Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Clinical Trial
Propofol or sevoflurane anesthesia without muscle relaxants allow the early extubation of myasthenic patients.
To compare two non-muscle relaxant anesthetic techniques in myasthenic patients undergoing trans-sternal thymectomy, evaluating the intra- and postoperative conditions including the early extubation in the operating room. ⋯ Our data show that these two anesthetic techniques allow the early extubation of myasthenic patients in the operating room.
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Randomized Controlled Trial Clinical Trial
The continuous epidural infusion of ropivacaine 0.1% with 0.5 microg x mL(-1) sufentanil provides effective postoperative analgesia after total hip replacement: a pilot study.
To assess the analgesic efficacy and functional outcome of postoperative epidural infusion of ropivacaine combined with sufentanil in a randomized, controlled trial. ⋯ Ropivacaine 0.1% with 0.5 microg x mL(-1) sufentanil for postoperative analgesia after THR provides efficient pain relief and, compared with 0.75 and 1 microg x mL(-1) sufentanil, reduces sufentanil consumption without compromise in patient satisfaction, VAS scores, and functional outcome.
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Case Reports
Reduced duration of muscle relaxation with rocuronium in a normocalcemic hyperparathyroid patient.
To report a case of reduced duration of action of rocuronium in a patient with normocalcemic hyperparathyroidism (HPT). ⋯ Primary HPT even in the absence of hypercalcemia may result in resistance to competitive blockade by rocuronium. It suggests that primary HPT may cause acetylcholine receptor up-regulation resulting in hyposensitivity to non-depolarizing muscle relaxants.
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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
Anesthetic management of a ventilator-dependent parturient with the King-Denborough syndrome.
The King-Denborough syndrome (KDS) is a rare disorder that is associated with myopathy, susceptibility to malignant hyperthermia (MH) as well as congenital skeletal and facial anomalies. We report the anesthetic management of a parturient with KDS. ⋯ The use of epidural analgesia, close monitoring and collaboration between the various disciplines were important in achieving a safe and uneventful labour in this high-risk parturient.