European journal of anaesthesiology
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Randomized Controlled Trial Comparative Study
A comparison of the use of Trachlight and Eschmann multiple-use introducer in simulated difficult intubation.
The Eschmann multiple-use introducer is widely used in the management of difficult intubations. Transillumination of the neck is less commonly used. We conducted a randomized crossover study comparing the Trachlight lightwand and Eschmann multiple-use introducer in simulated difficult intubation. ⋯ The Trachlight is a potentially useful alternative to the Eschmann multiple-use introducer in difficult intubation.
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Randomized Controlled Trial
Preventing pain during injection of propofol: effects of a new emulsion with lidocaine addition.
Previous studies found that lidocaine addition to propofol long-chain triglyceride was associated with a lower incidence of injection pain than medium-chain triglyceride/long-chain triglyceride formulation, but the incidence was still high (31-40%). Our study investigated whether the incidence of injection pain could be further reduced by the addition of lidocaine (10 mg, 20:1) to propofol medium-chain triglyceride/long-chain triglyceride. ⋯ Premixing propofol medium-chain triglyceride/long-chain triglyceride with lidocaine is one of the most effective measures currently available to reduce the incidence of injection pain in sedated patients during regional anaesthesia.
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Clinical Trial
Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery: a prospective cohort study.
The aim of this prospective, observational study was to evaluate changes in regional cerebral oxygen saturation (rSO2) and incidence of intraoperative cerebral desaturation in a cohort of elderly patients undergoing major abdominal surgery. ⋯ In a population of healthy elderly patients, undergoing non-vascular abdominal surgery cerebral desaturation can occur in up to one in every four patients, and the occurrence of cerebral desaturation is associated with a higher incidence of early postoperative cognitive decline and longer hospital stay.
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Randomized Controlled Trial
Acupressure for postoperative nausea and vomiting in gynaecological patients receiving patient-controlled analgesia.
To evaluate the effectiveness of acupressure in preventing nausea and vomiting in patients undergoing gynaecological operations and receiving a patient-controlled analgesia device. ⋯ Acupressure at the P6 meridian point is an effective alternative for the prevention of nausea and vomiting in patients receiving patient-controlled analgesia with morphine after gynaecological surgery.
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Comparative Study
Blood pressure and heart rate changes during fibreoptic orotracheal intubation: a comparison of children and adults.
Autonomic circulatory regulation and airway anatomy in children are significantly different from those in adults. There is no available published data to compare whether there is a clinically relevant difference in the haemodynamic responses to fibreoptic orotracheal intubation (FOI) under the same conditions between children and adults. In this randomized clinical study, we compared the blood pressure (BP) and heart rate (HR) changes during FOI in 40 children aged 3.5-9 yr and 40 adults aged 21-57 yr, ASA 1 scheduled for elective plastic surgery under general anaesthesia requiring orotracheal intubation. ⋯ Under general anaesthesia, FOI might cause a more significant pressor response in children than in adults.