Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of anesthetic quality in propofol-spinal anesthesia and propofol-fentanyl anesthesia for total knee arthroplasty in elderly patients.
To compare propofol plus spinal anesthesia during spontaneous ventilation using the Laryngeal Mask Airway and propofol plus fentanyl anesthesia during mechanical ventilation with an endotracheal tube on quality of recovery after anesthesia. ⋯ Propofol-spinal anesthesia provided better and faster recovery than did propofol-fentanyl anesthesia for elderly patients undergoing total knee arthroplasty.
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A severe limb injury challenges an anesthesiologist's ability to provide care. We describe the difficulties encountered by an anesthesiology resident with a severely injured left arm and present solutions to overcoming an inability to perform traditional direct laryngoscopy. Airway management adjuncts explored include modified left-handed direct laryngoscopy, lighted stylet intubation, fiberoptic intubation, Laryngeal Mask Airway, Combitube, retrograde wire technique, and the eventual conversion to direct laryngoscopy with the right hand with the reversed Macintosh and the Cranwall modification of the Miller blade. The practical and social problems of a disability during residency are also discussed.
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Randomized Controlled Trial Comparative Study Clinical Trial
The postoperative analgesic efficacy of wound instillation with ropivacaine 0.1% versus ropivacaine 0.2%.
To assess the influence of ropivacaine concentration on wound instillation-induced postoperative analgesia following total abdominal hysterectomy with bilateral salpingo-oophorectomy. ⋯ With a pre-set volume, varying the concentration of ropivacaine (0.1% versus 0.2%) does not affect the analgesic efficacy of wound instillation following total abdominal hysterectomy with bilateral salpingo-oophorectomy.
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Comparative Study Clinical Trial
Vascular endothelial growth factor (VEGF) in plasma increases after hip surgery.
To determine whether the plasma concentration of vascular endothelial growth factor (VEGF) is elevated after a common surgical procedure, and if any increase is followed by a reduction in the amount of infused crystalloid fluid in the blood. ⋯ Intravascular persistence of infused crystalloid is increased after hip surgery despite elevated VEGF levels in plasma.