Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Comparative Study Clinical Trial
Cervical plexus anesthesia for carotid endarterectomy: comparison of ropivacaine and mepivacaine.
To evaluate the effectiveness of cervical plexus block performed with ropivacaine 0.75% or 1%, or mepivacaine 2%. ⋯ Ropivacaine 0.75% or 1% are appropriate choices when performing cervical plexus anesthesia for carotid endarterectomy, providing nerve block characteristics similar to those of mepivacaine 2%, but with the advantage of longer postoperative pain relief.
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To describe negative pressure pulmonary edema due to biting of the laryngeal mask tube at emergence from general anesthesia. ⋯ Airway obstruction due to biting of a laryngeal mask tube may result in negative pressure pulmonary edema.
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Meperidine has local anesthetic properties and, therefore, when given epidurally it has the potential to cause hemodynamic changes. Our objective was to study the hemodynamic effects of an analgesic dose of epidural meperidine (50 mg) in 34 ASA 1-2 term parturients scheduled for elective Cesarean section under epidural anesthesia. ⋯ Epidural meperidine, 50 mg, caused minimal hemodynamic changes in term parturients.
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To clarify the recent perception of shortfalls in anesthesia physician resources, two models were used to assess these resources in Ontario, Canada. ⋯ This conservative approach indicates that the shortfall in anesthesiologist physician resources will worsen by 2005.
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To review the pattern of malpractice litigation related to regional anesthesia in Canada. ⋯ Twenty percent of all anesthesia claims in Canada are related to regional anesthesia. The legal outcome of these claims is favourable in 90%. Unfavourable clinical outcome is associated with catastrophic or major injury. There were no deaths in the regional anesthesia claims.