European journal of anaesthesiology
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Randomized Controlled Trial Comparative Study
Comparison of the antiemetic effect of ramosetron and combined ramosetron and midazolam in children: a double-blind, randomised clinical trial.
Postoperative nausea and vomiting remains a clinically important problem after strabismus surgery in children. ⋯ Adding midazolam to ramosetron had no advantages over ramosetron alone in reducing the incidence of postoperative nausea and vomiting in children undergoing strabismus surgery.
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The incidence of epidural haematoma after epidural anaesthesia is uncertain. ⋯ The incidence of spinal haematoma was 1: 6 628 in this general surgical population. When local anaesthetics are continuously applied, progressive motor block should increase the level of suspicion. When accompanied by pain or paraesthesia, progression to diagnosis by MRI is mandatory.
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Airway management of patients with dental cellulitis can be difficult due to laryngeal deviation and oedema. Awake fibre-optic intubation has been recommended. ⋯ Most patients with dental cellulitis can be safely intubated through direct laryngoscopy even if mouth opening is limited.