Journal of clinical anesthesia
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Letter Case Reports
A new and simplified approach to target the suprascapular nerve with ultrasound.
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Randomized Controlled Trial
Positive end-expiratory pressure during laparoscopy: cardiac and respiratory effects.
To determine the effect of positive end-expiratory pressure (PEEP) on the respiratory system and on cardiac function. ⋯ Ventilation with PEEP (up to 10 cm H2O) recruits the hypoventilated areas of the lungs and reduces cardiac afterload.
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Randomized Controlled Trial Comparative Study
The efficacy of automated intermittent boluses for continuous femoral nerve block: a prospective, randomized comparison to continuous infusions.
To determine whether an automated intermittent bolus technique provides enhanced analgesia compared with a continuous infusion for femoral nerve block. ⋯ An automated intermittent bolus infusion technique for femoral nerve catheters is associated with clinically and statistically significantly less IV-PCA use (ie, an opioid-sparing effect) than a continuous infusion technique.
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To evaluate complications associated with ambulatory continuous lumbar plexus blocks. ⋯ While complications associated with hip arthroscopy with ambulatory continuous lumbar plexus blocks do occur, significant complications are uncommon. Most complications are managed easily on an outpatient basis. However, nearly 1% of patients presented with symptoms concerning for LAST and were treated without any hemodynamic compromise.
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A case of persistent thoracic cerebrospinal fluid cutaneous fistula in a toddler following radiographically confirmed epidural catheter placement is reported. Treatment of the fistula with a thoracic epidural blood patch was successful.