Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Retracted Publication
Delayed recovery of vecuronium neuromuscular block in diabetic patients during sevoflurane anesthesia.
To study recovery from vecuronium-induced neuromuscular block in diabetic patients during total iv or sevoflurane anesthesia. ⋯ In diabetic patients receiving vecuronium, recovery of T1/control and TOF ratio are delayed during sevoflurane anesthesia, but not in association with total iv anesthesia.
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Review Retracted Publication
Fluid choice for resuscitation of the trauma patient: a review of the physiological, pharmacological, and clinical evidence.
Volume replacement regimens are discussed very emotionally. Interpretation of the literature is difficult due to variations in study design, patient population, target for volume replacement, endpoints, and type of fluids. Meta-analyses may not be very helpful because all kinds of patients and very old studies are included. The principles and options for volume replacement were reviewed exclusively in trauma patients and studies from the literature focusing on this problem were analyzed. ⋯ The choice of fluid therapy in trauma patients engenders the most controversy and an examination of the body of literature on this subject results in confusion. It is imperative to continue the search for substances that are effective in avoiding the development of post-trauma multi-organ dysfunction syndrome without detrimental side-effects.
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Retracted Publication
Neuromuscular blockade can be assessed accelerographically over the vastus medialis muscle in patients positioned prone.
To study accelerographic monitoring of neuromuscular blockade over the vastus medialis muscle in anesthetized patients in the prone position. ⋯ The degree of neuromuscular blockade can be assessed accelerographically over the vastus medialis muscle even when patients are in the prone position. When evaluated accelerographically over the vastus medialis muscle, onset of neuromuscular blockade is quicker and TOFR is higher than that assessed at the thumb.
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Randomized Controlled Trial Comparative Study Clinical Trial Retracted Publication
Cardiovascular responses to tracheal extubation or LMA removal in children.
This study was designed to investigate the cardiovascular effects related to tracheal extubation or laryngeal mask airway (LMA) removal in children. ⋯ Laryngeal mask airway removal elicited less haemodynamic change than tracheal extubation in paediatric patients.
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Randomized Controlled Trial Comparative Study Clinical Trial Retracted Publication
Train-of-four and double burst stimulation fade at the great toe and thumb.
We compared probabilities of tactile detection of fade in response to train-of-four (TOF), double burst stimulation3.3 (DBS3.3), and DBS3.2 at the great toe with those at the thumb. ⋯ This study suggests that the probability of tactile detection of fade in response to TOF, DBS3.3, or DBS3.2 at the great toe is less than that at the thumb. The present results may be because the flexor hallucis brevis muscle is more resistant to non-depolarizing neuromuscular relaxant than the adductor pollicis muscle and that the ratio of fade in response to neurostimulation at the great toe is higher than at the thumb.