European journal of anaesthesiology
-
Randomized Controlled Trial
Preventing pain during injection of propofol: effects of a new emulsion with lidocaine addition.
Previous studies found that lidocaine addition to propofol long-chain triglyceride was associated with a lower incidence of injection pain than medium-chain triglyceride/long-chain triglyceride formulation, but the incidence was still high (31-40%). Our study investigated whether the incidence of injection pain could be further reduced by the addition of lidocaine (10 mg, 20:1) to propofol medium-chain triglyceride/long-chain triglyceride. ⋯ Premixing propofol medium-chain triglyceride/long-chain triglyceride with lidocaine is one of the most effective measures currently available to reduce the incidence of injection pain in sedated patients during regional anaesthesia.
-
Randomized Controlled Trial Comparative Study
A comparison of the use of Trachlight and Eschmann multiple-use introducer in simulated difficult intubation.
The Eschmann multiple-use introducer is widely used in the management of difficult intubations. Transillumination of the neck is less commonly used. We conducted a randomized crossover study comparing the Trachlight lightwand and Eschmann multiple-use introducer in simulated difficult intubation. ⋯ The Trachlight is a potentially useful alternative to the Eschmann multiple-use introducer in difficult intubation.
-
Clinical Trial
Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery: a prospective cohort study.
The aim of this prospective, observational study was to evaluate changes in regional cerebral oxygen saturation (rSO2) and incidence of intraoperative cerebral desaturation in a cohort of elderly patients undergoing major abdominal surgery. ⋯ In a population of healthy elderly patients, undergoing non-vascular abdominal surgery cerebral desaturation can occur in up to one in every four patients, and the occurrence of cerebral desaturation is associated with a higher incidence of early postoperative cognitive decline and longer hospital stay.
-
Randomized Controlled Trial
Acupressure for postoperative nausea and vomiting in gynaecological patients receiving patient-controlled analgesia.
To evaluate the effectiveness of acupressure in preventing nausea and vomiting in patients undergoing gynaecological operations and receiving a patient-controlled analgesia device. ⋯ Acupressure at the P6 meridian point is an effective alternative for the prevention of nausea and vomiting in patients receiving patient-controlled analgesia with morphine after gynaecological surgery.