Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Feb 2013
Randomized Controlled Trial[Effect of a single intramuscular dose of dexamethasone on pain after circumcision. A randomized controlled study].
To assess the effect of a preoperative single dose of dexamethasone associated with penile block on pain after circumcision. ⋯ This study showed that the combination of a preoperative single dose of dexamethasone 0.4 mg/kg with penile block significantly improves the quality of analgesia after circumcision.
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Ann Fr Anesth Reanim · Jan 2013
Randomized Controlled Trial[Single-dose intraincisional levobupivacaine infiltration in caesarean postoperative analgesia: a placebo-controlled double-blind randomized trial].
The efficacy of single-dose intraincisional infiltration with levobupivacaine in postoperative analgesia and chronic pain after caesarean sections is unknown. ⋯ Single-dose local infiltration of levobupivacaine 0.5% reduced opioid requirement at 12h, with no difference after 24h. www.clinicaltrials.com, number: NCT00621907.
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Ann Fr Anesth Reanim · Nov 2012
Randomized Controlled TrialAnesthesia and postoperative analgesia after percutaneous hallux valgus repair in ambulatory patients.
Postoperative pain is often severe after hallux valgus repair. Sciatic nerve blocks with long-acting local anesthetics have been recommended for surgical anesthesia and postoperative analgesia. However, a novel percutaneous approach may require less analgesia and make the procedure suitable for ambulatory care. We thus tested the hypothesis that mid-foot block and sciatic nerve blocks provide comparable surgical anesthesia and postoperative analgesia, but that patients ambulate independently sooner after mid-foot block. ⋯ After percutaneous hallux valgus repair, mid-foot block and sciatic nerve block provided comparable postoperative analgesia. However, mid-foot block seems preferable since the time to ambulation without assistance is much reduced.
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Ann Fr Anesth Reanim · Oct 2012
Randomized Controlled Trial Comparative Study[Storage at room temperature does not change cisatracurium onset time: a prospective, randomized, double-blind controlled study].
Storage of cisatracurium at room temperature seems to have no effect on its degradation in vitro contrary to the recommendations of storage at +4°C. The purpose of this study was to evaluate the influence of cisatracurium' s storage temperature on its onset time. ⋯ This study demonstrated that cisatracurium's storage at room temperature had no influence on its onset time. It provides an argument for the preservation of cisatracurium at room temperature for a period not exceeding 21 days. Monitoring the onset of curarization may increase the quality score of intubation.
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Ann Fr Anesth Reanim · Oct 2012
Randomized Controlled TrialEffects of a single 1200-mg preoperative dose of gabapentin on anxiety and memory.
Gabapentin has antihyperalgesic and potential anxiolytic effects. We therefore evaluated the effects of gabapentin premedication on anxiety, amnesia, and sedation. We tested the primary hypothesis that 1200mg of oral gabapentin 2 to 3h before surgery reduces preoperative anxiety. Our secondary hypothesis was that gabapentin administration is sedative without causing preoperative amnesia. ⋯ Gabapentin premedication, 1200mg, provided preoperative anxiolysis without causing sedation or impairing preoperative memory.