Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Comparative Study Clinical Trial
Brachial plexus anesthesia compared to general anesthesia when a block room is available.
Regional anesthesia is often felt to be beneficial to patient care but detrimental to operating room (OR) efficiency. In this report we compare how a block room (BR) affects OR time (ORT) utilization for brachial plexus anesthesia (BPA) in a busy upper limb practice. We also compare how anesthetic technique, BPA or general anesthesia (GA), impacts on the time to recovery and discharge in patients having outpatient upper limb surgery. ⋯ The use of a BR reduces the anesthesia ORT associated with BPA. Secondly, BPA improves the recovery time phase of outpatients undergoing surgery on the upper limb.
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To present a case of laryngeal damage in an infant caused by a too large and inappropriately designed cuffed tracheal tube. ⋯ The larger than expected tracheal tube with its intra-laryngeal cuff position in a 13-month-old child likely caused mucosal damage and an inflammatory reaction within the larynx resulting in granulation tissue formation and fibrous healing around the tracheal tube.
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Randomized Controlled Trial Clinical Trial
Tranexamic acid reduces the need for allogenic red blood cell transfusions in patients undergoing total hip replacement.
This prospective randomized double-blind trial evaluates the efficacy of tranexamic acid (TA) to decrease blood losses and red blood cell transfusions in patients undergoing primary unilateral total hip replacement (THR). ⋯ TA did not change measured blood losses but reduced red blood cell transfusion requirements in patients undergoing primary unilateral THR.
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Randomized Controlled Trial Comparative Study Clinical Trial
Remifentanil provides better analgesia than alfentanil during breast biopsy surgery under monitored anesthesia care.
To compare the analgesic effects of remifentanil and alfentanil during breast biopsy under monitored anesthesia care (MAC). ⋯ Remifentanil was a better opioid choice than alfentanil for breast biopsy under MAC at the doses studied, but it did not increase the rapidity in which patients recovered postoperatively.