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(anesthetics topical mucosal )
1,288 results
  • The Doyle-Saleh blink reflex. [Journal Article]
  • JLJ Laryngol Otol 2017; 131(4):347-349
  • Doyle PW, Beegun I, Saleh HA
  • CONCLUSIONS: The blink reflex appears to occur in 50 per cent of patients, despite a deep level of anaesthesia. Without an understanding and appreciation of the blink reflex, this event may result in a request to deepen anaesthesia, but this is not necessary and surgery can proceed safely.
  • Intranasal Medication Administration Using a Squeeze Bottle Atomizer Results in Overdosing if Deployed in Supine Patients. [Journal Article]
  • A&AAnesth Analg 2017; 125(2):453-457
  • Goldhammer JE, Dobish MA, … Epstein RH
  • CONCLUSIONS: We found a 14-fold increase in the volume (ie, dose) delivered per spray when a nasal squeeze bottle was used with a mannequin in the supine position compared with the upright position. Given the reported toxicity from the use of intranasal medication and the inadvertent overdosing that occurs when squeeze bottle atomizers are used in clinical practice, our data suggest that all intranasal drugs should be administered with a precise, metered-dose device. If a metered-dose device is unavailable, the medication should be delivered at an angle of ≥45°; however, we recommend administering the drug with the patient in the sitting position and the bottle at 90° because only a small change in angle below 45° will result in a substantial increase in medication delivered.
  • Seldinger technique for nasal intubation: a case series. [Case Reports]
  • JCJ Clin Anesth 2016; 34:609-11
  • Abrons RO, Vansickle RA, Ouanes JP
  • Nasotracheal intubation can be both challenging and traumatic, especially in cases of atypical anatomy. We present a series of 3 such cases in which an endotracheal tube introducer (bougie) was used ...
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