Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Clinical Trial
The addition of epidural morphine to ropivacaine improves epidural analgesia after lower abdominal surgery.
To assess the analgesic and side effects of the continuous epidural infusion of 0.2% ropivacaine combined with morphine compared to both drugs alone. ⋯ The combination of epidural 0.2% ropivacaine and 0.003% morphine has more effective analgesic effects than either of the drugs alone for postoperative pain relief after lower abdominal surgery.
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Randomized Controlled Trial Clinical Trial
Intravenous lidocaine 0.5 mg.kg-1 effectively suppresses fentanyl-induced cough.
To evaluate the minimal dose of lidocaine required for suppression of fentanyl-induced cough. ⋯ The results of our study suggest that iv lidocaine 0.5 mg.kg(-1) is the minimal dose required to suppress fentanyl-induced cough when administered one minute prior to fentanyl. Any further increase in the lidocaine dose does not reduce the incidence or severity of fentanyl-induced cough.
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Multicenter Study
Early clinical experience with a new videolaryngoscope (GlideScope) in 728 patients.
To evaluate a new videolaryngoscope and assess its ability to provide laryngeal exposure and facilitate intubation. ⋯ GS laryngoscopy consistently yielded a comparable or superior glottic view compared with DL despite the limited or lack of prior experience with the device. Successful intubation was generally achieved even when DL was predicted to be moderately or considerably difficult. GS was abandoned in 3.7% of patients. This may reflect the lack of a formal protocol defining failure, limited prior experience or difficulty manipulating the endotracheal tube while viewing a monitor.
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Case Reports
Relief of pain in acute herpes zoster by nerve blocks and possible prevention of post-herpetic neuralgia.
This report describes two cases of acute herpes zoster (AHZ) treated by nerve block resulting in immediate pain relief and possible prevention of post-herpetic neuralgia (PHN). ⋯ This report illustrates the potential of nerve blocks in severe AHZ to treat acute pain and possibly prevent PHN.