European journal of anaesthesiology
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Randomized Controlled Trial Comparative Study
Comparison of analgesic effect of tramadol alone and a combination of tramadol and paracetamol in day-care laparoscopic surgery.
To compare the analgesic efficacy of tramadol alone (1.5 mg kg(-1)) with a tramadol (1 mg kg(-1)) and paracetamol combination in day-care laparoscopic patients. ⋯ We conclude that reducing the dose of tramadol to 1 mg kg(-1) and combining it with paracetamol 1 g orally decreased the incidence of side effects of tramadol without reducing analgesic efficacy.
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Cardiac complications are a major cause of perioperative morbidity and mortality. These are caused by either myocardial ischaemia or acute coronary thrombosis. ⋯ This assessment allows measures to be taken that aim to reduce such risks. The present review summarizes the current state of knowledge on the preoperative assessment of the cardiac patient scheduled for noncardiac surgery.
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Comparative Study
Effects of temperature gradient reduction in three different carbon dioxide absorbents.
Temperature gradients in CO2 absorbents may locally increase the water content by condensation. We hypothesized that temperature gradient reduction (TGR) would prevent increased water content, thus preserving the reactivity of the CO2 absorbent and thereby increasing its time to exhaustion (longevity). The purpose of this study was to compare the effects of TGR on the longevity of CO2 absorbent with three different types of CO2 absorbents. ⋯ TGR is a useful method to prevent local increase in water content and improve the longevity of CO2 absorbent. The effectiveness of TGR on longevity and water content changes varied in the different types of CO2 absorbent.
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The Difficult Airway Society protocol for the 'can't intubate, can't ventilate' scenario recommends the use of kink-resistant cannula cricothyroidotomy with transtracheal jet ventilation or surgical cricothyroidotomy. This survey aimed to assess the preparedness of anaesthetists and anaesthetic assistants for emergency tracheal access. ⋯ There were widespread deficits in 'can't intubate, can't ventilate' knowledge and skills. All participants received a demonstration of equipment, were shown the location and given the opportunity to rehearse a 'can't intubate, can't ventilate' drill.
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Randomized Controlled Trial
Efficacy of cuff inflation media to prevent postintubation-related emergence phenomenon: air, saline and alkalinized lignocaine.
We wished to examine the efficacy of different media used for inflation of tracheal tube cuffs. ⋯ We found that alkalinized 2% lignocaine and saline are better cuff inflation media, than air.