Journal of clinical anesthesia
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Meta Analysis Comparative Study
Effect and safety of propofol for sedation during colonoscopy: A meta-analysis.
The study is to compare the efficacy and safety of propofol with traditional sedation agents for sedation during colonoscopy. ⋯ The present study demonstrated that, propofol for sedation during colonoscopy can result in a faster recovery and discharge, a shorter time to sedation and ambulation, as well as improved patient satisfaction, but it did not increase the rate of complications. There is a need for more well-performed, large-scale trials to verify our findings.
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To review research highlights of manuscripts published in 2017 that pertain to all aspects of the clinical practice of anesthesiology. ⋯ This review will highlight and inform anesthesiologists of the developing trends in clinical anesthesia and will also pose new challenges for further studies.
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Meta Analysis Comparative Study
Comparison of the postoperative effect between epidural anesthesia and continuous wound infiltration on patients with open surgeries: A meta-analysis.
The study aimed to compare the effect of epidural anesthesia (EA) and continuous wound infiltration (CWI) on surgical patients. ⋯ CWI is superior to EA with a lower incidence of complications for use in surgery, and EA may provide better pain control than CWI on pain relief after surgery.
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Observational Study
Predicting patients requiring discharge to post-acute care facilities following primary total hip replacement: Does anesthesia type play a role?
We sought to develop a predictive model for discharge to post-acute care facilities in patients undergoing unilateral total hip replacement (THR). Furthermore, we sought to determine if the use of neuraxial anesthesia was an important covariate for the predictive model. ⋯ We developed a predictive model for post-acute care facility discharge following THR. The use of neuraxial anesthesia was associated with decreased odds for post-acute care facility discharge.
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Partial hepatic resection reduces tumor burden in patients with metastatic neuroendocrine tumors, thereby improving quality and length of life. These procedures can be challenging as well as life-threatening. Our aim was to evaluate our patients' perioperative outcomes and propose a definition for an intraoperative carcinoid crisis relevant to this surgery, given its unique surgical considerations. ⋯ There were no documented cases of carcinoid crisis (0.0%, 95% C.I. 0.0% to 2.2%). Adverse events were infrequent.