European journal of anaesthesiology
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Randomized Controlled Trial
Intravenous magnesium re-establishes neuromuscular block after spontaneous recovery from an intubating dose of rocuronium: a randomised controlled trial.
Intravenous magnesium deepens non-depolarising neuromuscular block. ⋯ A bolus dose of intravenous magnesium 50 mg kg(-1) re-establishes a clinically relevant degree of muscle paralysis in patients who have just recovered from a non-depolarising neuromuscular block.
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Randomized Controlled Trial
A randomised trial of the analgesic efficacy of ultrasound-guided transversus abdominis plane block after caesarean delivery under general anaesthesia.
Ultrasound guided TAP block significantly reduces morphine consumption and improves satisfaction following general anaesthesia caesarean section.
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Cases of ischaemic brain damage have been reported in relatively healthy patients undergoing shoulder surgery in the beach chair position. Unrecognised cerebral hypoperfusion may have contributed to these catastrophic events, indicating that routine anaesthesia monitoring may not suffice. Near-infrared spectroscopy (NIRS) provides a non-invasive, continuous method to measure regional cerebral oxygen saturation (rScO2). ⋯ The high prevalence of significant cerebral oxygen desaturation during shoulder surgery in the upright position underlines the need for close monitoring. NIRS might constitute a valuable technique to detect cerebral hypoperfusion in this high-risk group of patients.
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Comparative Study
Point-of-care prothrombin time testing in paediatric intensive care: an observational study of the ease of use of two devices.
Two major difficulties arise when taking blood samples in children: the challenge of venous access and the comparatively large amount of blood required. ⋯ CoaguChek XS Plus showed 'good' agreement, whereas CoaLine showed 'moderate' agreement compared with prothrombin time values using the standard method. The fast availability of results and the reduction of the required blood volume are advantages of point-of-care tests in the paediatric setting.