British journal of anaesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of the standard laryngeal mask airway and the ProSeal laryngeal mask airway in obese patients.
The ProSeal laryngeal mask airway (PLMA) may have advantages over the laryngeal mask airway (LMA) in obese patients. We tested this hypothesis in a clinical setting. ⋯ Both the PLMA and the LMA can be used for mechanical ventilation of obese patients. The patency of the PLMA drainage tube needs to be checked constantly even when an optimal airtight seal is present. In obese patients the LMA requires a greater cuff pressure than the PLMA, but sore throat is not related to the cuff pressure. Sore throat assessment in the recovery room appears as reliable as assessment later.
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Randomized Controlled Trial Clinical Trial
Propofol 1% versus propofol 2% in children undergoing minor ENT surgery.
The induction characteristics of propofol 1% and 2% were compared in children undergoing ENT surgery, in a prospective, randomized, double-blind study. ⋯ For the end-points tested, propofol 1% and propofol 2% are similar for induction of anaesthesia in children undergoing minor ENT surgery.
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Randomized Controlled Trial Clinical Trial
Adjunctive analgesia with intravenous propacetamol does not reduce morphine-related adverse effects.
Propacetamol is widely used in the management of postoperative pain. It decreases morphine requirements but its effect on the incidence of morphine-related adverse effects remains unknown. ⋯ Although propacetamol induced a small morphine-sparing effect, it did not change the incidence of morphine-related adverse effects in the postoperative period. Moreover, no benefit could be demonstrated in patients with severe postoperative pain.
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Randomized Controlled Trial Clinical Trial
Intrathecal morphine and clonidine for coronary artery bypass grafting.
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Traumatic herniation of the lung is uncommon. We report a patient suffering from multiple injuries including severe pulmonary contusion and traumatic parasternal lung herniation, who developed acute respiratory distress syndrome. In spite of the lung herniation, we used mechanical ventilation according to the Open Lung Concept. Oxygenation improved rapidly, and early operative stabilization was possible.