Anesthesia and analgesia
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Anesthesia and analgesia · Feb 2016
Development and Validation of a Morphologic Obstructive Sleep Apnea Prediction Score: The DES-OSA Score.
Obstructive sleep apnea (OSA) is a common and underdiagnosed entity that favors perioperative morbidity. Several anatomical characteristics predispose to OSA. We developed a new clinical score that would detect OSA based on the patient's morphologic characteristics only. ⋯ DES-OSA is a simple score for detecting OSA patients. Its originality relies on its morphologic nature. Derived from a European population, it may prove useful in a preoperative setting, but it has still to be compared with other screening tools in a general surgical population and in other ethnic groups.
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Anesthesia and analgesia · Feb 2016
Randomized Controlled Trial Comparative StudyThe Effect of Anesthetic Choice (Sevoflurane Versus Desflurane) and Neuromuscular Management on Speed of Airway Reflex Recovery.
Nonintubated patients receiving sevoflurane have slower protective airway reflex recovery after anesthesia compared with patients receiving desflurane. We asked whether this difference would remain significant among intubated patients receiving rocuronium or whether the impact of variable neuromuscular recovery would predominate and thus minimize differences between anesthetics. ⋯ Compared with sevoflurane, desflurane allowed faster recovery of airway reflexes after anesthesia in intubated patients. Clinical management of neuromuscular block, including full reversal and the use of quantitative TOF, affects airway reflex recovery-an effect that may be at least as profound as the choice of potent inhaled anesthetic.
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Anesthesia and analgesia · Feb 2016
ReviewContinuous Noninvasive Hemoglobin Monitoring: A Measured Response to a Critical Review.
Supplemental Digital Content is available in the text. Published ahead of print March 5, 2015
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Anesthesia and analgesia · Feb 2016
Randomized Controlled TrialLack of Analgesic Effect Induced by Ropivacaine Wound Infiltration in Thyroid Surgery: A Randomized, Double-Blind, Placebo-Controlled Trial.
Wound infiltration with ropivacaine offers no analgesic benefit after thyroid surgery.
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