Journal of clinical anesthesia
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To determine whether apneic oxygenation through nasal or nasopharyngeal catheters can counteract hypoxemia and desaturation during induction of anesthesia and endotracheal intubation. ⋯ Apneic oxygenation through nasal or nasopharyngeal catheters can prolong time to desaturation and decrease degree of desaturation during induction of anesthesia and endotracheal intubation in adult ASA I-II patients undergoing anesthesia for elective 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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To review research highlights of manuscripts published in 2017 that pertain to all aspects of the clinical practice of anesthesiology. ⋯ This review will highlight and inform anesthesiologists of the developing trends in clinical anesthesia and will also pose new challenges for further studies.
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Meta Analysis Comparative Study
Intravenous versus inhalational anesthesia for pediatric inpatient surgery - A systematic review and meta-analysis.
General anesthesia is commonly used in pediatric inpatient surgery. It can be induced and maintained by either intravenous or volatile anesthetic agents. We aimed to elucidate whether intravenous or volatile anesthetic agents are superior with regards to preventing anesthesia-related complications. ⋯ Taken together, propofol increased the risk of oculocardiac reflex whereas PONV was less frequent following intravenous anesthetics compared to volatile anesthetics. The study results may help tailoring the use of either intravenous of volatile anesthetics onto the needs of pediatric inpatients. Given the clinical or statistical heterogeneity among the studies, we call for a scientific effort to increase the body of evidence on anesthetic agents in pediatric general anesthesia.
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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.