The use of sub-arachnoid block in a restless eclamptic is not very common. Studies have demonstrated some benefits of sub-arachnoid block over general anaesthesia in stable eclamptic but its role in the management of unstable eclampsia has not been established. Reported below is an eclamptic parturient who was restless despite magnesium sulphate regimen and possesed features suggestive of diffi...

Ultrasound guided regional anaesthesia is becoming increasingly popular. The supraclavicular block has been transformed by ultrasound guidance into a potentially safe superficial block. We reviewed the techniques of performing supraclavicular block with special focus on ultrasound guidance.

discussion the vigilance and experience of medical personnel in the icu, appropriate iv sedation, and using a bite block are the best ways to prevent mortality caused by aspiration of an ett in all intubated patients. case presentation we report a case of death caused by tracheal tube aspiration, where it was located distal to the vocal cords, with a part of it entering the right bronchus and t...

More than two decades ago, bronchiectasis unrelated to cystic fibrosis (CF) was termed “Orphan disease”, because it had become an uncommon clinical entity among children in the developed world. It is more common among children in lower socioeconomic classes and in developing countries, due to more frequent recurrent respiratory infections, environmental airway irritants, poor immunization, and ...

In most patients, the deposition of aerosolized pentamidine (AP) is less in the apex of the lung relative to the base. As the apex of the lung is relatively less ventilated than the base, it is possible that reduced regional ventilation may explain the inhomogeneity in regional drug deposition. The purpose of this study was to measure the relationship between regional deposition of AP and regio...

Little is known about the neural correlates of within-person variability in cognitive performance. We investigated associations between regional brain volumes and trial-to-trial, block-to-block, and day-to-day variability in choice-reaction time, and episodic and working memory accuracy. Healthy younger (n=25) and older (n=18) adults underwent 101 daily assessments of cognitive performance, and...

1 Brown RH. Marching to the beat of different drummers: individual airway response diversity. Eur Respir J 2004;24:193–4. 2 Lutchen KR, Jensen A, Atileh H, et al. Airway constriction pattern is a central component of asthma severity: the role of deep inspirations. Am J Respir Crit Care Med 2001;164:207–15. 3 Obase Y, Shimoda T, Mitsuta K, et al. Correlation between airway hyperresponsiveness an...

study, 92% of patients received a neuromuscular blocker and fewer than 1% required more than two attempts at tracheal intubation. There is a clear link between multiple attempts at intubation and development of complications, some of which are life-threatening. In a study of 2833 intubations in critically ill patients, neuromuscular block was used in only 20% of intubations, and in 17% only top...