Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
Standard Laryngeal Mask Airway and LMA-ProSeal during laparoscopic surgery.
To compare the frequency of airway seal and sore throat with the LMA-ProSeal (PLMA) and the standard Laryngeal Mask Airway (LMA) during laparoscopic surgery. ⋯ The PLMA and the LMA show similar airtight efficiency during laparoscopy. The patency of the PLMA drainage tube should always be confirmed. The sore throat evaluation performed in recovery room appears as reliable as later evaluations.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of general and spinal anesthesia and their influence on hemostatic markers in patients undergoing total hip arthroplasty.
To evaluate the profile of molecular hemostatic markers in patients receiving either spinal or balanced general anesthesia for total hip arthroplasty. ⋯ Our initial hypothesis that the lesser risk of postoperative DVT in patients undergoing total hip arthroplasty in regional anesthesia is reflected in the course of the plasmatic molecular markers of hemostasis could not be verified. There were no significant differences in the timely course of the markers at any given time point.
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Comparative Study
Evaluation of intense neuromuscular blockade caused by rocuronium using posttetanic count in male and female patients.
To establish the relationship between train-of-four (TOF) nerve stimulation and the number of posttetanic twitches (posttetanic count [PTC]) during neuromuscular blockade caused by rocuronium in males and females. ⋯ Even though the times from initial administration of rocuronium 1 mg.kg(-1) to the first appearances of T3 and T4 are significantly longer in female patients, the intervals to the first detectable responses to PTTS and TOF are not significantly different between females and males. Gender has no significant effect on the relation between PTC and the time to T1.
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Fever is a common clinical problem in labor and delivery suites. It can result from a variety of infectious microorganisms, tissue trauma, malignancy, drug administration, and endocrine and immunologic disorders. ⋯ The diagnosis of infection in pregnancy often raises questions about the safety of regional anesthesia in febrile patients. Despite this concern, and lack of universal guidelines, it has now been well established that the presence of infection and fever in labor does not always contraindicate the administration of regional anesthesia.
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Randomized Controlled Trial Clinical Trial
Influence of form structure on the anesthesia preoperative evaluation.
To determine the impact of changes in form design on the capture of administrative and clinical data elements. ⋯ Design of a form can have a significant impact on the completion rate of form elements. Visual cues such as a labeled space for medication doses may improve the completion of these elements. Design layout can also have an influence on completion. In this case, changes to the layout may have impeded the completion rate for ASA Physical Status.