Journal of clinical anesthesia
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In adults, peripheral nerve block provides an effective alternative to general anesthesia. In pediatric anesthesia practice, several factors may limit the use of such techniques. ⋯ Cervical plexus block was used to provide surgical anesthesia for superficial/deep lymph node biopsy and excision of a thyroid nodule. The technique for cervical plexus block and its possible application in the practice of pediatric anesthesia are reviewed.
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To determine whether using only previous cases' surgical times for predicting accurately surgical times of future cases is likely to reduce the average length of time cases finish late (after their scheduled finish times). ⋯ An OR manager considering using only historical surgical times to estimate future surgical times should first investigate, using data from their own surgical suite, what percentage of cases do not have historical data. Even if there are sufficient historical data to estimate future surgical times accurately, relying solely on historical times is probably an ineffective strategy to have future cases finish on time.
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To assess the most appropriate postoperative analgesic technique after hip surgery. ⋯ After THA, i.v. PCA with morphine, continuous "3-in-1" block, and PCEA provided comparable pain relief. Because it induces the fewest technical problems and side effects, continuous "3-in-1" block is the preferred technique.
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To examine whether the establishment of dedicated pediatric operating rooms (ORs) staffed exclusively by pediatric anesthesiologists has had a significant impact on anesthetic efficiency during surgery. ⋯ The establishment of dedicated pediatric ORs resulted in significantly shorter anesthesia induction and emergence times. Furthermore, the decreased variability of anesthesia-controlled time may allow for better scheduling of surgical cases and for better surgeon and patient satisfaction.
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Letter Case Reports
Avoidance of epidural blood patch in late postpartum eclampsia.