Journal of clinical anesthesia
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Review Meta Analysis
Perioperative goal-directed hemodynamic therapy in noncardiac surgery: a systematic review and meta-analysis.
Goal-directed fluid therapy (GDHT) has been proposed as a method to reduce complications and mortality. ⋯ This meta-analysis, with its limitations, shows that the use of perioperative GDHT may reduce postoperative mortality, but it is unable to show a reduction in the number of patients with complications.
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Randomized Controlled Trial Comparative Study
Comparison of emergence after deep extubation using desflurane or desflurane with remifentanil in patients undergoing general anesthesia: a randomized trial.
To compare recovery times and respiratory complications during emergence after deep extubation using either desflurane alone or a lower concentration of desflurane with remifentanil. ⋯ The combined use of remifentanil while lowering the concentration of desflurane improves recovery profiles during emergence after deep extubation.
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Simulation-based learning is emerging as an alternative educational tool in this era of a relative shortfall of teaching anesthesiologists. The objective of the study is to assess whether screen-based (interactive computer simulated) case scenarios are more effective than problem-based learning discussions (PBLDs) in improving test scores 4 and 8 weeks after these interventions in anesthesia residents during their first neuroanesthesia rotation. ⋯ Screen-based simulators were not more effective than PBLD for education during the neuroanesthesia rotation in anesthesia residency.
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Letter Case Reports
Constant positive airway pressure easily connected to an EZ blocker channel.