Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Editorial Comment
Should cuffed endotracheal tubes be used routinely in children?
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To analyze and summarize the published literature relating to the ProSeal LMA (PLMA): a modification of the "classic LMA" (cLMA) with an esophageal drain tube (DT), designed to improve controlled ventilation, airway protection and diagnosis of misplacement. ⋯ The PLMA has similar insertion characteristics and complications to other laryngeal masks. The DT enables rapid diagnosis of misplacement. The PLMA offers significant benefits over both the cLMA and TT in some clinical circumstances. These and clinical experience with the PLMA are discussed.
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Randomized Controlled Trial Comparative Study
[Thoracic epidural and intrathecal analgesia have similar effects on pain relief and respiratory function after thoracic surgery].
To compare in a prospective randomized trial the effects of thoracic epidural infusions of fentanyl (F) and bupivacaine (B) to intrathecal morphine (M) and sufentanil (S) on analgesia and respiratory function following thoracotomy. ⋯ This study shows that intrathecal M and S offer analgesia comparable to thoracic epidural infusion of B and F.
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To describe the use of dexmedetomidine for sedation in a critically ill infant undergoing magnetic resonance imaging (MRI). ⋯ Dexmedetomidine and a small dose of propofol were used successfully to sedate a critically ill infant for MRI. More studies are required to determine the role of this unique drug in the pediatric population.