Articles: anesthesia.
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Anesthesia and analgesia · Jun 2010
Review Meta Analysis Comparative StudyBrief reports: paravertebral block for anesthesia: a systematic review.
The objective of this review was to assess the safety and efficacy of thoracic and lumbar paravertebral blocks (PVBs) for surgical anesthesia through a systematic review of the peer-reviewed literature. PVBs for surgical anesthesia were compared with general anesthesia (GA) or other regional anesthetic techniques. ⋯ In conclusion, based on the current evidence, PVBs for surgical anesthesia at the level of the thoracic and lumbar vertebrae are associated with less pain during the immediate postoperative period, as well as less postoperative nausea and vomiting, and greater patient satisfaction compared with GA.
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Anesthesia and analgesia · May 2010
Meta AnalysisMeta-analysis of average and variability of time to extubation comparing isoflurane with desflurane or isoflurane with sevoflurane.
We recently determined how to use anesthesia information management system data to model the time from end of surgery to extubation. We applied that knowledge for meta-analyses of trials comparing extubation times after maintenance with desflurane and sevoflurane. In this study, we repeated the meta-analyses to compare isoflurane with desflurane and sevoflurane. ⋯ The pharmacoeconomics of volatile anesthetics are highly sensitive to measurement of relatively small time differences. Therefore, surgical facilities should use these values combined with their local data (e.g., mean baseline extubation times) when making evidence-based management decisions regarding pharmaceutical purchases and usage guidelines.
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Meta Analysis
Anesthetic dose neuraxial blockade increases the success rate of external fetal version: a meta-analysis.
This study is a meta-analysis evaluating the efficacy of central neuraxial blockade (CNB) (epidural or spinal) to facilitate fetal version. ⋯ Anesthetic dose neuraxial blockade increases the success rate of external fetal version.
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To propose the different modalities of management of the allergic risk occurring during paediatric anaesthesia. ⋯ Allergic reactions to NMBAs occurring during paediatric anaesthesia are rare whereas those with latex are more frequent. Therefore, the reduction of the allergic risk during paediatric anaesthesia essentially requires a latex-free environment.
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Review Meta Analysis
Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis.
To compare the effects of different types of local anaesthetic for pain control during outpatient hysteroscopy. ⋯ Paracervical local anaesthetic injection is the best method of pain control for women undergoing hysteroscopy as outpatients.