Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Clinical Trial
Low dose axillary block by targeted injections of the terminal nerves.
To compare anesthetic time, success rate and adverse effects of axillary block by single or multiple injections of local anesthetic. ⋯ Small targeted injections of MEPE reduce total anesthetic time, give better spread of analgesia in the hand and forearm, and may be safer than a single large injection.
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The anesthetic management of a parturient with Strumpell's disease (hereditary or familial spastic paraparesis) who presented for Cesarean section is described. This neurological disorder is briefly reviewed and anesthetic implications of the condition are discussed. ⋯ Strumpell's disease is an inherited progressive spastic paresis predominantly affecting the lower extremities. Epidural anesthesia appears to be an appropriate technique when administering anesthesia for Cesarean section under similar circumstances.
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To compare recovery parameters of total intravenous anesthesia (TIVA) with remifentanil and propofol, hemodynamic responses to perioperative events, and pharmacodynamic parameters of cisatracurium in 22 end-stage renal failure and 22 normal renal function patients. ⋯ End-stage renal failure does not prolong recovery from TIVA with remifentanil and propofol, or the recovery from cisatracurium neuromuscular block.
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Randomized Controlled Trial Clinical Trial
Covering the head and face maintains intraoperative core temperature.
To determine the effect of covering the patient's head and face on the prevention of intraoperative hypothermia (<35.5 degrees C). ⋯ Covering the patient's head and face maintains intraoperative core temperature.