Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Clinical Trial
A rapid precurarization technique using rocuronium.
To evaluate a rapid and time-saving precurarization technique using rocuronium to prevent succinylcholine-induced myalgia. ⋯ Rocuronium pretreatment given just before induction of anaesthesia with propofol reduces fasciculations and succinylcholine-induced myalgia.
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Randomized Controlled Trial Clinical Trial
Propofol reduces succinylcholine induced increase of masseter muscle tone.
Succinylcholine is known to increase the tone of the masseter muscles. As excessive jaw tension may complicate rapid sequence induction, we investigated three induction techniques, all including the use of succinylcholine, with respect to masseter muscle tone, neuromuscular blockade, intubation conditions, and time course of intubation. ⋯ Jaw tension after administration of succinylcholine is influenced by the choice of induction agent. The increase of masseter muscle tone is lower following propofol or thiopentone/atracurium induction than with thiopentone alone.
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Randomized Controlled Trial Clinical Trial
Volume kinetics of Ringer's solution and dextran 3% during induction of spinal anaesthesia for caesarean section.
To study how the body handles fluid given intravenously during the onset of spinal anaesthesia in women scheduled for Caesarean section. ⋯ The onset of spinal anaesthesia induces acute changes in the body's handling of infused fluid that can be described by volume kinetic analysis.
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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
Comparison of tramadol and morphine via subcutaneous PCA following major orthopaedic surgery.
To compare subcutaneous PCA tramadol with subcutaneous PCA morphine for postoperative pain relief after major orthopaedic surgery and for the incidence of side-effects. ⋯ Tramadol is an effective analgesic agent for the relief of acute postoperative pain when administered by PCA via the subcutaneous route. Under these conditions tramadol behaves much like morphine with a similar side-effect profile.