Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Comparative Study Clinical Trial
Bupivacaine 0.125% produces motor block and weakness with fentanyl epidural analgesia in children.
Epidural infusions of fentanyl (2 micrograms.ml-1) alone or combined with bupivacaine 0.125% were compared for perioperative analgesia, motor block and other side-effects in children who underwent urological surgery. ⋯ Postoperative epidural fentanyl infusion provides equipotent analgesia to administration of a solution including both fentanyl and bupivacaine 0.125% and causes less lower limb weakness. No reduction in the fentanyl requirement resulted from the addition of bupivacaine 0.125%.
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To examine the frequency of readmission due to surgical bleeding after ambulatory surgery. ⋯ Bleeding after outpatient surgery is uncommon and discharge criteria need to be re-examined in order to take this into account and permit appropriate fast tracking of outpatients.
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Laboratory experiments were performed to determine warming rates of albumin 5% at room temperature and human packed red blood cells (PRBCs) at 4 degrees C in small volumes. Four methods used in clinical practice to warm volumes appropriate for neonates were studied. ⋯ Warming of intravenous fluids in small volumes is accomplished most rapidly using a fluid warmer with temperature-controlled coaxial tubing and occurs more slowly in syringes, bottles, or bags exposed to various environmental conditions.
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Case Reports
Temporary extracorporeal membrane oxygenation in the treatment of acute traumatic lung injury.
To report two cases of acute life-threatening traumatic lung injury, who required temporary extracorporeal veno-venous membrane oxygenation (ECMO), and airlifting to a level I trauma centre. ⋯ These cases demonstrate the role of ECMO in the treatment of traumatic respiratory failure. If ventilatory support strategies fail due to severe lung or airway injury, ECMO may be an option for the temporary management of gas exchange in trauma patients.