Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Clinical Trial
Preoperative diclofenac is a useful adjunct to spinal anesthesia for day-case varicose vein repair.
To examine if preoperative diclofenac 50 mg or diazepam 10 mg po are useful adjuncts to spinal anesthesia for day-case varicose vein repair. ⋯ Diclofenac premedication reduced the analgesic requirements during the first eight hours after varicose vein repair.
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To test the accuracy and potential time savings of capnography as compared with a two-step radiographic method in placing feeding tubes in critically ill patients. ⋯ Capnography accurately identified all intratracheal feeding tube placements in this study. This study also shows that the use of capnography would significantly shorten the time needed for tube placement compared with a two-step radiologic method. Capnography should be considered for routine use when placing feeding tubes since it adds little time to the procedure and may improve patient safety.
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To evaluate the effectiveness of short-acting anesthetic drugs and techniques to achieve recovery room bypass criteria after minor surgery in a community hospital environment. ⋯ Not all patients who receive a general anesthetic require admission to a phase I recovery facility. However, the justification for use of more expensive pharmaceuticals to achieve PACU bypass requires extensive changes in operating systems and voluntary professional behaviours.
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Clinical Trial
Video-intuboscopic assistance is a useful aid to tracheal intubation in pediatric patients.
To evaluate the efficacy of video-intuboscopic assisted tracheal intubation in a difficult intubation setting. ⋯ The video-optical intubation stylet can be considered a valuable aid for tracheal intubation in pediatric patients with a difficult airway.
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Evaluate oxygen jet ventilation in a patient with tracheal stenosis undergoing stent insertion. ⋯ Low frequency jet ventilation in a patient with tracheal stenosis provided adequate ventilation as well as a non- obstructed field during fibreoptic bronchoscopy and stent insertion.