Anesthesia and analgesia
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Anesthesia and analgesia · Dec 2019
Randomized Controlled TrialEffect of Remote Ischemic Preconditioning in Patients Undergoing Hepatectomy With Portal Triad Clamping: A Randomized Controlled Trial.
Remote ischemic preconditioning (RIPC) is reported to reduce liver injury in patients undergoing hepatectomy for colorectal liver metastasis, but its role is unclear in hepatocellular carcinoma patients with portal triad clamping during hepatectomy. ⋯ We found no evidence that RIPC can reduce postoperative liver injury after hepatectomy.
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Anesthesia and analgesia · Dec 2019
Randomized Controlled TrialIncentive-Based Game for Allaying Preoperative Anxiety in Children: A Prospective, Randomized Trial.
Induction of anesthesia can be distressing both for children and their parents. Nonpharmacological behavioral interventions can reduce the anxiety of children without significant adverse effects as seen with sedative medications. We hypothesized that the use of incentive-based game therapy in conjunction with parental involvement would be a simple and cost-effective intervention in reducing the preoperative anxiety in children. ⋯ The use of incentive-based game therapy reduces the anxiety scores during induction of anesthesia and improves the compliance to facemask induction in children undergoing surgery. It can form a simple, cost-effective, and easy-to-administer technique that can be easily applied in low-income settings.
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Anesthesia and analgesia · Dec 2019
Randomized Controlled Trial Multicenter StudyDexmedetomidine for Improved Quality of Emergence From General Anesthesia: A Dose-Finding Study.
Dexmedetomidine provides smooth and hemodynamically stable emergence at the expense of hypotension, delayed recovery, and sedation. We investigated the optimal dose of dexmedetomidine for prevention of cough, agitation, hypertension, tachycardia, and shivering, with minimal side effects. ⋯ D 1 at the end of surgery provides the best quality of emergence from general anesthesia including the control of cough, agitation, hypertension, tachycardia, and shivering. D 0.5 also controls emergence phenomena but is less effective in controlling cough. The 3 doses do not delay extubation. However, they cause dose-dependent hypotension.
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Anesthesia and analgesia · Dec 2019
Randomized Controlled TrialGlobal and Regional Respiratory Mechanics During Robotic-Assisted Laparoscopic Surgery: A Randomized Study.
Deep neuromuscular block does not significantly change the global or regional lung physiological effects seen with robotic laparoscopic surgery.
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Anesthesia and analgesia · Dec 2019
Randomized Controlled Trial Comparative StudyCervical Spine Motion During Tracheal Intubation Using an Optiscope Versus the McGrath Videolaryngoscope in Patients With Simulated Cervical Immobilization: A Prospective Randomized Crossover Study.
For patients with an unstable cervical spine the Optiscope may produce less cervical spine movement than the McGrath videolaryngoscope.
pearl