Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Comment Letter
Videolaryngoscopy in the management of the difficult airway.
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Randomized Controlled Trial Clinical Trial
Tranexamic acid reduces the need for allogenic red blood cell transfusions in patients undergoing total hip replacement.
This prospective randomized double-blind trial evaluates the efficacy of tranexamic acid (TA) to decrease blood losses and red blood cell transfusions in patients undergoing primary unilateral total hip replacement (THR). ⋯ TA did not change measured blood losses but reduced red blood cell transfusion requirements in patients undergoing primary unilateral THR.
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Randomized Controlled Trial Comparative Study Clinical Trial
The posterior lumbar plexus (psoas compartment) block and the three-in-one femoral nerve block provide similar postoperative analgesia after total knee replacement.
To compare the efficacy of a continuous posterior lumbar plexus (PSOAS) block to a continuous three-in-one femoral nerve (FEM) block in patients undergoing primary total knee replacement (TKR). ⋯ Both continuous PSOAS block and continuous three-in-one FEM block provided better analgesia than PCA but no differences were seen between the two regional techniques.
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Randomized Controlled Trial Comparative Study Clinical Trial
Remifentanil provides better analgesia than alfentanil during breast biopsy surgery under monitored anesthesia care.
To compare the analgesic effects of remifentanil and alfentanil during breast biopsy under monitored anesthesia care (MAC). ⋯ Remifentanil was a better opioid choice than alfentanil for breast biopsy under MAC at the doses studied, but it did not increase the rapidity in which patients recovered postoperatively.
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Comparative Study Clinical Trial
Brachial plexus anesthesia compared to general anesthesia when a block room is available.
Regional anesthesia is often felt to be beneficial to patient care but detrimental to operating room (OR) efficiency. In this report we compare how a block room (BR) affects OR time (ORT) utilization for brachial plexus anesthesia (BPA) in a busy upper limb practice. We also compare how anesthetic technique, BPA or general anesthesia (GA), impacts on the time to recovery and discharge in patients having outpatient upper limb surgery. ⋯ The use of a BR reduces the anesthesia ORT associated with BPA. Secondly, BPA improves the recovery time phase of outpatients undergoing surgery on the upper limb.