Anesthesiology
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Editorial Comment Comparative Study
Cardiac outcomes after regional or general anesthesia. Do we have the answer?
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Randomized Controlled Trial Comparative Study Clinical Trial
Prospective examination of epidural catheter insertion.
Although it is generally accepted that inserting epidural catheters 3-4 cm into the epidural space minimizes complications, no prospective randomized examination of epidural catheter insertion length has been published. ⋯ Epidural catheters should be inserted either 2 cm when rapid labor is anticipated or 6 cm when prolonged labor or cesarean delivery is likely. Additionally, epidural catheters that result in intravenous cannulation or unilateral sensory analgesia can be manipulated effectively to provide analgesia for labor and delivery.
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Randomized Controlled Trial Comparative Study Clinical Trial
Cardiac outcome after peripheral vascular surgery. Comparison of general and regional anesthesia.
Despite evidence that regional anesthesia may be associated with fewer perioperative complications than general anesthesia, most studies that have compared cardiac outcome after general or regional anesthesia alone have not shown major differences. This study examines the impact of anesthetic choice on cardiac outcome in patients undergoing peripheral vascular surgery who have a high likelihood of associated coronary artery disease. ⋯ The choice of anesthesia, when delivered as described, does not significantly influence cardiac morbidity and overall mortality in patients undergoing peripheral vascular surgery.