Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight).
To determine if the Trachlight lightwand can facilitate Fastrach intubation by guiding the tip of the endotracheal tube into the trachea. ⋯ Although tracheal intubation is effective using a Fastrach alone (76% success rate), it is more effective when the Fastrach is used in conjunction with the Trachlight (95%). These results suggest that the lightwand is a useful adjunct for Fastrach intubation. However, the role of Fastrach intubation together with the Trachlight in the management of patients with a potential difficult airway remains to be determined.
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Randomized Controlled Trial Comparative Study Clinical Trial
Evaluation of the cardiovascular responses to fiberoptic orotracheal intubation with television monitoring: comparison with conventional direct laryngoscopy.
To evaluate and compare cardiovascular responses to a new method of orotracheal intubation incorporating TV monitoring, with conventional orotracheal intubation via rigid blade laryngoscopy. ⋯ Insertion of an endotracheal tube may itself be the most invasive stimulus during intubation procedures.
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Randomized Controlled Trial Clinical Trial
Continuous intravenous diclofenac does not induce opioid-sparing or improve analgesia in geriatric patients undergoing major orthopedic surgery.
To assess the analgesic efficacy and perioperative opioid-sparing effects of adjuvant intravenous (IV) diclofenac. ⋯ Adjuvant IV diclofenac does not improve intraoperative stability or decrease postoperative opioid requirements in geriatric patients undergoing internal fixation of subcapital fracture of the femur.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of postoperative analgesic effects of preemptively used epidural ketamine and neostigmine.
To compare the analgesic and side effects of preemptively used epidural ketamine +bupivacaine, neostigmine +bupivacaine, and bupivacaine alone on postoperative analgesia after major abdominal surgery. ⋯ Preemptive neostigmine can be a good choice for postoperative analgesia.
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Randomized Controlled Trial Clinical Trial
Postoperative analgesia by intraarticular and epidural neostigmine following knee surgery.
To define the analgesic efficacy, and to identify a possible site of action, of epidural and intraarticular neostigmine. ⋯ Although peripheral neostigmine 1 microg/kg did not result in postoperative analgesia, the same dose applied epidurally resulted in over 5 hours of analgesia, similar to a fivefold dose applied peripherally. The results suggest that epidural neostigmine has a greater analgesic efficacy than peripherally applied neostigmine.