Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To assess the feasibility, validity, and reliability of a multi source feedback program for anesthesiologists. ⋯ It is feasible to develop multi source feedback instruments for anesthesiologists that are valid and reliable.
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Randomized Controlled Trial
High levels of impulsivity may contraindicate midazolam premedication in children.
To investigate the effects of midazolam on emotional reactivity during induction of anesthesia in a pediatric day surgery setting. A secondary purpose was to determine if these effects were influenced by child temperament factors. ⋯ Midazolam dampened adverse reactivity during anesthetic induction, particularly among children with high baseline levels of anxiety. Baseline level of impulsivity was positively associated with adverse reactions to anesthesia induction in the drug group, but not in the placebo group, suggesting that high levels of trait impulsivity may contraindicate the use of midazolam as a preoperative medication.
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Randomized Controlled Trial
A single dose of fentanyl and midazolam prior to Cesarean section have no adverse neonatal effects.
Analgesia and sedation, routinely used as adjunct medications for regional anesthesia, are rarely used in the pregnant patient because of concerns about adverse neonatal effects. In an effort to obtain more information about maternal analgesia and sedation we studied neonatal and maternal effects of iv fentanyl and midazolam prior to spinal anesthesia for elective Cesarean section. ⋯ Maternal analgesia and sedation with fentanyl (1 microg x kg(-1)) and midazolam (0.02 mg x kg(-1)) immediately prior to spinal anesthesia is not associated with adverse neonatal effects.