Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To report the beneficial effect of prophylactic methylene blue administration before induction of anesthesia in a patient with congenital methemoglobinemia. ⋯ The prophylactic preoperative methylene blue administration in a patient with congenital methemoglobinemia significantly decreased the methemoglobin level and increased the fractional oxygen saturation with a consequent increase of the safety margin against perioperative hypoxemia.
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Members of the CAS and subscribers to the CJA are first invited to read the introduction that follows and the articles cited in the bibliography to prepare for the Self-Assessment Program. The reader should then go to the Journal's website (www.cja-jca.org) for the Problem Based Learning session. Completion of the Self-Assessment Program will entitle subscribers to claim ten hours of Continuing Professional Development (CPD) under section 3 of CPD options, for a total of 20 Maintenance of Certification credits (note that section 3 hours are not limited to a maximum number of credits per five-year period). There is no requirement to succeed: the goal of participating is to define potential areas for improvement.
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Letter Randomized Controlled Trial Clinical Trial
Antiemetic efficacy of propofol at small doses for reducing nausea and vomiting following thyroidectomy.
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The multiple organ dysfunction (MOD) score and sequential organ failure assessment (SOFA) score are measures of organ dysfunction and have been validated based on the association of these scores with mortality. We sought to compare the performance of the SOFA and MOD scores in a large cohort of consecutive multisystem intensive care unit (ICU) patients. ⋯ SOFA and MOD scores had only a modest ability to discriminate between survivors and non-survivors. These results question the appropriateness of using organ dysfunction scores as a 'surrogate' for mortality in clinical trials and suggest further work is necessary to better understand the temporal relationship and course of organ failure with mortality.
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To propose a strategy for the management of patients admitted to critical care units after resuscitation from cardiac arrest. ⋯ The proposed management strategy represents an approach to manage patients in the ICU following resuscitation from cardiac arrest. Most of the recommendations are based on low grade evidence. Additional research is needed to improve the evidence base. A standard post-arrest management strategy could help facilitate future research.