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Safety of Additional Local Anesthetics Soon After Liposomal Bupivacaine

Authors: Veloria D, Xu L, Rader E, et al. Cureus 18(7): e112872. doi:10.7759/cureus.112872 Introduction Liposomal bupivacaine (LB) produces a prolonged serum bupivacaine level. It carries a warning to avoid additional local anesthetics for 96 hours due to a theoretical additive risk of local anesthetic systemic toxicity (LAST). Whether patients exposed to additional local anesthetics soon […]

Comparative Evaluation of Perfusion Index With Lactate and Base Deficit for Assessing Resuscitation Response in Traumatic Shock Patients Not Requiring Blood Transfusion in the Emergency Department

Authors: Kalathingal A, KJ D, K R, et al. Cureus 18(7): e113061. doi:10.7759/cureus.113061 Introduction Traumatic shock is a life-threatening condition characterized by inadequate tissue perfusion following severe injury. Early recognition of impaired perfusion and monitoring of the response to resuscitation are essential to prevent organ dysfunction. Although lactate and base deficit are commonly used biochemical […]

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Comparison of 4 ml of 1% Lignocaine Versus 2 ml of 2% Lignocaine for Landmark-Guided Superior Laryngeal Nerve Block During Awake Fiberoptic Intubation

Authors: Kumar H, Manoj P S, Ahmad Z, et al. Cureus 18(7): e113049. doi:10.7759/cureus.113049 Abstract Background: Superior laryngeal nerve block is one option for airway topicalization during awake fiberoptic intubation. The optimal balance between injectate volume and lignocaine (lidocaine) concentration remains uncertain. Objective: To compare a larger-volume, lower-concentration regimen (4 mL of 1% lignocaine per […]

Airway Management Using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Critical Distal Tracheal Stenosis Caused by a Massive Goiter

Authors: Sakurai E, Nakashima T, Saito T, et al. Cureus 18(7): e112899. doi:10.7759/cureus.112899 Abstract Critical distal tracheal stenosis caused by a massive goiter poses a major airway challenge in which tracheal intubation and positive-pressure ventilation may fail, potentially leading to severe hypoxia during induction. We report the case of an 88-year-old woman with dementia who […]