European journal of anaesthesiology
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Randomized Controlled Trial Comparative Study
Efficacy of the Airway Scope on tracheal intubation in the lateral position: comparison with the Macintosh laryngoscope.
The Airway Scope (AWS) may become a rescue airway device to secure the airway in the lateral position. We evaluated the efficacy of the AWS on tracheal intubation in patients in this position in comparison with the Macintosh laryngoscope. ⋯ In the situation in which securing the airway in the lateral position is required, the AWS is more effective than the Macintosh laryngoscope.
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Randomized Controlled Trial
Effect of auditory evoked potential-guided anaesthesia on consumption of anaesthetics and early postoperative cognitive dysfunction: a randomised controlled trial.
Post-operative cognitive dysfunction (POCD) after non-cardiac surgery is a well known problem in some categories of patients. This study aims to evaluate the influence of auditory evoked potential (AEP)-guided anaesthesia on the requirement for anaesthetic drugs and their influence on POCD. ⋯ AEP monitoring allows dose reduction of anaesthetic agents, leading to better cardiovascular stability and decreased requirements for intra-operative fluids and vasopressors. Cognitive decline seen following minor ophthalmic surgery, even when anaesthesia is assessed clinically, is short-lived with no long-term sequelae.
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Left ventricular non-compaction (LVNC) is a relatively uncommon cardiomyopathy. The implications of the presence of LVNC in the perioperative period are unknown. The objective of this study was to determine the impact of LVNC on post-operative complications. ⋯ As the awareness and diagnosis of this condition increase, anaesthesiologists will probably care for growing numbers of patients with LVNC. We found that the incidence of post-operative complication in patients with LVNC undergoing a variety of procedures was low and no different from the published complication rates for other patients undergoing similar procedures.