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Ivan We are suffering from a major problem of LCF and cirrhosis in the Egyptian peoples. We are using paracetamol liberally in its both oral and IV form, even...
I have a question regarding Airtraqs/Pentax AWS. People on this forum have mentioned at one point they have used disposable stylets to help guide a loaded...
I am an Airtraq user and my department is partially now too. For about a year I used it without a stylet but now I alwayse use it. Most of the time, after...
this morning , on the yahoo french version , a news for a 31 yr old anesthesiologist suicide after blaming his self to cause a permanent paraplegia of a 6...
Thanks for the posting Ahed, very very sad indeed. Â We have a very very dangerous job with potentially terrible consequences. The serious consequences should...
Ivan , thanks for your wise comments  I believe that some time we should to prevent the "uncessary" services to our patients ,  and to ask our self before...
Hi Ahed, I think your conclusion is very good: "if i will give spinal anesthesia , I should ask why not general anesthesia , and if I decide to do GA , I...
 The best manipulation of the hemodynamics on the vegetative nerves side we could have would be to manipulate directly the various receptors. We're now...
thank you Joseph for this interesting case good to know about thoses cases , we learned a lot from such cases, Â the references about CSF aspiration is...
Ivan  usually I used drugs to decrease the BP and/or HR only for patients having risks ,  and i found that trandate : Labetalol have the both effects : BB...
The alph effect of Labetalol ( Trandate) is very weak - something like 1:8 compared with it's beta effect. Didn't see any studies but I believe the name...
Nice - although a rarity - still pertinent. To put it in perspective in comparison to how many iv doses of Zofran - ondansetron are given daily - I myself...
Nice - although a rarity - still pertinent. If we can look at the monitor everytime we are about to give or order ondansetron it would be good I guess. Â ...
We can wonder in retrospect whether it's worth doing a supplemental or perhaps even primary caudal block for such a patient given the dreadful consequences....
On further study it appears that as Labetalol preserves cardiac output and doesn't excessively decrease heart rate it would begreat to be able to use it -...
Ivan  thank you for the valuable review according to my experience with labetalol , low doses of trandate is very beneficail and usually transitory ,  and...
Ivan  I want to add also : spinal anesthesia prolong the QT interval  Reg Anesth Pain Med. 2005 Nov-Dec;30(6):548-52. Influence of spinal anesthesia on...
... A known association does not prove causality. Such a rare event could have been an unfortunate coincidence. ... Oh dear. Why is it that VIP patients seem...
sandy ,  recovery was full without craniotomy .  and i puplished it as case report and as review , and i reported 25 cases following spinal anesthesia...
** High Priority ** Ivan Thanks for the review. The simplest, quickest, cheapest and safest anti-adrenergic agent available is magnesium. A bolus of 30mg/kg...