Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial
Intrathecal plain vs hyperbaric bupivacaine for labour analgesia: efficacy and side effects.
Baricity is an important determinant of block characteristics of the spinal component of a combined spinal epidural (CSE) for labour analgesia. This study compares the analgesic efficacy and side effects of intrathecally administered plain and hyperbaric bupivacaine (both with fentanyl) during active labour. ⋯ A plain rather than hyperbaric solution of bupivacaine 2.5 mg with fentanyl 15 microg provides a faster onset of analgesia, higher sensory levels and less motor block, while demonstrating an increased incidence of pruritus and sustained fetal bradycardia.
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Randomized Controlled Trial
Effect of stylet angulation and endotracheal tube camber on time to intubation with the GlideScope.
The GlideScope videolaryngoscope usually provides excellent glottic visualization, but directing an endotracheal tube (ETT) through the vocal cords is sometimes difficult. The goal of the study was to determine which of two ETT angles (60 degrees vs 90 degrees ) and cambers (forward vs reverse) was better, as determined by time to intubation (TTI). ⋯ In a heterogeneous group of operators and patients intubated with the GlideScope, a 90 degrees ETT angle provided the best result and should be the initial configuration. The camber of the ETT does not affect the time to intubation.
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Editorial
Peer review policies and theCanadian Journal of Anesthesia: an update for authors and readers.
L'évaluation éditoriale par des pairs est un processus très important qui détermine quels manuscrits sont publiés dans les revues dotées de comité d'évaluation par des pairs, tout en ayant une influence majeure sur la qualité des articles publiés. Alors que la science de l'évaluation par les pairs continue d'évoluer, le processus devrait être transparent et devrait intéresser tous ceux qui contribuent à la littérature médicale et qui la lisent. Les publications scientifiques font progresser la pratique de la médecine. En ce sens, nous sommes heureux de tenir les auteurs et notre lectorat au courant de la politique duJournal sur l'évaluation par les pairs.