Canadian journal of anaesthesia = Journal canadien d'anesthésie
-
Randomized Controlled Trial Clinical Trial
Ketorolac does not decrease postoperative pain in elderly men after transvesical prostatectomy.
To assess the postoperative analgesic efficacy and morphine-sparing effect of ketorolac in elderly patients. ⋯ The intraoperative administration of ketorolac, 60 mg, im, was not associated with postoperative morphinesparing or improved analgesia in this elderly population.
-
Randomized Controlled Trial Clinical Trial
Laryngeal mask insertion with a laryngoscope in paediatric patients.
To assess epiglottic position after laryngeal mask airway (LMA) insertion with or without the use of a laryngoscope. ⋯ This technique offers an alternative when the standard technique has failed, or when LMA insertion precedes bronchoscopy or intubation via the laryngeal mask.
-
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
A double-blind comparison of ropivacaine 0.5%, 0.75%, 1.0% and bupivacaine 0.5%, injected epidurally, in patients undergoing abdominal hysterectomy.
Ropivacaine is a new long-acting, injectable local anaesthetic currently undergoing clinical investigation world wide. It is structurally very similar to bupivacaine, but with less potential for central nervous system or cardiac toxicity. The purpose of this double-blind study was: to investigate the dose-response relationship of increasing doses of ropivacaine on the quality of anaesthesia and the duration of both motor and sensory blockade, and to compare these results with an established local anaesthetic, bupivacaine. ⋯ Increasing doses of ropivacaine were associated with an increased clinical effect. The most consistent differences occurred when ropivacaine 1.0% was compared with 0.5% and the least consistent between ropivacaine 0.5%, 0.75% and bupivacaine 0.5%. The main difference between ropivacaine 1.0% and bupivacaine was in sensory duration. No serious adverse events were reported.
-
To describe a rare adverse outcome resulting from lumbar epidural steroid injections for the treatment of chronic lower back pain. ⋯ A through pre-procedure assessment with attention to the neurologic examination and signs/symptoms of infection is essential.