Journal of clinical anesthesia
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Randomized Controlled Trial Clinical Trial
Effects of droperidol dosage on postoperative emetic symptoms following pediatric strabismus surgery.
To compare the frequency of postoperative emetic symptoms and side effects in pediatric strabismus surgery using four doses of droperidol. ⋯ Prophylactic administration of droperidol 80 microg.kg(-1) is most effective in reducing postoperative emetic symptoms without increasing time to discharge. In those patients with emetic symptoms who also received prophylactic droperidol, time to discharge was significantly delayed.
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Comment Letter Randomized Controlled Trial Clinical Trial
Postoperative sore throat: effect of lidocaine jelly and pomade on endotracheal intubation.
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Case Reports
The laryngeal mask airway for awake craniotomy in the pediatric patient: report of three cases.
The anesthetic management of three pediatric patients who underwent awake craniotomy with a combined, continuous intravenous infusion of propofol and alfentanil is described. The Laryngeal Mask Airway was effective in airway management during resection of epileptic foci with intraoperative cortical mapping and neuropsychological (speech) evaluation.
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Fiberoptic-compatible oral airways (FCOAs) combine the simplicity and benefits that traditional oral airways provide, with the advantage of mechanically guiding fiberoptic intubation. This review examines and compares the salient properties of these devices. Of note, the clinician should pay particular attention to the location and depth of the channel. ⋯ Furthermore, because of its size, the iLMA can potentially cause airway trauma, which could subsequently limit the utility of a fiberscope. In addition, the FCOA can generate greater positive-pressure ventilation, when used with a tight-fitting face mask, than the iLMA. FCOAs offer clinicians the ability to visualize airway anatomy while allowing straightforward access for tracheal intubation.
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Randomized Controlled Trial Clinical Trial
Influence of crystalloid and colloid replacement solutions on hemodynamic variables during acute normovolemic hemodilution.
To determine whether, in maintaining normovolemia during acute normovolemic hemodilution, replacement fluid choice influences intraoperative hemodynamic variables. ⋯ During hemodilution, anesthetized patients maintain whole body oxygenation by increasing oxygen extraction. The administration of hetastarch or dextran as the replacement fluid during acute normovolemic hemodilution is associated with a more stable mean arterial pressure, but overall acute normovolemic hemodilution is well tolerated irrespective of the replacement fluid used.