Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Comparative Study Clinical Trial
Oxytocin injection after caesarean delivery: intravenous or intramyometrial?
To determine, after Caesarean delivery, uterine contractility and blood pressure following intravenous (i.v.) and intramyometrial (imy) injection of oxytocin. ⋯ Intramyometrial administration of 20 IU oxytocin after Caesarean delivery is associated with more severe hypotension than is i.v. injection of 5 IU oxytocin. Route of oxytocin injection did not affect uterine tone.
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Randomized Controlled Trial Comparative Study Clinical Trial
Smoking increases the requirement for rocuronium.
To compare the potency of rocuronium in non-smokers and smokers during general anaesthesia. ⋯ The results may indicate increased metabolism of rocuronium in smokers rather than increased requirement of rocuronium at the receptor site.
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Randomized Controlled Trial Comparative Study Clinical Trial
Supplementation of general anaesthesia with tramadol or fentanyl in parturients undergoing elective caesarean section.
Tramadol has been recommended for analgesia in parturients undergoing vaginal delivery. The present report investigated the effect of tramadol versus fentanyl on umbilical vein (UV) blood gases and Apgar scores of neonates delivered via elective Caesarean section under general anaesthesia. ⋯ Tramadol is associated with a high incidence of intraoperative maternal recall and can result in lower umbilical vein PO2 and higher PCO2 than in the fentanyl group.
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To determine the incidence, the reasons, and the predictive factors for unanticipated admission after ambulatory surgery. ⋯ Earlier operating time for certain surgical procedures, screening for proper support at home, and implementation of clinical pathways to deal aggressively with problems such as pain, nausea and vomiting should decrease the incidence of unanticipated admission.