European journal of anaesthesiology
-
Randomized Controlled Trial
A randomised trial of the analgesic efficacy of ultrasound-guided transversus abdominis plane block after caesarean delivery under general anaesthesia.
Ultrasound guided TAP block significantly reduces morphine consumption and improves satisfaction following general anaesthesia caesarean section.
pearl -
Cases of ischaemic brain damage have been reported in relatively healthy patients undergoing shoulder surgery in the beach chair position. Unrecognised cerebral hypoperfusion may have contributed to these catastrophic events, indicating that routine anaesthesia monitoring may not suffice. Near-infrared spectroscopy (NIRS) provides a non-invasive, continuous method to measure regional cerebral oxygen saturation (rScO2). ⋯ The high prevalence of significant cerebral oxygen desaturation during shoulder surgery in the upright position underlines the need for close monitoring. NIRS might constitute a valuable technique to detect cerebral hypoperfusion in this high-risk group of patients.
-
Randomized Controlled Trial
Intravenous magnesium re-establishes neuromuscular block after spontaneous recovery from an intubating dose of rocuronium: a randomised controlled trial.
Intravenous magnesium deepens non-depolarising neuromuscular block. ⋯ A bolus dose of intravenous magnesium 50 mg kg(-1) re-establishes a clinically relevant degree of muscle paralysis in patients who have just recovered from a non-depolarising neuromuscular block.
-
Comparative Study Controlled Clinical Trial
Correlation, accuracy, precision and practicability of perioperative measurement of sublingual temperature in comparison with tympanic membrane temperature in awake and anaesthetised patients.
The prevention of inadvertent perioperative hypothermia requires precise, reliable and practical methods of temperature measurement in both awake and anaesthetised patients. Different methods and sites of monitoring have been evaluated, but many are imprecise, unusable in awake patients, difficult to apply or too invasive, especially for minor surgery. The aim of this study was to evaluate the performance of perioperative sublingual and tympanic temperature measurement in awake and anaesthetised patients. ⋯ The accuracy and precision of sublingual temperature measurement were adequate for clinical use, and there was a high correlation with tympanic temperature monitoring. Sublingual temperature measurement has been demonstrated as a good and practical modality for perioperative temperature monitoring in both awake and anaesthetised patients.