Journal of clinical anesthesia
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Horner's syndrome is a potential, albeit rare, feature of continuous infraclavicular brachial plexus local anesthetics infusion, mainly the result of anatomical considerations. Horner's syndrome may be described as an "unpleasant side effect" because it has no clinical consequences in itself. Nevertheless, patient discomfort and anxiety may reduce acceptance of the analgesic technique. Reassurance and close clinical monitoring of the patient are essential to enhance patient's safety and acceptance of the technique.
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Randomized Controlled Trial
Autonomic activity during dexmedetomidine or fentanyl infusion with desflurane anesthesia.
To evaluate autonomic activity with dexmedetomidine or fentanyl infusion and desflurane anesthesia during laparoscopic gastric banding. ⋯ Both dexmedetomidine and fentanyl facilitated anesthesia and attenuated autonomic activity. Dexmedetomidine produced a greater decrease in sympathovagal balance than fentanyl.
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Randomized Controlled Trial Comparative Study
Desflurane versus sevoflurane for laparoscopic gastroplasty in morbidly obese patients.
To determine if desflurane results in a faster emergence as measured by time to eye opening compared to sevoflurane in morbidly obese patients undergoing laparoscopic gastroplasty. ⋯ In morbidly obese patients undergoing laparoscopic gastroplasty, emergence, as measured by time to eye opening, did not differ between desflurane and sevoflurane, with similar recovery characteristics.
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Randomized Controlled Trial
Premedication with intravenous low-dose ketamine suppresses fentanyl-induced cough.
To evaluate the effect of low-dose ketamine on fentanyl-induced cough. ⋯ Low-dose ketamine (0.15 mg/kg IV) effectively reduces fentanyl-induced cough and delays the onset time of cough.
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Randomized Controlled Trial
Proper insertion depth of endotracheal tubes in adults by topographic landmarks measurements.
To evaluate a new method of endotracheal tube (ETT) positioning relative to carina, based on external topographic landmarks. ⋯ With our new ETT positioning method, there were fewer ETTs positioned outside the desired range of distance to carina. Our method may be especially valuable in women and in patients older than 65 years.