Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Comparative Study
Neuraxial anesthesia improves long-term survival after total joint replacement: a retrospective nationwide population-based study in Taiwan.
This study explored the effects of general (GA) and neuraxial (NA) anesthesia on the outcomes of primary total joint replacement (TJR) in terms of postoperative mortality, length of stay (LOS), and hospital treatment costs. ⋯ Our results support the use of NA for primary TJR. The improvements in hospital costs persist even when anesthesia costs are removed. The mechanism underlying the association between NA and long-term survival is unknown.
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Due to its anatomical complexity, a tracheal bronchus has important clinical implications for one-lung ventilation (OLV). We present a case of successful OLV in a patient with a high a type I (i.e., high take-off) tracheal bronchus. This anomaly presented unusual fibreoptic bronchoscopic (FOB) views that were difficult to discern from the normal carinal bifurcation. ⋯ Careful preoperative assessment of tracheobronchial anatomy is imperative in order to choose an appropriate method of OLV and prevent potential complications. In a type I tracheal bronchus with a narrowed distal trachea, a bronchial blocker may have advantages over the conventional DLT in achieving OLV.
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Erratum to: Can J Anesth/J Can Anesth DOI 10.1007/s12630-014-0299-2 In the article entitled: "Perioperative fellowship curricula in anesthesiology: a systematic review" published Online First and in the print version of the April 2015 issue of the Journal, Can J Anesth 2015; DOI 10.1007/s12630-014- 0299-2, the following note should have been included on the title page: 'This article is accompanied by an editorial. Please see Can J Anesth 2015; 62: this issue.' The publisher apologizes most sincerely for this error.