Journal of clinical anesthesia
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We present a case of persistent phrenic nerve paralysis after a successful interscalene brachial plexus block. In addition, there was no observed diaphragmatic stimulation, and the patient underwent an uneventful early postoperative period. Warning signs of a complication were either missed or absent until several days after discharge from the ambulatory surgical unit.
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Randomized Controlled Trial Clinical Trial
Sedation guidelines for midazolam infusion during combined spinal and epidural anesthesia.
To investigate the adequate infusion dose regimen of midazolam to induce sedation with the Ramsay score 4 with rapid onset during combined spinal and epidural anesthesia ⋯ During combined spinal and epidural anesthesia, midazolam 0.6 mg/kg/hr given until closing of the eyes (for 1.6 min) followed by midazolam 0.15 mg/kg/hr provides rapidly induced sedation, with a Ramsay score of 4 and amnesia with stable hemodynamics and respiration.
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Randomized Controlled Trial Clinical Trial
Gender may affect the hemodynamic response to induction and intubation in young adults.
To determine whether gender affects the hemodynamic response to anesthesia induction and intubation in young adults. ⋯ Pressor response is different in women than men, suggesting the difference of the response might result from the gender differences.
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To elicit attendees' opinions and perceptions of problems-based learning and to asses the ability of this format to influence practitioner behavior. ⋯ PBLD remains a popular educational offering. Although 6 months may be too short an interval to gauge the ability of PBLD to change physician practices, attendees feel that it does confer increased knowledge and awareness about patient care issues.