Trending Articles
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Anesthesia and analgesia · Jan 2015
Review Meta Analysis Comparative StudyHyperbaric versus plain bupivacaine for spinal anesthesia for cesarean delivery.
There is limited evidence supporting superiority between plain or hyperbaric spinal bupivacaine for spinal cesarean section.
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Randomized Controlled Trial Multicenter Study
A Multicenter Trial of Remote Ischemic Preconditioning for Heart Surgery.
Remote ischemic preconditioning (RIPC) is reported to reduce biomarkers of ischemic and reperfusion injury in patients undergoing cardiac surgery, but uncertainty about clinical outcomes remains. ⋯ Upper-limb RIPC performed while patients were under propofol-induced anesthesia did not show a relevant benefit among patients undergoing elective cardiac surgery. (Funded by the German Research Foundation; RIPHeart ClinicalTrials.gov number, NCT01067703.).
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Intravenous lidocaine infusions for 48 hours perioperatively do not reduce postoperative cognitive decline up to 1 year after cardiac surgery.
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Objective. To evaluate the effectiveness of spinal cord stimulation using multiple independent programmable electrode selections compared to simple continuous stimulation. Design. ⋯ Conclusions. Continuous stimulation was not selected by any patient in favor of multi-stimulation or patient-controlled stimulation. This study indicates that in spinal cord stimulation the use of multiple electrodes together with advanced programmability increases paresthesia overlap, reduces pain scores, reduces revision rates, and improves patient satisfaction with spinal cord stimulation therapy.