In the first part of the study performed at Stanford University, 30 Asian born and 163 non-Asian ... more In the first part of the study performed at Stanford University, 30 Asian born and 163 non-Asian born patients matched by height and weight had left-sided double-lumen tubes selected on the basis of the width of each patient's trachea. In the second part of the study performed at the Philippines Lung Center and Santo Tomas University Hospital, left-sided double-lumen tubes were selected on the basis of the anesthesiologists' clinical experience for 22 patients and by tracheal width guidelines for 35 patients. When tubes were selected by tracheal width, there was no difference between those used for Asian and non-Asian patients of similar size. We concluded that measurement of tracheal width can be used to select the appropriate size of left-sided double-lumen tubes for all patients.
For reprint information contact: Jay B Brodsky, MD Department of Anesthesiology, H-3580 Stanford ... more For reprint information contact: Jay B Brodsky, MD Department of Anesthesiology, H-3580 Stanford University Medical Center Stanford, CA 94305, USA Tel: 1 650 723 6411 Fax: 1 650 725 8544 Email: Jbrodsky {at} leland. stanford. edu
In the last decade, we have seen an increasing number of elderly surgical patients. Most of them ... more In the last decade, we have seen an increasing number of elderly surgical patients. Most of them are in-hospital patients, but, we also find a trend towards ambulatory cases, particularly for short procedures such as cataract extraction, herniorrhapy, and other minor procedures. For major surgeries, the successful outcome is much influenced by the adequacy of postoperative pain control. Good pain control leads to fast recovery and resumption of mobility of patients. The multimodal analgesic therapy has been advocated, using combinations of opioids and non-opioid analgesics. Patient-controlled analgesia (PCA) and the use of epidural anesthesia techniques facilitate optimum postoperative pain relief with less adverse effects and risks. Several management options for acute pain in the elderly are presented in this brief discourse.
In the last decade, we have seen an increasing number of elderly surgical patients. Most of them ... more In the last decade, we have seen an increasing number of elderly surgical patients. Most of them are in-hospital patients, but, we also find a trend towards ambulatory cases, particularly for short procedures such as cataract extraction, herniorrhapy, and other minor procedures. For major surgeries, the successful outcome is much influenced by the adequacy of postoperative pain control. Good pain control leads to fast recovery and resumption of mobility of patients. The multimodal analgesic therapy has been advocated, using combinations of opioids and non-opioid analgesics. Patient-controlled analgesia (PCA) and the use of epidural anesthesia techniques facilitate optimum postoperative pain relief with less adverse effects and risks. Several management options for acute pain in the elderly are presented in this brief discourse.
In the first part of the study performed at Stanford University, 30 Asian born and 163 non-Asian ... more In the first part of the study performed at Stanford University, 30 Asian born and 163 non-Asian born patients matched by height and weight had left-sided double-lumen tubes selected on the basis of the width of each patient's trachea. In the second part of the study performed at the Philippines Lung Center and Santo Tomas University Hospital, left-sided double-lumen tubes were selected on the basis of the anesthesiologists' clinical experience for 22 patients and by tracheal width guidelines for 35 patients. When tubes were selected by tracheal width, there was no difference between those used for Asian and non-Asian patients of similar size. We concluded that measurement of tracheal width can be used to select the appropriate size of left-sided double-lumen tubes for all patients.
For reprint information contact: Jay B Brodsky, MD Department of Anesthesiology, H-3580 Stanford ... more For reprint information contact: Jay B Brodsky, MD Department of Anesthesiology, H-3580 Stanford University Medical Center Stanford, CA 94305, USA Tel: 1 650 723 6411 Fax: 1 650 725 8544 Email: Jbrodsky {at} leland. stanford. edu
In the last decade, we have seen an increasing number of elderly surgical patients. Most of them ... more In the last decade, we have seen an increasing number of elderly surgical patients. Most of them are in-hospital patients, but, we also find a trend towards ambulatory cases, particularly for short procedures such as cataract extraction, herniorrhapy, and other minor procedures. For major surgeries, the successful outcome is much influenced by the adequacy of postoperative pain control. Good pain control leads to fast recovery and resumption of mobility of patients. The multimodal analgesic therapy has been advocated, using combinations of opioids and non-opioid analgesics. Patient-controlled analgesia (PCA) and the use of epidural anesthesia techniques facilitate optimum postoperative pain relief with less adverse effects and risks. Several management options for acute pain in the elderly are presented in this brief discourse.
In the last decade, we have seen an increasing number of elderly surgical patients. Most of them ... more In the last decade, we have seen an increasing number of elderly surgical patients. Most of them are in-hospital patients, but, we also find a trend towards ambulatory cases, particularly for short procedures such as cataract extraction, herniorrhapy, and other minor procedures. For major surgeries, the successful outcome is much influenced by the adequacy of postoperative pain control. Good pain control leads to fast recovery and resumption of mobility of patients. The multimodal analgesic therapy has been advocated, using combinations of opioids and non-opioid analgesics. Patient-controlled analgesia (PCA) and the use of epidural anesthesia techniques facilitate optimum postoperative pain relief with less adverse effects and risks. Several management options for acute pain in the elderly are presented in this brief discourse.
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