Effect of Local Infiltration Anesthesia With Ropivacaine on Pain After Primary Total Hip Arthroplasty

Condition:   Osteoarthritis, Hip
Interventions:   Procedure: local infiltration anesthesia using Ropivacaine and Epinephrine;   Procedure: local infiltration anesthesia using saline;   Procedure: Multimodal analgesic regimen
Sponsor:   St. Olavs Hospital
Completed – verified February 2015

View full post on ClinicalTrials.gov: asthma | received in the last 14 days

Incident and Extent of Pulse Alteration During Local Anesthesia in Children

Condition:   Tachycardia
Interventions:   Procedure: mandibular block with Epinephrine;   Procedure: C-CLAD-IL with Epinephrine;   Procedure: Infiltration with Epinephrine;   Procedure: Mandibular block without Epinephrine;   Procedure: C-CLAD-IL without Epinephrine;   Procedure: nfiltration without Epinephrine
Sponsors:   Tel Aviv University;   Sheba Medical Center;   Private practice, Dr. Malka Ashkenazi
Not yet recruiting – verified December 2014

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[Live-threatening bronchospasm during anesthesia induction : When pure routine becomes a nightmare.]

[Live-threatening bronchospasm during anesthesia induction : When pure routine becomes a nightmare.]

Anaesthesist. 2011 Sep 16;

Authors: Rüggeberg A, Breckwoldt J

Abstract
This article reports a case of live-threatening respiratory failure during induction of anesthesia. An 18-year-old female was admitted to hospital for an axillary abscess incision on a public holiday. The patient had a history of asthmatic episodes and an allergy to milk protein and 2 years previously an asthmatic attack had possibly been treated by mechanical ventilation. Retrospectively, this event turned out to be a cardiac arrest with mechanical ventilation for 24 h. During induction of anesthesia the patient suddenly developed massive bronchospasms and ventilation was impossible for minutes. Oxygen saturation fell below 80% over a period of 12 min with a lowest measurement of 13%. The patient was treated with epinephrine, prednisolone, antihistamine drugs, ß(2)-agonists, s-ketamine and methylxanthines and 15 min later the oxygen saturation returned to normal values. After mild therapeutic hypothermia for 24 h mechanical ventilation was still required for another 4 days. The patient recovered completely and was discharged home on day 19. Initially propofol was suspected of having caused an anaphylactic shock but in retrospect, the diagnosis of near fatal asthma was more likely. The onset of the event was facilitated by the patient playing down the history of asthmatic episodes due to a strong wish for independency and negation of the severity of the disease.

PMID: 21918825 [PubMed – as supplied by publisher]

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