Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Clinical Trial
Epidural anesthesia with lidocaine reduces propofol injection pain.
To determine whether epidural lidocaine reduces the severity of propofol injection pain compared with iv lidocaine. ⋯ Epidural and iv lidocaine equally reduced the severity of propofol injection pain despite higher lidocaine plasma concentrations in epidurally administered lidocaine.
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Randomized Controlled Trial Clinical Trial
Clonidine as adjuvant for mepivacaine, ropivacaine and bupivacaine in axillary, perivascular brachial plexus block.
To evaluate the effects of clonidine on three local anesthetics (mepivacaine 1%, ropivacaine 0.75% and bupivacaine 0.5%) with comparable potency and almost the same concentration-response relationship. ⋯ The present study shows that the addition of clonidine has a different impact on each of the three local anesthetics investigated in terms of onset and duration of block.
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Randomized Controlled Trial Comparative Study Clinical Trial
Either sufentanil or fentanyl, in addition to intrathecal bupivacaine, provide satisfactory early labour analgesia.
The study was aimed primarily at comparing the duration of analgesia produced by intrathecal fentanyl 25 microg with sufentanil 5 microg when added to bupivacaine 1.25 mg as the initial component of the combined spinal epidural (CSE) technique in early labour. ⋯ Fentanyl 25 microg is a good alternative to sufentanil 5 microg when added to bupivacaine 1.25 mg for early labour analgesia.
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Randomized Controlled Trial Clinical Trial
Pain after laparoscopic cholecystectomy: the effect and timing of incisional and intraperitoneal bupivacaine.
To examine the combined preemptive effects of somatovisceral blockade during laparoscopic cholecystectomy (LC). ⋯ Incisional pain dominated during the first two post-operative days after LC. Preoperative somato-visceral or somatic local anesthesia reduced incisional pain during the first three post-operative hours. A combination of somato-visceral local anesthetic treatment did not reduce intraabdominal pain, shoulder pain or nausea more than somatic treatment alone. Preoperative incisional infiltration of local anesthetics is recommended.
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La ventilation non invasive est probablement un des progrès majeurs des dix dernières années dans le traitement de l'insuffisance respiratoire aiguë aux soins intensifs. Son efficacité a été démontrée dans plusieurs indications. ⋯ Comme il demeure toujours possible d'intuber le patient en cas d'échec, la VNI peut être tentée dans plusieurs situations cliniques. Finalement, les succès de la VNI dépendent de l'intérêt et de l'expérience de l'équipe soignante.