European journal of anaesthesiology
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Letter Case Reports
Sevoflurane in anaesthetic management of a patient with methylmalonic acidaemia.
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Randomized Controlled Trial Comparative Study
Ultrasound-aided ipsilateral-dominant epidural block for total hip arthroplasty: a randomised controlled single-blind study.
Lumbar epidural anaesthesia usually affects both legs. The aim was to compare the success rates of ultrasound-aided vs. classical midline epidural catheter insertion for ipsilateral-dominant blocks and analgesia in patients undergoing total hip arthroplasty. ⋯ The use of ultrasound significantly improves the success rate of ipsilateral epidural block compared with the standard midline approach.
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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.