Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To review the current status and possible future of neuroleptanalgesia/anesthesia, techniques that may be nearly extinct. ⋯ The advantages of newer anesthetic agents have redefined the clinical indications for neuroleptanesthesia. In routine modern anesthesia, anxiolysis, sedation, and/or analgesia is better provided, with quicker recovery, by the new pharmacokinetic and pharmacodynamic characteristics of recent medications than by the neuroleptic component of neuroleptanesthesia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Efficacy and safety of the laryngeal mask airway vs Guedel airway following tracheal extubation.
To compare the safety and efficacy of the laryngeal mask airway (LMA) with the Guedel airway during the recovery period. ⋯ The LMA provides easier airway maintenance, less coughing and initially higher median SpO2 when compared with the Guedel airway in the recovery period.
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To describe the presentation and management of complete upper airway obstruction with life threatening arterial oxygen desaturation that occurred during attempted awake fibreoptic intubation in two patients presenting with unstable C-spine injury. ⋯ This case report suggest that prior to awake fibreoptic intubation, oxygenation, adequate topicalization with testing to verify the lack of pharyngeal and laryngeal responses and careful assessment of sedation levels in the operating room are prudent for a safe endoscopic intubation.
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Comparative Study
Estimation of desflurane concentration using isoflurane channel in optical infrared analyzer.
To estimate desflurane concentration on the isoflurane channel in an optical infrared analyzer using a simple regression equation. ⋯ The concentration of desflurane can be estimated by a simple conversion factor using an isoflurane channel of an infrared system.
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Comparative Study
Volume kinetics of Ringer solution after surgery for hip fracture.
To study the time course of volume changes during and after infusion of Ringer's solution in elderly patients after a standardised trauma. ⋯ A slower elimination rate increased dilution of plasma and retention of fluid when Ringer's solution was infused in elderly trauma patients.