Journal of clinical anesthesia
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Randomized Controlled Trial
The analgesic efficacy of preoperative versus postoperative lornoxicam in varicocele repair.
To determine whether intravenous injection of lornoxicam 30 minutes before skin incision provides better pain relief after varicocelectomy than postoperative administration of lornoxicam. ⋯ Intravenous lornoxicam administered before surgery has a better analgesic effect for varicocelectomy than when administered postoperatively.
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Randomized Controlled Trial
Experience of anesthesiologists with percutaneous nonangiographic venous access.
To compare percutaneous nonangiographic insertion of a venous access device with a standard surgical cutdown insertion technique. ⋯ The simplified, percutaneous, nonangiographic technique is as effective as the traditional venous cutdown technique and can be safely done by surgeons as well as by experienced physicians who are not surgeons.
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Randomized Controlled Trial Comparative Study
Comparison of sciatic psoas compartment block and sciatic femoral 3-in-1 block for knee arthroscopy.
To compare the clinical effectiveness of two peripheral nerve block techniques combined with sciatic nerve block: sciatic psoas compartment (SPC) and sciatic femoral 3-in-1 (SF 3-in-1) block. ⋯ Both SPC and SF 3-in-1 provided sufficient anesthetic efficacy for knee arthroscopy. However, SPC may be preferable to SF 3-in-1 block owing to better patient satisfaction and less requirement for opioid analgesics.
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Clinical Trial
How often should we perform arterial blood gas analysis during thoracoscopic surgery?
To continuously measure arterial blood gases (ABGs), to calculate the percentage of anticipated changes over time, and to develop recommendations for sampling frequencies of arterial blood gases in patients undergoing thoracoscopic surgery. ⋯ Current standards to monitor arterial blood gases are not sufficient to detect and prevent hypoxemic events during thoracoscopic surgery with one-lung ventilation. Intermittent arterial blood gas analyses must be performed more frequently, up to every 10 minutes, to detect changes of 20% in arterial partial pressure of oxygen.
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We present the case of a patient who first presented with unexpected difficult laryngoscopy and intubation after induction of general anesthesia. After multiple failed attempts using direct laryngoscopy, tracheal intubation was successfully performed with the Intubating Laryngeal Mask Airway. He returned to the operating room 5 days later for another surgical procedure, and intubation was performed with the Direct Coupler Interface Video Laryngoscope on the first attempt by the same anesthesiologist.