Journal of clinical anesthesia
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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.
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Randomized Controlled Trial
Transcutaneous electrical nerve stimulation in the prevention of postoperative nausea and vomiting after elective laparoscopic cholecystectomy.
To examine the effectiveness of transcutaneous electrical nerve stimulation (TENS) on postoperative nausea and vomiting (PONV). ⋯ Electrical stimulation of the vestibular system may be useful in the prevention of PONV.
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Regional anesthesia has many advantages, which include low cost, ease of administration, and avoidance of risks associated with general anesthesia. Injection of local anesthetic via a needle as part of a regional anesthetic technique can be a stressful experience. ⋯ The issue of patient comfort has not been reviewed in its entirety. This review seeks to collate known information in a systematic format and provide a framework for patient comfort during regional anesthesia.