Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To evaluate the sensory distribution, motor block and the clinical efficacy of the infraclavicular block by the coracoid approach. ⋯ Infraclavicular block by the coracoid approach provides an extensive sensory distribution with an excellent tourniquet tolerance. We conclude that this approach provides highly consistent brachial plexus anesthesia for upper extremity surgery.
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Letter Case Reports
Streptococcal meningitis after spinal anesthesia: report of a case.
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Randomized Controlled Trial Clinical Trial
Remifentanil induces consistent and sustained controlled hypotension in children during middle ear surgery.
To determine in children whether remifentanil combined with sevoflurane, could induce controlled hypotension, reduce middle ear blood flow (MEBF) measured by laser-Doppler, and provide a satisfactory operative field. ⋯ Remifentanil combined with sevoflurane in children enabled controlled hypotension, reduced MEBF and provided good surgical conditions for middle ear surgery with no need for additional use of a specific hypotensive agent.
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Randomized Controlled Trial Comparative Study Clinical Trial
Patient-controlled epidural analgesia reduces analgesic requirements compared to continuous epidural infusion after major abdominal surgery.
To compare the quality of pain relief and incidence of side effects between 24-hr postoperative continuous epidural infusion (CEI) and subsequent patient-controlled epidural analgesia (PCEA) with different analgesics after major abdominal surgery. ⋯ PCEA in comparison to preceding CEI provides equivalent analgesia with lower local anesthetic doses and plasma levels, and without motor blocking side effects, irrespective of the applied drug regimen.
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Randomized Controlled Trial Clinical Trial
Dexamethasone prevents postoperative nausea and vomiting more effectively in women with motion sickness.
To evaluate the antiemetic effect of iv dexamethasone for preventing postoperative nausea and vomiting (PONV) in women with and without a history of motion sickness. ⋯ Prophylactic administration of dexamethasone is effective in reducing PONV in patients with and without a history of motion sickness. The results of this study were more favourable in patients with a history of motion sickness, demonstrating a higher effectiveness of dexamethasone for preventing PONV in this subgroup of patients.