Canadian journal of anaesthesia = Journal canadien d'anesthésie
The most recent articles from:
Can J Anaesth
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Letter Randomized Controlled Trial
Perioperative pregabalin and delirium following total hip arthroplasty: a post hoc analysis of a double-blind randomized placebo-controlled trial.
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Comparative Study
The impact of analgesic intervention during the second stage of labour: a retrospective cohort study.
The incidence of epidural top-ups received in the second stage of labour in nulliparous women and the obstetrical and neonatal implications associated with these boluses are explored in this retrospective observational study. We hypothesized that an epidural top-up in the second stage of labour reduces operative deliveries by resolving inadequate analgesia. ⋯ Most women who received a top-up had a vaginal (spontaneous or assisted) delivery. Compared with women without a top-up, women requiring a top-up had more predictors of difficult labour and higher rates of assisted vaginal delivery and Cesarean delivery.
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Editorial Comment
Audit and feedback: to tell or not to tell? That is not the question.
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