Canadian journal of anaesthesia = Journal canadien d'anesthésie
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This is the first report describing combined spinal epidural anaesthesia for labour and unexpected Caesarean section in a patient with mitral and aortic stenosis and insufficiency. ⋯ Carefully planned regional anaesthesia was safely used for labour and operative delivery in this parturient with mitral and aortic valvular disease.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparative effects of desflurane and isoflurane on recovery after long lasting anaesthesia.
Increasing the duration of exposure could lead to amplification of the pharmacokinetic differences between halogenated anaesthetic agents. The aim of our study was to compare anaesthesia recovery after desflurane and isoflurane, administered for more than three hours. ⋯ After long duration anaesthesia lasting up to three hours, desflurane allowed recovery and extubation in approximately half the time required by isoflurane. Less variability in results suggests better predictability of recovery with desflurane.
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Randomized Controlled Trial Clinical Trial
An evaluation of a modified Macintosh laryngoscope in a manikin.
In this manikin study a modified Macintosh blade was prospectively compared with its original focussing on the forces exerted on the maxillary incisor teeth and intubation success. The modified blade, a standard Macintosh blade with a reduced proximal flange, was intended to reduce the forces exerted on the maxillary incisors. ⋯ The use of the modified blade resulted in a reduction of the forces on the maxillary incisors whereas the intubation success rate was the same as with the original. Studies in manikins can be useful in comparative laryngoscope testing.
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To review the experience of one tertiary care institution with somatosensory evoked potential (SSEP) monitoring during spinal surgery in order to assess the ability to monitor and predict neurological outcome effectively. ⋯ Effective SSEP monitoring was possible despite the many factors which may have interfered with monitoring. More improvements in the techniques and conditions of monitoring are needed to decrease the incidence of false positive and negative results.