The Journal of international medical research
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Tourette's syndrome is a complex neuropsychiatric disorder, characterized by tics. Bilateral globus pallidus internus (GPi) deep brain stimulation (DBS) has been considered to be an effective treatment for refractory Tourette's syndrome. Postoperative outcomes are described after 12 months' follow-up in a 41-year-old male patient and a 22-year-old male patient with Tourette's syndrome, both of whom underwent unilateral electrode implantations into the right GPi for DBS. ⋯ Both patients also experienced reductions in tic frequency and reported improvements in their health-related quality of life. Improvements in tics were similar to previous reports involving patients who underwent bilateral GPi DBS. These cases suggest that unilateral DBS of the right GPi is effective and might be a viable surgical choice for some patients with Tourette's syndrome.
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Randomized Controlled Trial
Target-controlled infusion of remifentanil for laryngeal mask airway insertion during sevoflurane induction in adults.
This randomized, double-blind study investigated the suitable target effect-site concentration of remifentanil for laryngeal mask airway (LMA) insertion during inhalation induction with sevoflurane. ⋯ Compared with 1 ng/ml remifentanil or normal saline, target-controlled infusion of 2 ng/ml remifentanil significantly improved the LMA insertion conditions during sevoflurane inhalational induction, although apnoeic episodes were more frequently observed.
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Randomized Controlled Trial
Addition of adrenaline to chloroprocaine provides a moderate duration time for epidural anaesthesia in elective caesarean section.
Epidural anaesthesia using chloroprocaine with or without adrenaline and lidocaine with adrenaline were compared. ⋯ Epidural anaesthesia using chloroprocaine with adrenaline has a quick onset and moderate duration and is an attractive alternative to lidocaine and adrenaline or chloroprocaine alone for caesarean section.
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Randomized Controlled Trial
Perioperative assessment of terlipressin infusion during living donor liver transplantation.
To investigate the safety and efficacy of infusion of terlipressin during living donor liver transplantation (LDLT). ⋯ Terlipressin infusion improved low SVRI and PVRI during LDLT and may have contributed to better renal function and shorter ICU stays.
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Comparative Study
Comparison of clinical outcomes between patellar resurfacing and nonresurfacing in total knee arthroplasty: retrospective study of 130 cases.
To compare clinical outcomes between patellar resurfacing and nonresurfacing in total knee arthroplasty (TKA). ⋯ Clinical outcomes for patellar nonresurfacing, including patelloplasty and circumpatellar denervation, are similar to those for patellar resurfacing, in TKA.