Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Ambulatory office-based anesthesia (OBA) is a relatively new but rapidly growing field. OBA requires a different approach than that used in the hospital, because there are unique considerations that must be recognized when administering anesthesia in a free-standing office facility. This review provides a summary of the important issues and aspects of safe patient care. ⋯ Appropriately so, an increasing number of provinces (Canada) and states (US) are beginning to regulate office-based facilities and require accreditation.
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Randomized Controlled Trial
Insertion of the ProSeal laryngeal mask airway is more successful with the 90 degrees rotation technique.
The 90 degrees rotation technique for inserting the ProSeal laryngeal mask airway (PLMA) in anesthetized paralyzed patients was compared with the index finger insertion technique. ⋯ The 90 degrees rotation technique for inserting the PLMA is more successful than the standard index finger insertion technique. It is associated with fewer side effects, such as blood on the PLMA and sore throat, which suggests it causes less pharyngeal trauma.
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Randomized Controlled Trial
Somatic paravertebral block decreases opioid requirements in children undergoing appendectomy.
Somatic paravertebral block (SPVB) appears to provide effective and prolonged nerve block in children; however, study of its use in this population is limited. We compared SPVB with no block in children undergoing appendectomy. ⋯ In children undergoing appendectomy, SPVB provides better pain relief than no block and reduces opioid requirements. Side effects were not statistically different between groups.