Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Clinical Trial
Amethocaine or ketorolac eyedrops provide inadequate analgesia in pediatric strabismus surgery.
Corrective strabismus surgery is associated with moderate pain after surgery. Postoperative analgesia for these patients may include topical local anesthetic agents and topical non-steroidal anti-inflammatory drugs. In this prospective randomized, double-blind placebo controlled clinical trial we compared the effect of placebo to intraoperative 0.5% topical amethocaine or 0.5% topical ketorolac on pain control after strabismus surgery in children. ⋯ We conclude that there is no improvement in postoperative pain control after the intraoperative administration of topical 0.5% ketorolac or 0.5% amethocaine when compared to placebo in children undergoing strabismus surgery.
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Randomized Controlled Trial Clinical Trial
Intravenous ropivacaine bolus is a reliable marker of intravascular injection in premedicated healthy volunteers.
We designed the following volunteer study to determine if an intravascular bolus dose of ropivacaine could be found that would reliably produce mild symptoms of central nervous system (CNS) toxicity in sedated humans. ⋯ An intravascular bolus of ropivacaine 60 mg reliably produces mild CNS toxic symptoms in premedicated volunteers.
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Clinical Trial
The anterior combined approach via a single skin injection site allows lower limb anesthesia in supine patients.
Lower limb anesthesia (LLA) requires the combination of, at least, three-in-one and sciatic nerve (SCN) blocks. Anterior approaches are easier to perform with minimal discomfort in supine patients, specially for traumatology. Feasibility of a single needle entry combined approach is reported. ⋯ The anterior combined approach via a single needle entry represents a technically easy and reliable technique to perform LLA in the supine patient.
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Letter Randomized Controlled Trial Clinical Trial
Prophylactic i.v. metaraminol during spinal anesthesia for elective Cesarean delivery.
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To report a non-fatal case of intraoperative venous air embolism (VAE) during an awake craniotomy. VAE presented with unusual clinical features. ⋯ This case illustrates a VAE during an awake craniotomy and emphasizes the importance of early diagnosis in the management.