European journal of anaesthesiology
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Randomized Controlled Trial Comparative Study
A randomised trial comparing sufentanil versus remifentanil for laparoscopic gastroplasty in the morbidly obese patient.
This prospective, randomised double-blind study compared the effects of target control infusion (TCI) of sufentanil and remifentanil on the quality of recovery and post-operative pain control in morbidly obese patients undergoing laparoscopic gastroplasty. ⋯ In the conditions of the present study, although TCI sufentanil resulted in slower awakening than TCI remifentanil, it was associated with a better quality of recovery.
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Randomized Controlled Trial
Use of a temporary forearm tourniquet for intravenous regional anaesthesia: a randomised controlled trial.
To investigate the effect of a temporary, additional mid-forearm tourniquet on the quality of intravenous regional anaesthesia. ⋯ Our results suggest that a temporary mid-forearm tourniquet might speed the onset of intravenous regional anaesthesia. Although the advantage is lost by the time surgery starts, the technique might permit the use of a smaller dose of local anaesthetic and may have safety advantages by more rapid movement of anaesthetic out of the venous bed. The technique merits further investigation.
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In 1999, the Swiss Society of Anaesthesiology and Reanimation (SSAR) initiated an analysis of closed malpractice claims filed against anaesthetists in a project intended to improve patient safety. This article discusses the results of a review of closed claims between 1987 and 2008 and filed up to the end of 2009. ⋯ The closed claims analysis project enabled the SSAR to identify areas of high medicolegal risks to gain an insight into the causes of infrequent but potentially harmful events leading to anaesthesia-related injuries and, based on these data, to develop preventive strategies.