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Archives of Anesthesiology and Critical Care، جلد ۲، شماره ۱، صفحات ۱۶۱-۱۶۴
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Dissociative Conscious Sedation versus Airway Regional Blocks in Patients with Predicted Difficult Airway: Advantages and Disadvantages |
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| چکیده انگلیسی مقاله |
Background: Establishment of a patent airway and preserving spontaneous ventilation is a necessity in predicted difficult airway. Airway regional blocks are commonly used in predicted difficult airway but the known limitations of these techniques propose the need to suggest alternative methods. This study compares subcutaneous dissociative conscious sedation (sDCS); a recently reported method of conscious sedation versus airway regional blocks in patients with predicted difficult airway. Methods: This study was conducted in 60 patients scheduled for direct laryngoscopic biopsy (DLB). Patients were randomly assigned into two groups: subcutaneous dissociative conscious sedation (sDCS) (n=30) and airway regional blocks (ARB) (n=30). Patients were compared for direct laryngoscopy, insertion of endotracheal tube, hemodynamic changes, oxygen saturation, patient cooperation, patient comfort, hallucination, nystagmus, salivation and event of recall. Results: Direct laryngoscopy was successfully performed in all patients in sDCS group and 28 patients in ARB group. Insertion of endotracheal tube was successfully done in 28 patients of sDCS group and failed in two cases. In group ARB, endotracheal intubation was successfully done in 26 patients. Despite the lower success rate in group, ARB it was not statistically significant. Patient cooperation was significantly higher in sDCS group. No event of recall was observed in sDCS group versus 8 in group ARB. Conclusion: Subcutaneous dissociative conscious sedation (sDCS) is a safe anesthesia method for endotracheal intubation and it is comparable and even superior to airway regional blocks in some aspects. |
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| کلیدواژه‌های انگلیسی مقاله |
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| نویسندگان مقاله |
میهن جعفری جاوید | mihan jafari javid
tehran university of medical sciences
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
غزاله خادمیان | ghazale khademian
tehran university of medical sciences,
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
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| نشانی اینترنتی |
http://aacc.tums.ac.ir/index.php/aacc/article/view/64 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
Research Article(s) |
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