Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study
A comparison of spinal anesthesia with small-dose lidocaine and general anesthesia with fentanyl and propofol for ambulatory prostate biopsy procedures in elderly patients.
To compare operating conditions, intraoperative adverse events, recovery profiles, postoperative adverse effects, patient satisfaction, and costs of small-dose lidocaine spinal anesthesia with those of general anesthesia using fentanyl and propofol for elderly outpatient prostate biopsy. ⋯ Spinal anesthesia with 10 mg of hyperbaric 1% lidocaine may be a more suitable alternative to general anesthesia with fentanyl and propofol for ambulatory elderly prostate biopsy in terms of safety and costs.
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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.
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To evaluate patient acceptability of continued versus divided anesthetic care. ⋯ Before their operations, more than half of the patients felt it very important that they were visited and anesthetized by the same physician. Nevertheless, postoperative patient satisfaction was equally high regardless of whether they were anesthetized by the same physician who had visited them preoperatively.
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We present the case of a young patient who underwent a prolonged urological procedure in the lateral decubitus position. The patient's postoperative course was complicated by rhabdomyolysis manifested by elevated levels of serum creatine phosphokinase and the presence of myoglobin in urine and blood. ⋯ Subsequently, the patient had an uneventful recovery. The linkage between surgical positioning, prolonged surgery time, and rhabdomyolysis is discussed.