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Articles by Roland Kaddoum in JoVE

 JoVE Clinical and Translational Medicine

A Novel Rescue Teknik för svåra Intubation och Svårt Ventilation


JoVE 1421 1/17/2011

1Department of Anesthesia, Children’s Hospital of Michigan, 2Department of Anesthesia, St. Jude Children’s Research Hospital

Vi beskriver en teknik för att upprätthålla syresättning och ventilation med hjälp av en endotrakealtub in nasalt till nivån av svullnad i svalget samtidigt som tätning i munnen och näsborrarna för framgångsrik kontrollerad ventilation.

Other articles by Roland Kaddoum on PubMed

Methemoglobinemia After a Blast Injury

Updates in Cardiopulmonary Resuscitation: "the New Millenium"

End-tidal CO2 for Prediction of Cardiac Output Following Weaning from Cardiopulmonary Bypass

This prospective study included 32 patients undergoing cardiopulmonary bypass (CPB) for elective coronary artery bypass grafting correlates the respiratory end-tidal CO2 (ETCO2) during partial separation from CPB with cardiac output (CO) following weaning from CPB. After induction of general anesthesia, a pulmonary artery catheter was inserted for measurement of cardiac output by thermodilution. Patients were monitored using a 5-lead ECG, pulse oximeter, invasive blood pressure monitoring, rectal temperature probe, and end-tidal capnography. At the end of surgery, patients were weaned from CPB in a stepwise fashion. Respiratory ETCO2 and in-line venous oximetry were continuously monitored during weaning. The ETCO2 was recorded at quarter pump flow and after complete weaning from CPB. Following weaning from CPB, CO was measured by thermodilution. The CO values were correlated with the ETCO2 during partial bypass and following weaning from bypass. Regression analysis of ETCO2 at quarter-flow and post-bypass CO showed significant correlation (r = 0.57, p < .001). Also, regression analysis of ETCO2 after complete weaning from bypass and post-bypass CO showed significant correlation (r = 0.6, p = .002). The correlation between ETCO2 and CO showed that an ETCO2 >30 mm Hg during partial CPB will always predict an adequate CO following weaning from CPB. An ETCO2 <30 mm Hg may denote either a low or a normal cardiac output and hence other predictive parameters such as SvO2 must be added.

Prophylactic Methylene Blue in a Patient with Congenital Methemoglobinemia

To report the beneficial effect of prophylactic methylene blue administration before induction of anesthesia in a patient with congenital methemoglobinemia.

Electrocautery-induced Fire During Adenotonsillectomy: Report of Two Cases

We describe two cases of flash fires in the oropharynx, secondary to electrocautery during adenotonsillectomies. We believe that in both cases, the leak around the uncuffed endotracheal tubes raised the oxygen concentration in the oropharynx. Cuffed endotracheal tubes provide many advantages, and their use should strongly be considered during adenotonsillectomy in children when electrocautery is to be used.

Pulmonary Hypertension and Anesthesia

An Anaphylactic Reaction After Primary Exposure to an Aprotinin Test Dose in a Child with a Severe Milk Allergy

Resection of Metastatic Right Ventricular Leiomyosarcoma: the Role of Transesophageal Echocardiography

Anesthesia Management of a Jehovah's Witness Patient with Pheochromocytoma Undergoing off Pump Coronary Artery Bypass Graft Surgery--acase Report

Concomitant coronary artery disease (CAD) and pheochromocytoma are rare. Patients with advanced CAD requiring coronary artery bypass graft (CABG) surgery and clinically active pheochromocytoma present a challenge to anesthesiologists. The risk is much higher if the patient is an anemic Jehovah's Witness because these patients refuse to receive blood or blood products, even when faced with a life-threatening hemorrhage. To our knowledge, this is the first case to describe the anesthetic management of an anemic Jehovah's Witness patient with pheochromocytoma presenting for off-pump CABG surgery.

Patient Survey of Continuous Interscalene Analgesia at Home After Shoulder Surgery

The use of continuous peripheral nerve blocks at home (CPNBH) has improved patients' perioperative experience. In 30 months, 348 patients were sent home with interscalene CPNBH.

Acute Opioid Withdrawal Precipitated by Blood Transfusion in a 21-year-old Male

Complications of Anesthesia for Children with Malignant Infantile Osteopetrosis Before and After Hematopoietic Stem Cell Transplantation

OBJECTIVES AND AIMS: The primary aim was to determine the frequency of anesthetic-related complications for patients with malignant infantile osteopetrosis (MIOP) before and after hematopoietic stem cell transplant (HSCT). The secondary aims were to describe the types of complications that occurred, to determine whether the risk of anesthetic complications was altered by HSCT, and to determine the frequency of difficult intubation.

An Update: the Safety of Patient-controlled Analgesia by Proxy for Pain Management in Pediatric Oncology: 2004 to 2010

Phantom Limb Pain in Young Cancer-related Amputees: Recent Experience at St Jude Children's Research Hospital

: This study in children and young adults having cancer-related amputation aimed to examine the incidence of phantom limb pain (PLP) in the first year after amputation and also the proportion of patients who had preamputation pain.

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