British journal of anaesthesia
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Randomized Controlled Trial
Sumatriptan improves postoperative quality of recovery and reduces postcraniotomy headache after cranial nerve decompression.
Microvascular decompression (MVD) is a surgical treatment for cranial nerve disorders via a small craniotomy. The postoperative pain of this procedure can be classified as surgical site somatic pain and postcraniotomy headache similar in nature to a migraine, including its association with photophobia, nausea, and vomiting. This headache can be difficult to treat and can impact on postoperative recovery. Sumatriptan is used to treat migraine-like headaches in various settings. This single-centre randomized controlled trial investigated whether postoperative administration of sumatriptan after MVD surgery impacts the quality of postoperative recovery. ⋯ NCT01632657.
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Randomized Controlled Trial Multicenter Study Comparative Study
Predictors of difficult videolaryngoscopy with GlideScope® or C-MAC® with D-blade: secondary analysis from a large comparative videolaryngoscopy trial.
Tracheal intubation using acute-angle videolaryngoscopy achieves high success rates, but is not without difficulty. We aimed to determine predictors of 'difficult videolaryngoscopy'. ⋯ This secondary analysis of an existing data set indicates four covariates associated with difficult acute-angle videolaryngoscopy, of which patient position and provider level are modifiable.
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Randomized Controlled Trial Multicenter Study
Randomized evaluation of fibrinogen vs placebo in complex cardiovascular surgery (REPLACE): a double-blind phase III study of haemostatic therapy.
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Randomized Controlled Trial
Influence of variations in arterial PCO2 on surgical conditions during laparoscopic retroperitoneal surgery.
Although deep neuromuscular block (post-tetanic-count 1-2 twitches) improves surgical conditions during laparoscopic retroperitoneal surgery compared with standard block (train-of-four 1-2 twitches), the quality of surgical conditions varies widely, often related to diaphragmatic contractions. Hypocapnia may improve surgical conditions. Therefore we studied the effect of changes in arterial carbon dioxide concentrations on surgical conditions in patients undergoing laparoscopic surgery under general anaesthesia and deep neuromuscular block. ⋯ NCT01968447.
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Letter Randomized Controlled Trial Comparative Study
Comparison of high and low pillow heights for tracheal tube intubation with the Pentax-AWS Airwayscope®: a prospective randomized clinical trial.