Journal of clinical anesthesia
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Randomized Controlled Trial Clinical Trial
Nebulized bupivacaine attenuates the heart rate response following tracheal intubation.
To determine whether nebulized bupivacaine attenuates the acute hemodynamic response to laryngoscopy and intubation. ⋯ Nebulized 0.75% bupivacaine was only partially effective in blunting the hemodynamic response to tracheal intubation.
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Comparative Study Clinical Trial Controlled Clinical Trial
Assessment of patient position for fiberoptic intubation using videolaryngoscopy.
To compare laryngoscopic appearance obtained during flexible fiberoptic laryngoscopy with the patient's atlanto-occipital joint in the neutral and extended positions. ⋯ Atlanto-occipital extension is a useful maneuver during attempted fiberoptic intubation.
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To determine if acquired long QT syndrome following right or left, radical or modified, neck dissections result in malignant arrhythmias or deaths. ⋯ Acquired long QT syndrome following radical neck dissection, without congenital, metabolic, or pharmacologic disturbance, is unlikely to trigger malignant arrhythmias, as previously reported for right radical neck dissection.
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Randomized Controlled Trial Comparative Study Clinical Trial
Pharmacodynamics of rocuronium with and without prior administration of succinylcholine.
To compare succinylcholine (S) and rocuronium (R) used for endotracheal intubation, and to assess the possible action of S on subsequently administered R. ⋯ Rapid intubation conditions can be obtained after both S and R. Given its overall safety profile, R can be used when S is contraindicated, or in healthy patients with no apparent difficult airway, when procedures are expected to last more than 25 minutes.
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Randomized Controlled Trial Comparative Study Clinical Trial
Prevention of emesis after strabismus repair in children: a prospective, double-blinded, randomized comparison of droperidol versus ondansetron.
To compare the effectiveness of ondansetron with droperidol in preventing postoperative emesis in children after strabismus repair. ⋯ Ondansetron is at least as effective as droperidol in reducing the frequency of emesis in children after strabismus repair, and it did not shorten times to discharge home. The low number of patients in our study may have masked a difference in effect between the two groups. The clinician should decide whether the increased cost of ondansetron justifies its use over other antiemetics.