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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Clinical Trial
Loss of intrathecal morphine analgesia in terminal cancer patients is associated with high levels of excitatory amino acids in the CSF.
To examine excitatory amino acid (EAA) levels in the cerebrospinal fluid (CSF) of patients on long-term morphine treatment for terminal cancer pain relief and to correlate these with morphine's analgesic effect. ⋯ Long-term IT morphine administration was accompanied by an increase of EAA level in the CSF that was associated with a loss of morphine's analgesic effect.
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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 Clinical Trial
A longer pretreatment interval does not improve cisatracurium precurarization.