Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To describe the clinical use of a new videolaryngoscope in a patient who had repeatedly been difficult or impossible to intubate by conventional direct laryngoscopy. This device provided excellent glottic visualization and permitted easy endotracheal intubation. ⋯ This new videolaryngoscope provided excellent laryngeal exposure in a patient whom multiple experienced anesthesiologists had repeatedly found to be difficult or impossible to intubate using direct laryngoscopy. The clinical role of this device awaits confirmation in a large series of difficult airways.
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Randomized Controlled Trial Clinical Trial
Pre- and intraoperative epidural ropivacaine have no early preemptive analgesic effect in major gynecological tumour surgery.
Thoracic epidural analgesia (TEA) is an established technique for postoperative pain relief after major abdominal surgery. However it is still under discussion whether pre-incisional TEA can reduce postoperative pain perception or postoperative analgesic consumption. ⋯ Intraoperative TEA with ropivacaine 0.375% did not significantly reduce the amount of analgesics required after major abdominal gynecological tumour surgery.
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Letter Randomized Controlled Trial Clinical Trial
Continuous epidural infusion of ropivacaine with sufentanil 1.5 microg x mL(-1) for postoperative analgesia after total knee replacement.
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Case Reports
Dexmedetomidine and low-dose ketamine provide adequate sedation for awake fibreoptic intubation.
We report the use of the alpha2 agonist, dexmedetomidine, with low-dose ketamine as a safe and effective treatment strategy to provide adequate comfort and sedation for a patient who fulfilled criteria of a difficult airway and required awake fibreoptic intubation (AFOI). ⋯ Dexmedetomidine and concurrent low-dose ketamine provided sedation and comfort to this patient who required an AFOI.
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Letter Randomized Controlled Trial Clinical Trial
Hyperventilation increases the induction dose of propofol.