Quote from: kalpesh shah on May 11, 2009, 06:06:42 AM
Hi, I want's to know the expirience with midazolam nasal spray.

kalpesh my experience is good.the kids go in a trans in like 5-10 min.atleast they r not howling in while seperating from the parent.used to add midaz iv to the pedicloryl before  n waite 4 a minimum of 45 min for the bab to sleep but with nasal they sleep in 20 mins,excellent for mri .mind u very irritating to the nose.
they say 2-3 puffs in each nostril upto 16 kg.but give only one puff upto 7 kg 2 puffs upto 12 kg .secondly it depends alot on how mush u press on the nosal.

Quote from: kalpesh shah on May 27, 2009, 03:01:11 PM
Hi, incidence of post extubation throat irritation is quite high even after useing all various methods like lignocaine spray, lignocaine gelly, use of HME filter, adequate size ET tube, monitoring endotracal cuff presser(manually!!!!!).
what is the best way for prevantion?

regards.

steroids intraopt.spray the cords with 1/2 cc diluted xylocard

Quote from: Dr.Madhav on May 21, 2008, 11:53:17 AM
Friends,
I would like to know the experiences of my colleagues who have used clonidine.

have been usind oral clonidine 3mc/kg atleast 90 min prior .for past 9 yrs.good haemodynamic control.ofcouse with acceptable brady.after iv clonidine.77-100 mc of iv diluted drug given over 8-10 min.controlled p/bp on intubation n gas inflation 4 laproscopy.
spinal clonidine  30-40 good analgesia post opt.epidural 50 mc good results.

Quote from: yogenbhatt1 on June 06, 2009, 05:46:21 PM
Hi,
Anybody tried insertion of LMA in prone position?
Read an article in Indian Journal of Anst Dec 2008??
Was impressed with the study. Read and read over and over again. They had used LMA Classic in the study of 200 cases with only two cases where they had to reinsert, in variety of cases inclusive Spine and in obese patients.
We made up our mind to try once. We use LMA Supreme. This is much better shaped device. We do Liposuction in obese patients in prone position first and later in supine position.
We tried it in a case. Made the patient sleep in prone position and then induced her. It was easy to ventilate ( as the tongue does not fall back, it rises in prone)and very easy to insert the LMA. We connected the patient to venti.
The patient was in prone for an hour and half, and all was ok.
We made her supine and completed the surgery of front in next 2 hours.
It was most easy.
We tried it in about a dozen cases after that and are happy.
The idea is to try it once, so that one is not afraid, if ever a tube gets dislodged in prone, you can always insert an LMA and manage the case.
Sounded like a creazy idea to start with, but the article was presented nicely and we were tempted in trying it.
Please let me know if any one has tried, and if any difficulties.
Regs.

SIR i ll have to first come n see how u do .n when i attempt i lll have to keep an anaesthesia team with me.jokes apart sir how about the risk of aspiration .how do we explaine .its like our argument over lma in laproscopy or not

I DO USE 26 G SPINAL NEEDLE ,COMBINED WITH EPIDURAL IN SEPARATE OR SAME SPACE .SPINAL DOSE IS 25-50 MICS OF FENTANYL.NO PDPH.