Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
The postoperative analgesic efficacy of wound instillation with ropivacaine 0.1% versus ropivacaine 0.2%.
To assess the influence of ropivacaine concentration on wound instillation-induced postoperative analgesia following total abdominal hysterectomy with bilateral salpingo-oophorectomy. ⋯ With a pre-set volume, varying the concentration of ropivacaine (0.1% versus 0.2%) does not affect the analgesic efficacy of wound instillation following total abdominal hysterectomy with bilateral salpingo-oophorectomy.
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Comparative Study Clinical Trial
Vascular endothelial growth factor (VEGF) in plasma increases after hip surgery.
To determine whether the plasma concentration of vascular endothelial growth factor (VEGF) is elevated after a common surgical procedure, and if any increase is followed by a reduction in the amount of infused crystalloid fluid in the blood. ⋯ Intravascular persistence of infused crystalloid is increased after hip surgery despite elevated VEGF levels in plasma.
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Case Reports
Laser endotracheal tube failure: kinking of the Rüsch Lasertubus resulting in near-total airway occlusion.
We report a case in which kinking of the Lasertubus resulted in near-total occlusion of the endotracheal tube, which in turn precluded adequate ventilation. Although the reporting of kinked endotracheal tubes is not uncommon in the anesthesia literature, our case is unique with respect to the physical mechanism responsible for tube deformation.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of anesthetic quality in propofol-spinal anesthesia and propofol-fentanyl anesthesia for total knee arthroplasty in elderly patients.
To compare propofol plus spinal anesthesia during spontaneous ventilation using the Laryngeal Mask Airway and propofol plus fentanyl anesthesia during mechanical ventilation with an endotracheal tube on quality of recovery after anesthesia. ⋯ Propofol-spinal anesthesia provided better and faster recovery than did propofol-fentanyl anesthesia for elderly patients undergoing total knee arthroplasty.
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We report an 11-year-old male with undiagnosed myopathy, who developed cardiac arrest secondary to severe rhabdomyolysis and hyperkalemia following succinylcholine administration. The patient required extracorporeal membrane oxygenation support from which he was eventually weaned successfully. He died eleven days after the cardiac arrest as a result of apparent ischemic brain injury.