Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Comparative Study Clinical Trial
Cervical plexus anesthesia for carotid endarterectomy: comparison of ropivacaine and mepivacaine.
To evaluate the effectiveness of cervical plexus block performed with ropivacaine 0.75% or 1%, or mepivacaine 2%. ⋯ Ropivacaine 0.75% or 1% are appropriate choices when performing cervical plexus anesthesia for carotid endarterectomy, providing nerve block characteristics similar to those of mepivacaine 2%, but with the advantage of longer postoperative pain relief.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of patient-controlled analgesia fentanyl and alfentanil for labour analgesia.
To determine the analgesic efficacy of equipotent doses of PCA (patient-controlled analgesia) fentanyl and PCA alfentanil for labour pain. ⋯ In the doses prescribed in this study, PCA fentanyl was found to provide more effective analgesia in late first stage labour than PCA alfentanil.
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To describe negative pressure pulmonary edema due to biting of the laryngeal mask tube at emergence from general anesthesia. ⋯ Airway obstruction due to biting of a laryngeal mask tube may result in negative pressure pulmonary edema.
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Comparative Study
Neuromuscular effects of rapacuronium in pediatric patients during nitrous oxide-halothane anesthesia: comparison with mivacurium.
To describe neuromuscular effects of rapacuronium in pediatric patients during N2O-halothane anesthesia and compare them with mivacurium in children. ⋯ Rapacuronium produces block earlier than mivacurium. Recovery from rapacuronium block is dose related and slower than that following mivacurium during halothane anesthesia.
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To review the pattern of malpractice litigation related to regional anesthesia in Canada. ⋯ Twenty percent of all anesthesia claims in Canada are related to regional anesthesia. The legal outcome of these claims is favourable in 90%. Unfavourable clinical outcome is associated with catastrophic or major injury. There were no deaths in the regional anesthesia claims.