Canadian journal of anaesthesia = Journal canadien d'anesthésie
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This study was undertaken to determine the contribution of postoperative pain to the known changes that occur to respiratory function in the postoperative period. The authors studied changes in functional residual capacity (FRC) and vital capacity (VC) either in the postanesthesia care unit or on postoperative day one in eight relatively healthy adult patients having upper abdominal surgery. ⋯ Epidural analgesia to a T4 sensory level resulted in a partial and statistically significant restoration of VC (from 37-55% of preoperative values) and a partial but statistically insignificant restoration of FRC (from 78-84% of preoperative values). The authors suggest that postoperative epidural analgesia may be able to decrease respiratory complications.
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Practice Guideline
Guidelines to the Practice of Anesthesia - Revised Edition 2014.
The Guidelines to the Practice of Anesthesia Revised Edition 2014 (the guidelines) were prepared by the Canadian Anesthesiologists' Society (CAS), which reserves the right to determine their publication and distribution. Because the guidelines are subject to revision, updated versions are published annually. ⋯ Each anesthesiologist should exercise his or her own professional judgement in determining the proper course of action for any patient's circumstances. The CAS assumes no responsibility or liability for any error or omission arising from the use of any information contained in its Guidelines to the Practice of Anesthesia.
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Antidepressant medications are commonly prescribed for the treatment of depression, anxiety, and chronic pain. Their use may lead to a number of side effects with important implications in the perioperative period. Our aim was to examine the effect of preoperative antidepressant administration on post-surgical hospital length of stay (LOS) in elective non-cardiac surgery patients. ⋯ The preoperative use of antidepressant medications was not associated with increased postoperative hospital LOS following elective non-cardiac surgery.
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Letter Case Reports
Cesarean delivery in a parturient with chronic myeloid leukemia.