Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study
Spinal anesthesia protects against perioperative hyperglycemia in patients undergoing hip arthroplasty.
To determine whether spinal anesthesia blunts surgical stress reactions and results in less perioperative hyperglycemia. ⋯ Spinal anesthesia attenuates the hyperglycemic response to surgical stimuli in diabetics and nondiabetic patients.
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Randomized Controlled Trial
Betamethasone in prevention of postoperative nausea and vomiting following breast surgery.
To investigate whether betamethasone decreases the incidence of postoperative nausea/vomiting (PONV) and reduces postoperative pain following partial mastectomy. ⋯ Preoperative betamethasone reduces the severity of PONV and pain in patients undergoing elective breast surgery.
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Randomized Controlled Trial Comparative Study
Comparison of the didactic lecture with the simulation/model approach for the teaching of a novel perioperative ultrasound curriculum to anesthesiology residents.
To expose residents to two methods of education for point-of-care ultrasound, a traditional didactic lecture and a model/simulation-based lecture, which focus on concepts of cardiopulmonary function, volume status, and evaluation of severe thoracic/abdominal injuries; and to assess which method is more effective. ⋯ A model/simulation-based based lecture series may be more effective in teaching the skills needed to perform a point-of-care ultrasound examination to anesthesiology residents.
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Spinal cord ischemia is a rare but possible neurological complication following routine conservative treatment of lumbosacral radiculopathy. A case of a 46 year old woman with chronic L5 radiculopathy, who developed spinal cord ischemia following epidural steroid injection, is reported. Two months after the epidural injection, she required crutches for walking and had neurogenic bladder and bowel.