Journal of clinical anesthesia
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Observational Study
Pulse perfusion index for predicting intrapartum fever during epidural analgesia.
To assess whether pulse perfusion index (PI) values could be employed to predict intrapartum fever and to provide a cut-off PI value for predicting intrapartum fever occurrence. ⋯ PI30 and PI change rate values could be used to predict intrapartum fever in parturients after epidural analgesia.
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The efficacy of infiltration of liposomal bupivacaine against an active comparator, such as bupivacaine, remains debated on acute postoperative pain control. We evaluated the analgesic efficacy, patient satisfaction, and side effects of liposomal bupivacaine compared to bupivacaine during hemorrhoidectomy procedures. ⋯ Liposomal bupivacaine compared to a bupivacaine perianal block reduces early PACU pain scores without affecting opioid refill requests, has a similarly low incidence of complications, and high satisfaction in both groups.
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Assess the relationship between the Enhanced Recovery After Surgery (ERAS®) pathway and routine care and 30-day postoperative outcomes. ⋯ Treatment in a self-declared ERAS center does not improve outcome after colorectal surgery. Increased adherence to the ERAS pathway is associated with a significant reduction in overall postoperative complications, lower risk of moderate-to-severe complications, shorter length of hospital stay and lower 30-day mortality.
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This study was aimed to assess the association between the use of epidural analgesia during labor and mother-infant bonding. ⋯ Our study demonstrated better mother -infant bonding among women delivering with epidural analgesia.
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Comment Letter Randomized Controlled Trial
Comment on "Transversus abdominis plane block with liposomal bupivacaine versus continuous epidural analgesia for major abdominal surgery: The EXPLANE randomized trial".