Journal of clinical anesthesia
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Letter Case Reports
Knotting of an orogastric tube around an endotracheal tube.
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Randomized Controlled Trial
A randomized, placebo-controlled study of pregabalin for postoperative pain intensity after laparoscopic cholecystectomy.
To determine the efficacy of two different doses (150 mg and 300 mg) of preoperative pregabalin on pain relief and total opioid consumption after laparoscopic cholecystectomy. ⋯ Preoperative pregabalin may be a useful analgesic for patients after laparoscopic cholecystectomy, as it lowers pain intensity and opiod consumption, and does not increase the frequency of side effects.
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To investigate whether the phase of menstrual cycle influences the incidence of postoperative nausea and vomiting (PONV) in women undergoing general anesthesia for elective laparoscopic gynecological surgery. ⋯ Patients in the luteal phase of their menstrual cycle may have a decreased risk of PONV after laparoscopic gynecological surgery in the early postoperative period.
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To investigate changes in stroke volume variation (SVV) by both induced hypertension (pressor test) and hypotension (depressor test), and also by induced hypotensive anesthesia in patients with good cardiac function. ⋯ SVV does not misinterpret preload dependency assessment of patients receiving medications to increase or to lower blood pressure.
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Case Reports
Airway management for rigid bronchoscopy via a freshly performed tracheostomy in a child with Goldenhar syndrome.
A case of tooth aspiration in a 6 year old boy with Goldenhar syndrome and known difficult intubation is presented. A fresh tracheostomy was performed after a failed fiberoptic intubation and dental aspiration. ⋯ Rigid bronchoscopy performed via a fresh tracheostomy presents several challenges. The major complications associated with bronchoscopy performed via a fresh tracheostomy, as well as management of airway emergencies are discussed.