Anesthesia and analgesia
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Anesthesia and analgesia · Oct 2010
Review Case ReportsCase report: epidural hematoma nine days after removal of a labor epidural catheter.
Timely recognition and surgical decompression are crucial to minimize risk of permanent neurologic deficit from epidural hematoma. We present the case of a patient who developed acute back pain, sensory deficit, and ascending weakness 9 days after removal of a labor epidural catheter. Magnetic resonance imaging revealed a heterogeneous fluid collection extending from C6-7 through the lumbar region, with cord deformity at T9-11. ⋯ Twelve hours later, her motor function had fully recovered. Subsequent anatomic and hematologic workup was inconclusive. This presentation is atypical given the delayed presentation of symptoms after epidural placement.
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Anesthesia and analgesia · Oct 2010
Randomized Controlled Trial Comparative StudyStrepsils® tablets reduce sore throat and hoarseness after tracheal intubation.
Amyl-m-cresol (Strepsils®) has been successfully used in the prophylaxis and treatment of oral inflammations, but its effects on postintubation sore throat and hoarseness are unknown. We conducted this study to evaluate the effects of Strepsils in reducing postintubation sore throat and hoarseness. ⋯ Perioperative use of Strepsils tablets reduces postoperative sore throat and hoarseness of voice.
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Anesthesia and analgesia · Oct 2010
Randomized Controlled Trial Comparative StudyA comparison of liver function after hepatectomy with inflow occlusion between sevoflurane and propofol anesthesia.
In this study, we compared liver function tests after hepatectomy with inflow occlusion as a function of propofol versus sevoflurane anesthesia. ⋯ Sevoflurane and propofol anesthetics resulted in similar patterns of liver function tests after hepatectomy with inflow occlusion. These data suggest that the 2 anesthetics are equivalent in this clinical context.
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Anesthesia and analgesia · Oct 2010
Comparative StudyLung recruitment and positive end-expiratory pressure have different effects on CO2 elimination in healthy and sick lungs.
We studied the effects that the lung recruitment maneuver (RM) and positive end-expiratory pressure (PEEP) have on the elimination of CO(2) per breath (Vtco(2,br)). ⋯ CO(2) elimination by the lungs was dependent on PEEP and recruitment and showed major differences between healthy and lavaged lungs.
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Anesthesia and analgesia · Oct 2010
Randomized Controlled Trial Comparative StudyA long-term clinical evaluation of autoflow during assist-controlled ventilation: a randomized controlled trial.
Many new mechanical ventilation modes are proposed without any clinical evaluation. "Dual-controlled" modes, such as AutoFlow™, are supposed to improve patient- ventilator interfacing and could lead to fewer alarms. We performed a long-term clinical evaluation of the efficacy and safety of AutoFlow during assist-controlled ventilation, focusing on ventilator alarms. ⋯ This first long-term clinical evaluation of the AutoFlow mode demonstrated its safety with regard to gas exchange and patient outcome. AutoFlow also allowed a very marked reduction in the number of ventilator alarms.