Journal of clinical anesthesia
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Letter Multicenter Study Observational Study
Accidental dural puncture rate using real-time pressure sensing technology: A prospective multicenter observational study.
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We examined the association of body mass index (BMI) with hospital admission, same-day complications, and 30-day hospital readmission following day-case eligible joint arthroscopy. ⋯ We found that only patients with BMI ≥50 kg/m2 had increased odds for same-day hospital admission even when patient's comorbid conditions are optimized, suggesting that a BMI ≥50 kg/m2 may be used as a sole factor for patient selection in patients undergoing joint arthroscopy. For patients with BMI <50 kg/m2, we recommend that BMI alone should not be solely used to exclude patients from having joint arthroscopies performed in an outpatient setting, especially since this patient group makes up a significant proportion of joint arthroscopy.
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Randomized Controlled Trial Multicenter Study
Cost-benefit analysis of the use of tranexamic acid in total replacement hip surgery.
To establish the best dose regimen for tranexamic acid (TXA) in total hip replacement surgery. ⋯ The administration of TXA is cost-effective, especially in the case of the two-dose regimen studied.
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Multicenter Study
The effect of obstructive sleep apnea on readmissions and atrial fibrillation after cardiac surgery.
To understand the effect of obstructive sleep apnea on readmission rates and post-operative atrial fibrillation in the cardiac surgical population. ⋯ Patients with OSA are at increased risk of 30-day readmission and post-operative atrial fibrillation following cardiac surgery compared to those without OSA. Although the importance of OSA is increasingly recognized, it remains a significant risk factor for post-operative readmissions and morbidity. Further research is needed to optimize perioperative management of patients with OSA, but these results highlight the importance of this disease on patient outcomes and healthcare costs.
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Multicenter Study Observational Study
Incidence, risk factors, and consequences of residual neuromuscular block in the United States: The prospective, observational, multicenter RECITE-US study.
Residual neuromuscular block is common at the time of extubation, occurring in up to two thirds of patients in the absence of quantitative neuromuscular monitoring.
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