Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Clinical Trial
Amethocaine or ketorolac eyedrops provide inadequate analgesia in pediatric strabismus surgery.
Corrective strabismus surgery is associated with moderate pain after surgery. Postoperative analgesia for these patients may include topical local anesthetic agents and topical non-steroidal anti-inflammatory drugs. In this prospective randomized, double-blind placebo controlled clinical trial we compared the effect of placebo to intraoperative 0.5% topical amethocaine or 0.5% topical ketorolac on pain control after strabismus surgery in children. ⋯ We conclude that there is no improvement in postoperative pain control after the intraoperative administration of topical 0.5% ketorolac or 0.5% amethocaine when compared to placebo in children undergoing strabismus surgery.
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Letter Randomized Controlled Trial Clinical Trial
Prophylactic i.v. metaraminol during spinal anesthesia for elective Cesarean delivery.
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Comment Letter
Assessment of neuromuscular blockade at the vastus medialis.
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Randomized Controlled Trial Comparative Study Clinical Trial
Piroxicam gel, compared to EMLA cream is associated with less pain after venous cannulation in volunteers.
To evaluate and compare the analgesic efficacy and anti-inflammatory effects of topical piroxicam gel vs eutectic mixture of local anesthetic (EMLA) cream applied to the peripheral venous cannulation site in adult volunteers. ⋯ In volunteers EMLA cream is associated with less pain on cannulation and cannula advancement compared to piroxicam gel. Topical application of piroxicam gel before peripheral venous cannulation alleviates pain and, possibly, inflammation in the period subsequent to cannulation itself.
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Clinical Trial
The anterior combined approach via a single skin injection site allows lower limb anesthesia in supine patients.
Lower limb anesthesia (LLA) requires the combination of, at least, three-in-one and sciatic nerve (SCN) blocks. Anterior approaches are easier to perform with minimal discomfort in supine patients, specially for traumatology. Feasibility of a single needle entry combined approach is reported. ⋯ The anterior combined approach via a single needle entry represents a technically easy and reliable technique to perform LLA in the supine patient.