BACKGROUND: Laryngeal Mask Airway (LMA) fills a niche between the facemask and endotracheal tube. For LMA insertion, use of only propofol as sole induction agent has less success rate. So many co-induction agents had been tried to get better success rate. Aim: To evaluate whether midazolam or mini-dose succinylcholine eases LMA insertion during propofol anaesthesia. MATERIALS AND METHOD: 75 adu...

BACKGROUND Succinylcholine remains the standard neuromuscular blocking drug for tracheal intubation in emergency situations. The short duration of action is due to its rapid hydrolytic degradation by butyrylcholinesterase (plasmacholinesterase). Multiple variants of this enzyme are known (A, F, S, H, J, K variants) with different effects on enzyme activity. This study was undertaken to evaluate...

To the Editor: I read with great interest the article by Ikeda et al.1 and the accompanying editorial.2 Surprisingly, the editorial did not refer to the recently published findings of a prospectively assessed algorithm for difficult airway management involving 12,225 facemask ventilations (FMV).3 Patients with indications for awake fiberoptic intubation were excluded. In contrary to traditional...

Background: Succinylcholine induced fasciculations and myalgia may be a source of greater distress to the patient than the surgical pain. Aims & Objective: This study was designed to see if propofol offered any protection against succinylcholine induced fasciculations and myalgia compared with thiopentone sodium. Material and Methods: This prospective, randomized study was conducted in a teachi...

Abstract : Although it has side effects, succinylcholine is still widely used in rapid sequence induction. The aim of the present study is to evaluate the effects of pretreatment with magnesium and precurarization of vecuronium on succinylcholine-induced fasciculation and subsequent tracheal intubation-induced hemodynamic changes during rapid sequence induction. Fifty-five patients were allocat...

PURPOSE OF REVIEW Rapid sequence intubation is the method of choice for intubation of the emergency department patient. The purpose of the present review is to address several controversies pertaining to emergency department rapid sequence intubation of children. RECENT FINDINGS The topics covered in this review include the determination of the appropriate clinician to perform emergency depar...

BACKGROUND Post-extubation laryngospasm is a dangerous complication that should be managed promptly. Standard measures were described for its management. We aimed to compare the efficacy of propofol (0.5mg.kg-1) vs. lidocaine (1.5mg.kg-1) for treatment of resistant post-extubation laryngospasm in the obstetric patients, after failure of the standard measures. METHOD This study was conducted o...

BACKGROUND Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are associated with life-threatening perioperative complications, including rhabdomyolysis, hyperkalemia, and hyperthermia. Current recommendations contraindicate use of succinylcholine and volatile anesthetics; however, the latter recommendation remains controversial. OBJECTIVE To review the perioperative outcom...