Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Comparative Study
A reusable, custom-made warming blanket prevents core hypothermia during major neonatal surgery.
To introduce a reusable model of neonatal forced air warming blanket for intraoperative use during major noncardiac neonatal surgery and to determine clinical efficacy of this reusable blanket compared with the commonly used disposable blankets. ⋯ This study shows the clinical efficacy of our reusable blanket for the prevention of core hypothermia during major neonatal surgery, which is not different from commonly used disposable blankets.
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Randomized Controlled Trial Comparative Study Clinical Trial
Acupressure and ondansetron for postoperative nausea and vomiting after laparoscopic cholecystectomy.
To compare the efficacy of acupressure wrist bands and ondansetron for the prevention of postoperative nausea and vomiting (PONV). ⋯ Acupressure at P6 causes a significant reduction in the incidence of PONV and the requirement for rescue medication in the first six hours following laparoscopic cholecystectomy, similar to that of ondansetron 4 mg iv.
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Reversal of pharmacologic anticoagulation is an issue that arises when an anticoagulated patient has major bleeding or when a patient on chronic anticoagulant therapy requires urgent reversal of anticoagulation, for example, for surgery. ⋯ Newer anticoagulant agents generally lack specific antidotes. Thus, careful choice of an anticoagulant agent and laboratory monitoring where appropriate are needed to minimize risk of bleeding complications.
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Case Reports
Awake tracheal intubation through the intubating laryngeal mask airway in a patient with halo traction.
To report a case of awake tracheal intubation through the intubating laryngeal mask airway (ILMA) in a patient with halo traction. ⋯ Airway management of patients with cervical spine instability includes adequate preoperative evaluation of the airway and choosing the appropriate intubation technique. We suggest that the ILMA may be an adequate alternative for awake tracheal intubation in patients with an unstable cervical spine and cervical immobilization with a halo device.
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Letter Randomized Controlled Trial Comparative Study Clinical Trial
Does propofol anesthesia increase agitation in neurosurgical patients? - a pilot study.