Journal of clinical anesthesia
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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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Meta Analysis Comparative Study
The effect of enteral versus parenteral nutrition for critically ill patients: A systematic review and meta-analysis.
To analyze the effect of enteral nutrition compared with parenteral nutrition in critically ill patients. ⋯ For critically ill patients, the two routes of nutrition support had no different effect on mortality rate. The use of EN could decrease the incidence of bloodstream infections and reduce hospital LOS but was associated with increased risk of gastrointestinal complications.
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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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Meta Analysis
Perioperative dexmedetomidine reduces delirium after cardiac surgery: A meta-analysis of randomized controlled trials.
To evaluate the efficiency of dexmedetomidine on the incidence of delirium in patients after cardiac surgery. ⋯ Perioperative dexmedetomidine administration decreased the incidence of delirium in patients after cardiac surgery, but might increase the rate of bradycardia. Furthermore, we did not observe significant differences in the incidence of hypotension, the duration of mechanical ventilation and length of ICU and hospital stay between groups. Future studies are needed to ascertain the effect of dexmedetomidine on the incidence of delirium after coronary artery bypass grafting (CABG) and in patient with cognitive disorder at baseline, whether intraoperative dexmedetomidine infusion could reduce postoperative delirium and the optimal dose of dexmedetomidine.
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Preoperative oral rehydration solutions (ORS) are frequently used in clinical practice in Japan, although their effect remains to be explained. The purpose of this study was to investigate the clinical outcomes associated with ORS usage. ⋯ Our systematic review indicates that oral rehydration therapy does not increase the risk of aspiration or vomiting. In contrast, it may help stabilize circulatory dynamics during anesthesia induction.