Mivacurium and bronchospasm

IMPLICATIONS: Because of case reports of severe bronchospasm after the use of mivacurium, we used the Food and Drug Administration MedWatch database to determine the frequency of bronchospasm as an adverse event after the use of nondepolarizing muscle relaxants.     

穴位敷贴治疗小儿咳嗽的辨证施护

目的 探讨穴位敷贴治疗小儿咳嗽的辨证施护方法.方法 对200例咳嗽患儿在小儿感冒冲剂治疗的基础上,按辨证施治原则分为风寒型110例,以肺腧为主穴,以大椎、风门、脾腧为辅穴贴风寒膏,每次敷贴前先艾灸主穴5 min;风热型90例以肺腧为主穴,以大杼、大椎、大肠腧为辅穴贴风热膏.按辨证实施生活护理、病情观察、情志护理、膳食调护等.治疗护理10 d为1个疗程,2个疗程后评价疗效.结果 痊愈106例,缓解82例,未愈12例;总有效率94.0%.结论 对咳嗽患儿行穴位敷贴治疗及辨证施护,效果较好.     

穴位敷贴治疗小儿咳嗽的辨证施护

目的探讨穴位敷贴治疗小儿咳嗽的辨证施护方法。方法对200例咳嗽惠儿在小儿感冒冲剂治疗的基础上,按辨证施治原则分为风寒型110例,以肺腧为主穴,以大椎、风门、脾腧为辅穴贴风寒膏,每次敷贴前先艾灸主穴5min;风热型90例以肺腧为主穴,以大杼、大椎、大肠腧为辅穴贴风热膏。按辨证实施生活护理、病情观察、情志护理、膳食调护等。治疗护理10d为1个疗程,2个疗程后评价疗效。结果痊愈106例,缓解82例,未愈12例;总有效率94．0％。结论对咳嗽患儿行穴位敷贴治疗及辨证施护,效果较好。     

Unilateral bronchospasm following interpleural analgesia with bupivacaine

The interpleural block (IPB) is a relatively safe procedure and is commonly practised to provide analgesia. A local anaesthetic injected into the interpleural space spreads widely to block various neural structures. The IPB can initiate bronchospasm by interrupting the sympathetic outflow but sparing the parasympathetic outflow to the lungs. In addition, unilateral reduction of intercostal muscle tone with consequential selective reduction of the functional residual capacity of that lung may also mimic airflow obstruction. We report a case of unilateral bronchospasm encountered following IPB.