European journal of anaesthesiology
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Randomized Controlled Trial Comparative Study
Analgesic efficacy of ultrasound-guided interscalene block vs. supraclavicular block for ambulatory arthroscopic rotator cuff repair: A randomised noninferiority study.
Ultrasound-guided interscalene block (ISB) is the reference technique for pain control after ambulatory upper limb surgery, but supraclavicular block (SCB) is an alternative. ⋯ SCB is as effective as ISB in terms of postoperative analgesia based on oral morphine consumption in patients undergoing ambulatory ARCR.
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Randomized Controlled Trial Comparative Study
Guidewire-assisted vs. direct radial arterial cannulation in neonates and infants: A randomised controlled trial.
Cannulation of the radial artery is challenging to perform in neonates and infants because of the small vessel size. ⋯ For radial artery cannulation in neonates and infants, guidewire-assisted radial artery cannulation showed superiority over the direct technique in terms of first-attempt success rate and overall success rate without delaying the procedure time.
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Randomized Controlled Trial
The distance between the glottis and cuff of a tracheal tube placed through three supraglottic airway devices in children: A randomised controlled trial.
After tracheal tube insertion via various types of supraglottic airway devices, the distance from the tube cuff to the vocal cords has not been evaluated in children. ⋯ The AuraGain and air-Q are well tolerated intubating conduits. The possibility of vocal cord damage is higher when the I-gel is used.
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Randomized Controlled Trial
Virtual reality exposure before elective day care surgery to reduce anxiety and pain in children: A randomised controlled trial.
Pre-operative anxiety in children is very common and is associated with adverse outcomes. ⋯ In children undergoing elective day care surgery, VRE did not have a beneficial effect on anxiety, pain, emergence delirium or parental anxiety. However, after more painful surgery, children in the VRE group needed rescue analgesia significantly less often, a clinically important finding because of the side effects associated with analgesic drugs. Options for future research are to include children with higher levels of anxiety and pain and to examine the timing and duration of VRE.