Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Comparative Study Clinical Trial
0.2% Ropivacaine and levobupivacaine provide equally effective epidural labour analgesia.
To compare the duration of epidural analgesia induced by levobupivacaine and ropivacaine at clinically relevant doses. ⋯ Ten millilitres of either 0.2% ropivacaine or levobupivacaine can be used to induce epidural labour analgesia effectively without a difference in the duration of pain relief.
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Randomized Controlled Trial Comparative Study Clinical Trial
Under "real world" conditions, desflurane increases drug cost without speeding discharge after short ambulatory anesthesia compared to isoflurane.
To compare the measured "real world" perioperative drug cost and recovery associated with desflurane- and isoflurane-based anesthesia in short (less than one hour) ambulatory surgery. ⋯ Measured total perioperative drug cost for a short ambulatory procedure (less than one hour) under general anesthesia was higher when desflurane rather than isoflurane was used for maintenance, essentially due to volatile agent cost. Desflurane use did not translate into faster PACU discharge under "real world" conditions.
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Randomized Controlled Trial Clinical Trial
Gargling with povidone-iodine reduces the transport of bacteria during oral intubation.
Nosocomial pneumonia remains a common complication in patients undergoing endotracheal intubation. This study examined the transport of bacteria into the trachea during endotracheal intubation, and evaluated the effects of gargling with povidone-iodine on bacterial contamination of the tip of the intubation tube. ⋯ Gargling with povidone-iodine before oral intubation reduces the transport of bacteria into the trachea.