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JournalISSN: 0832-610X

Canadian Journal of Anaesthesia-journal Canadien D Anesthesie 

Springer Science+Business Media
About: Canadian Journal of Anaesthesia-journal Canadien D Anesthesie is an academic journal published by Springer Science+Business Media. The journal publishes majorly in the area(s): Anesthesiology & Pain medicine. It has an ISSN identifier of 0832-610X. Over the lifetime, 11633 publications have been published receiving 223306 citations. The journal is also known as: Journal canadien d'anesthésie (Internet) & Journal canadien d'anesthésie (Print).


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Journal ArticleDOI
TL;DR: In this paper, a relatively simple grading system which involves preoperative ability to visualize the faucial pillars, soft palate and base of uvula was designed as a means of predicting the degree of difficulty in laryngeal exposure.
Abstract: It has been suggested that the size of the base of the tongue is an important factor determining the degree of difficulty of direct laryngoscopy. A relatively simple grading system which involves preoperative ability to visualize the faucial pillars, soft palate and base of uvula was designed as a means of predicting the degree of difficulty in laryngeal exposure. The system was evaluated in 210 patients. The degree of difficulty in visualizing these three structures was an accurate predictor of difficulty with direct laryngoscopy (p less than 0.001).

1,907 citations

Journal ArticleDOI
TL;DR: A global health emergency has been declared by the World Health Organization as the 2019-nCoV outbreak spreads across the world, with confirmed patients in Canada as discussed by the authors, and patients infected with 2019-CoV are at risk for developing respiratory failure and requiring admission to critical care units.
Abstract: A global health emergency has been declared by the World Health Organization as the 2019-nCoV outbreak spreads across the world, with confirmed patients in Canada. Patients infected with 2019-nCoV are at risk for developing respiratory failure and requiring admission to critical care units. While providing optimal treatment for these patients, careful execution of infection control measures is necessary to prevent nosocomial transmission to other patients and to healthcare workers providing care. Although the exact mechanisms of transmission are currently unclear, human-to-human transmission can occur, and the risk of airborne spread during aerosol-generating medical procedures remains a concern in specific circumstances. This paper summarizes important considerations regarding patient screening, environmental controls, personal protective equipment, resuscitation measures (including intubation), and critical care unit operations planning as we prepare for the possibility of new imported cases or local outbreaks of 2019-nCoV. Although understanding of the 2019-nCoV virus is evolving, lessons learned from prior infectious disease challenges such as Severe Acute Respiratory Syndrome will hopefully improve our state of readiness regardless of the number of cases we eventually manage in Canada.

746 citations

Journal ArticleDOI
TL;DR: La kétamine est actuellement considérée comme une option raisonnable pour ľinduction anesthésique chez les nouveau-nés prématurés en hypotension.
Abstract: Pendant presque 25 ans ďexperience clinique, les benefices et les limitations de ľanesthesie a la ketamine ont ete generalement bien definis. Les revues extensives de White et al.2 ainsi que celles de Reeves et al.43 ont enormement aide a comprendre ľanesthesie dissociative. Neanmoins, des etudes recentes continuent a nous eclairer sur les differents aspects de la pharmacologie de la ketamine et suggerent de nouvelles utilisations cliniques de cette drogue. Ľidentification du recepteur du N-M ethyl-Aspartate amene une preuve que ľanesthesie et ľanalgesie a la ketamine ont chacune un mecanisme ďaction different. La liaison stereospecifique de la (+) ketamine aux recepteurs opiaces in vitro, ľemergence plus rapide de ľanesthesie, et une incidence plus basse de sequelles lors de ľemergence, rend la (+) ketamine une drogue promettante pour des recherches futures. Les applications cliniques de la ketamine qui ressortent recemment, et qui probablement augmenteront dans le futur sont reliees e ľutilisation orale, rectale et intra-nasale de la ketamine pour des fins ďanalgesie, de sedation ou induction anesthesique. La ketamine est actuellement consideree comme une option raisonnable pour ľinduction anesthesique chez les nouveau-nes prematures en hypotension. Ľexperience initiale avec la ketamine en injection epidurale et intrathecale ne fut pas prometteuse et les donnees sont encore preliminaires dans ce domaine. Ľutilisation de la ketamine dans les catastrophes et les manoeuvres militaires va probablement etre plus frequente. La disponibilite clinique du midazolam va complementer ľanesthesie a la ketamine de plusieurs facons. Cette benzodiazepine est rapidement metabolisee. Elle reduit la stimulation cardiovasculaire de la ketamine ainsi que les phenomenes ďemergence sans avoir des metabolites actifs. Elle est disponible sous une forme aqueuse et n’est pas irritante lors de ľinjection intra-veineuse comme le diazepam. La combinaison de la ketamine et du midazolam sera bien acceptee par les patients contrairement a ce qui arrive quand on utilise la ketamine seule. Finalement, il est necessaire de mentionner la possibilite ďabus de la ketamine.126 Alors que la ketamine n’est pas une substance controlee (aux Etats-Unis) la prudence suggere aux medecins de prendre des precautions appropriees contre son utilisation non-autorisee.

672 citations

Journal ArticleDOI
TL;DR: Evidence supports the laryngeal mask and Combitube™ have proved to be effective in establishing and maintaining a patent airway in “cannot ventilate” situations and support integration of these devices into strategies to manage difficult airway as the new standard of care.
Abstract: Purpose To review the current literature and generate recommendations on the role of newer technology in the management of the unanticipated difficult airway.

607 citations

Journal ArticleDOI
TL;DR: It is concluded that difficult tracheal intubations occurred infrequently but were associated with increased morbidity and dental damage on induction of anaesthesia.
Abstract: The purpose of this study was to describe methods, risk factors, and outcomes of airway management in all patients (obstetrics excluded) attended by anaesthetists over 27 months. Preoperatively, anaesthetists recorded patient factors and assessed four airway characteristics. Methods of tracheal intubation and ease of direct laryngoscopy following general anaesthesia (easy, awkward, difficult) were noted. Factors predictive of poor outcome and the value of the preoperative airway examination were determined. For 18,205 patients following a direct laryngoscopy, (GA), tracheal intubation was difficult (> 2 laryngoscopies) in 1.8% and awkward ( 200 mm Hg) and dental damage on induction of anaesthesia. It is concluded that difficult tracheal intubations occurred infrequently but were associated with increased morbidity. Patient factors and four physical airway characteristics were useful predictors but limited in identifying all problems.

599 citations

Performance
Metrics
No. of papers from the Journal in previous years
YearPapers
2023165
202265
2021305
2020337
2019235
2018216