Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To determine whether the use of cell salvage reduces the proportion of patients receiving at least one unit of allogeneic packed red blood cells during the perioperative period of an elective vascular surgery. ⋯ Cell salvage, a commonly used technique to recover red cells from the operative field, has been the subject of several studies in vascular surgery. There is insufficient evidence to recommend the routine use of cell salvage in elective abdominal aortic aneurysm and aorto-femoral bypass surgeries. A large RCT would elucidate whether cell salvage is effective as a blood conservation technique.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Sevoflurane for interventional neuroradiology procedures is associated with more rapid early recovery than propofol.
Sevoflurane and propofol are both suitable for neuroanesthesia but have not previously been compared as maintenance agents for long duration (one to five hours) procedures. ⋯ The use of sevoflurane for maintenance of anesthesia for prolonged neuroradiological procedures is associated with more rapid early recovery than propofol and is associated with similar side effects. Sevoflurane and propofol can both be recommended for these procedures. The clinical benefit of the more rapid recovery with sevoflurane is unknown.
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Clinical Trial
Sedation with sufentanil in patients receiving pressure support ventilation has no effects on respiration: a pilot study.
To evaluate the effects of sedation with sufentanil on respiratory drive, respiratory pattern, and gas exchange of critically ill patients during pressure support ventilation. ⋯ A continuous infusion of sufentanil induces "awake" sedation with no detectable effects on respiratory variables in critically ill patients during partial ventilatory support.
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To evaluate the efficacy and effectiveness of red blood cell leukoreduction in reducing postoperative infection, mortality and cancer recurrence, two meta-analyses of randomized controlled trials (RCTs) were conducted. ⋯ We demonstrated that patients who were transfused leukoreduced red blood cells might benefit from a decrease in postoperative infections. A decrease in mortality may have been realized if more patients had been enrolled in the various randomized trials. Including all patients randomized, regardless of whether or not they were actually transfused diluted the observed clinical benefit of leukoreduction.
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Comparative Study Clinical Trial
Forehead is as sensitive as finger pulse oximetry during general anesthesia.
To compare the performance of a forehead probe to a conventional finger pulse oximetry probe in anesthetized patients. ⋯ The forehead SpO(2) sensor can be used as an alternative to the conventional finger sensor during general anesthesia.