Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To determine the effectiveness of lightwand-guided tracheal puncture for percutaneous tracheostomy. ⋯ The lightwand guided intratracheal puncture for percutaneous tracheostomy is a simple, effective, and safe procedure. This technique can avoid the risk of puncturing the endotracheal tube and/or cuff, thus allowing adequate ventilation and oxygenation during the percutaneous tracheostomy. Furthermore, this technique is inexpensive and minimizes the risk of damaging equipment like the fibreoptic bronchoscope.
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Randomized Controlled Trial Comparative Study Clinical Trial
Tracheal intubation after induction of anesthesia in children with propofol--remifentanil or propofol-rocuronium.
To compare the intubating conditions after remifentanil-propofol with those after propofol-rocuronium combination with the aim of determining the optimal dose of remifentanil. ⋯ The best intubating conditions were produced by the combination of 4 microgxkg(-1) remifentanil and 3.5 mgxkg(-1) propofol. It provided excellent or good intubating conditions in all children without causing undue cardiovascular depression.
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Most Canadian University Departments of Anesthesia require residents to take the American Board of Anesthesiology-American Society of Anesthesiologists (ABA-ASA) in-training examination (ITE). The result is expressed as a percentile relative to all examinees at similar levels of training. Its value as a predictor of performance in the Royal College of Physicians and Surgeons of Canada (RCPSC) certification examinations is not known. ⋯ The ABA-ASA ITE is a useful tool in predicting performance on the RCPSC examination.
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Clinical Trial
Free hemoglobin concentrations in patients receiving massive blood transfusion during emergency surgery for trauma.
To determine free hemoglobin concentration in patients who received massive blood transfusion during emergency surgery for trauma with consideration of the storage of the transfused blood. ⋯ After blood transfusion during surgery for trauma, serum haptoglobin concentration decreased with transfusion of > or = 1,000 mL of whole blood with mean storage time of 12.2 dy. Free hemoglobin was detected after 2,000 mL transfusion when THp decreased to 1,000 mgxL(-1). Serum haptoglobin concentrations correlated negatively with storage time (days) of transfused blood.