Anesthesia and analgesia
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Anesthesia and analgesia · Mar 2009
Fast-track anesthesia and cardiac surgery: a retrospective cohort study of 7989 patients.
Fast-track cardiac anesthesia (FTCA) has been widely implemented but its safety has not been evaluated in sufficiently powered studies. ⋯ These data from 7989 cardiac surgical patients showed no evidence of an increased risk of adverse outcomes in patients undergoing FTCA.
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Anesthesia and analgesia · Mar 2009
Randomized Controlled TrialThe analgesic effect of a metered-dose 8% lidocaine pump spray in posttraumatic peripheral neuropathy: a pilot study.
A topical lidocaine patch is effective in the treatment of posttraumatic peripheral neuropathy (PTPN), but it is not suited for breakthrough pain because of difficulty with an additional application. Here, we examined the effect of 8% lidocaine pump spray (Xylocaine pump spray, XPS) on peripheral neuropathic pain caused by surgery or injury. ⋯ The present study suggests that XPS provides a significant improvement in PTPN due to its prompt analgesia, lack of systemic side effects and convenience.
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Anesthesia and analgesia · Mar 2009
Randomized Controlled Trial Comparative StudyA comparison of propofol and remifentanil target-controlled infusions to facilitate fiberoptic nasotracheal intubation.
Successful fiberoptic intubation requires both patient comfort and good intubating conditions. In this study we compared the efficacy and ease of titration of propofol (P) and remifentanil (R) target-controlled infusions (TCI) during fiberoptic intubation. ⋯ Both R and P TCI can be rapidly titrated to achieve good intubating conditions and patient comfort. R allows for more patient cooperation, making it safer when spontaneous ventilation is paramount.
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Anesthesia and analgesia · Mar 2009
Changes in functional residual capacity during weaning from mechanical ventilation: a pilot study.
Reduction of high positive end-expiratory pressure levels and pressure support ventilation (PSV) are frequently used before tracheal extubation in critically ill patients, but the impact of PSV on functional residual capacity (FRC) is unknown. In this study, we sought to detect the changes of FRC and pulmonary function during a weaning protocol in patients ventilated after cardiac surgery. ⋯ Decreasing FRC during the weaning process after cardiac surgery may, at least in part, be explained by alveolar derecruitment. Whether this variable could help guide a weaning protocol has to be studied further.
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Anesthesia and analgesia · Mar 2009
Case Reports Clinical TrialTwo unusual cases of urinary incontinence during continuous sciatic nerve block with stimulating catheters.
One of the advantages of lower extremity peripheral nerve blocks compared with neuroaxial Neuraxial techniques is the lack of effect on urinary function. We report two cases of urinary incontinence during continuous sciatic nerve block with stimulating catheters placed using the posterior gluteal Labat approach. The two patients were able to control micturition 6 h after the catheter was removed.