Before induction, the base line heart rate was 78 bpm, blood pressure was 110/85 mmhg and SpO2 was 100%. Following preoxygenation (6 L/m) and under continuous monitoring, general anesthesia was induced by i.v adminstration of propofol (120 mg over 25 s) through an 18-guage catheter at her forearm. The patient complained of a profound vascular pain during the infusion of propofol associated with...

Administering anaesthesia to a child with an anterior mediastinal mass may lead to respiratory or circulatory collapse, even in those without symptoms. Institutions should have algorithms to manage children with mediastinal masses. Preoperative evaluations should include computed tomography, echocardiography and flow-volume studies. Anaesthesia may be induced with inhalation agents and maintain...

The role of facemask spirometry in motor neuron disease Respiratory failure is the most frequent cause of death in people with motor neuron disease (MND). Vital capacity and maximal inspiratory and expiratory mouth pressures are the methods most commonly used to assess respiratory muscle impairment. Forced vital capacity (FVC) at diagnosis , and the rate of decline, are predictors of survival. ...

Drug-induced dystonic reactions are common presentations to the emergency department. Two cases of acute dystonic reactions presenting as acute medical emergency illustrate the associated fatality and possibility of misdiagnosis. This case series reports two cases of medication-induced (haloperidol and metoclopramide) acute dystonic reactions presenting with torticollis, tongue protrusion, and ...