Journal of clinical anesthesia
-
Review Meta Analysis
Patient outcomes related to the daytime versus after-hours surgery: A meta-analysis.
After hours surgery is associated with greater mortality and morbidity, although underlying cause remains unclear.
pearl -
Review Meta Analysis
Dexmedetomidine for craniotomy under general anesthesia: A systematic review and meta-analysis of randomized clinical trials.
To assess the efficacy and safety of dexmedetomidine as an adjunct to general anesthesia for craniotomy. ⋯ Dexmedetomidine as an adjunct to general anesthesia shows small benefits in reduction of pain, PONV, and maintains more stable hemodynamics with comparable effects on procedural success versus placebo. Very limited evidence explored comparative effects between dexmedetomidine and active controls. Further evidence is required to evaluate patient-important outcomes and optimal dosing strategies, particularly versus active comparators.
-
Randomized Controlled Trial Comparative Study Pragmatic Clinical Trial
High-flow versus standard nasal cannula in morbidly obese patients during colonoscopy: A prospective, randomized clinical trial.
Morbid obesity is associated with adverse airway events including desaturation during deep sedation. Prior works have suggested that proprietary high-flow nasal cannula devices generate positive pressure to all airway structures and may be superior to standard (low-flow) nasal cannula for prevention of desaturation. We hypothesized that, at a similar fraction of inspired oxygen (FiO2), use of a High-Flow Nasal Cannula (HFNC) at maximum flow rate would result in a lower incidence of intra-procedural desaturation episodes in morbidly obese patients compared to standard nasal cannula (SNC) during deep sedation with propofol. ⋯ At similar FiO2, HFNC was not significantly different from SNC for prevention of arterial oxygen desaturation in morbidly obese patients undergoing propofol sedation for colonoscopy.
-
Letter Retracted Publication
Successful cases of bilateral erector spinae plane block for treatment of tension headache.