Journal of clinical anesthesia
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Case Reports
A potentially hazardous complication during central venous catheterization: lost guidewire retained in the patient.
Guidewires are routinely used in the Seldinger technique during central venous catheter placement. A case in which a guidewire was unsuspectingly released and retained in a patient during the catheterization of the internal jugular vein is presented. Physicians from multiple services subsequently failed to detect the retained guidewire on several chest radiographs; however, the guidewire was incidentally discovered after a computed tomographic scan was obtained.
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A 57 year old woman with no previous history of any sensory deficits developed anosmia and hypogeusia after general anesthesia for laparoscopic cholecystectomy, with complete recovery over 6 months. There were no other identifiable factors that may have contributed to her anosmia and hypogeusia after general anesthesia. As anosmia and hypogeusia related to anesthesia and surgery are not frequently reported, the incidence of these events related to anesthesia may be higher than expected.
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Randomized Controlled Trial
A randomized, placebo-controlled study of pregabalin for postoperative pain intensity after laparoscopic cholecystectomy.
To determine the efficacy of two different doses (150 mg and 300 mg) of preoperative pregabalin on pain relief and total opioid consumption after laparoscopic cholecystectomy. ⋯ Preoperative pregabalin may be a useful analgesic for patients after laparoscopic cholecystectomy, as it lowers pain intensity and opiod consumption, and does not increase the frequency of side effects.
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Letter Case Reports
Knotting of an orogastric tube around an endotracheal tube.
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Randomized Controlled Trial Comparative Study
Comparing vertical and coracoid approaches for infraclavicular block in orthopedic surgery of the forearm and hand.
To determine if there is a difference between the vertical and coracoid approaches to the infraclavicular block. ⋯ The coracoid approach is convenient to perform with extensive block, and is thus an appropriate alternative to the vertical approach in infraclavicular block.