA.
Apneic oxygenation is a technique used during airway management procedures to maintain oxygenation and prevent desaturation during a lack of ventilation. Despite its importance, there is a lack of comprehensive information on how to achieve effective apneic oxygenation, leading to misunderstandings and suboptimal utilization of this technique. Apneic oxygenation involves several key steps.
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