European journal of anaesthesiology
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Letter Case Reports
ECG changes during in-situ hypothermic liver resections.
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Randomized Controlled Trial Meta Analysis Comparative Study
Remifentanil for labour analgesia: a meta-analysis of randomised controlled trials.
Remifentanil is a potent short-acting μ-opioid receptor agonist which is rapidly metabolised in the mother and fetus and may be ideal for labour analgesia. ⋯ During labour, remifentanil-PCA provided superior analgesia and higher patient satisfaction compared with pethidine with a comparable degree of adverse events. Epidural analgesia provided superior pain relief in comparison with remifentanil. Due to a low number of reported adverse events, the safety issue of remifentanil use in labour remains an open question that needs to be addressed in future trials.
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Randomized Controlled Trial Comparative Study
Subpleural block is less effective than thoracic epidural analgesia for post-thoracotomy pain: a randomised controlled study.
Thoracic epidural and paravertebral blocks provide adequate analgesia for postoperative thoracotomy pain. Both procedures are usually performed percutaneously with considerable failure rates. A subpleural catheter placed in the space posterior to the parietal pleura and alongside the paravertebral area may provide superior postoperative pain relief. ⋯ Thoracic epidural analgesia is superior to subpleural analgesia in relieving post-thoracotomy pain.