Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Clinical Trial
Preoperative dextrose does not affect spinal-induced hypotension in elective Cesarean section.
To determine if preoperative intravenous dextrose affects the incidence and ease of treatment of spinal-induced hypotension in parturients having elective Cesarean section under spinal anesthesia. ⋯ The routine administration of dextrose 5% at a rate of 5.22 g x hr(-1) preoperatively does not affect the hypotension rate, or make it easier to treat.
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Comparative Study
The intubating laryngeal mask airway in fresh cadavers vs. paralysed anesthetised patients.
To compare the performance of the intubating laryngeal mask airway (ILM) between fresh cadavers and anesthetised patients in terms of ease of insertion, oropharyngeal leak pressure (OLP), in-vivo intracuff pressure, anatomical position (assessed fibreoptically) and ease of fibreoptic-guided intubation. ⋯ We conclude that the performance of the ILM is similar for fresh cadavers and paralysed anesthetised patients. This suggests that the fresh cadaver is a suitable model for training and research.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of patient-controlled analgesia (PCA) with tramadol or morphine.
To compared the clinical efficacy of tramadol and morphine using a patient-controlled analgesia (PCA) delivery system. ⋯ Tramadol PCA can provide effective analgesia following major orthopedic surgery provided sufficiently high doses are given for loading and by patient demand. However, the incidence of nausea/vomiting is also higher causing decreased satisfaction.
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Randomized Controlled Trial Comparative Study Clinical Trial
Cost comparison of sevoflurane with isoflurane anesthesia in arthroscopic menisectomy surgery.
To determine the "real world" cost of sevoflurane compared with isoflurane in balanced general anesthesia for daycare arthroscopic menisectomy, we prospectively investigated perioperative drug requirement and expense as well as recovery time. ⋯ When used to maintain equipotent balanced general anesthesia for daycare arthroscopic menisectomy, volatile consumption and cost were greater for sevoflurane compared with isoflurane. Nonvolatile perioperative drug cost and recovery times were similar, however, in the two groups.