European journal of anaesthesiology
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Letter Case Reports
Anaesthesia for open-heart surgery in a patient with Weaver's syndrome.
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Letter Case Reports
General anaesthesia for a child with Rubinstein-Taybi syndrome.
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Letter Clinical Trial Controlled Clinical Trial
Sciatic nerve block and the improvement of femoral nerve block analgesia after total knee replacement.
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Randomized Controlled Trial Clinical Trial
Myocardial ischaemia in patients with impaired left ventricular function undergoing coronary artery bypass grafting--milrinone versus nifedipin.
Myocardial ischaemia and infarction are major complications immediately after coronary artery bypass grafting. They may be due to incomplete surgical revascularization, perioperative anaesthetic management or vasospasm of arterial grafts, e.g. the internal mammary artery. Infusions of nifedipine or milrinone have been advocated to prevent spasm of the mammary artery. The study compared the incidence of myocardial ischaemia after continuous infusion of either nifedipine (0.2 microg kg(-1) min(-1)) or milrinone (0.375 microg kg(-1) min(-1)) in patients with compromised left ventricular function scheduled for elective coronary artery bypass graft. ⋯ Perioperative continuous infusion of milrinone, compared with nifedipine, results in a significantly lower incidence of myocardial ischaemia and myocardial cell damage after elective coronary artery bypass grafting.
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Randomized Controlled Trial Clinical Trial
Effects of volume and concentration of lidocaine on epidural anaesthesia in pregnant females.
The effects of altering the concentration of a local anaesthetic on the development of epidural anaesthesia in pregnant females are unclear. We compared the anaesthetic effects of a constant dose of two different concentrations of epidural lidocaine for Caesarean section. ⋯ The same doses but different volumes of lidocaine 1 and 2% produced comparable anaesthetic effects in pregnant females. The effects of epidural anaesthesia depend primarily on the total dose of the local anaesthetic.