Journal of clinical anesthesia
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Meta Analysis Comparative Study
Comparison of the postoperative effect between epidural anesthesia and continuous wound infiltration on patients with open surgeries: A meta-analysis.
The study aimed to compare the effect of epidural anesthesia (EA) and continuous wound infiltration (CWI) on surgical patients. ⋯ CWI is superior to EA with a lower incidence of complications for use in surgery, and EA may provide better pain control than CWI on pain relief after surgery.
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Observational Study
Predicting patients requiring discharge to post-acute care facilities following primary total hip replacement: Does anesthesia type play a role?
We sought to develop a predictive model for discharge to post-acute care facilities in patients undergoing unilateral total hip replacement (THR). Furthermore, we sought to determine if the use of neuraxial anesthesia was an important covariate for the predictive model. ⋯ We developed a predictive model for post-acute care facility discharge following THR. The use of neuraxial anesthesia was associated with decreased odds for post-acute care facility discharge.
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Determine if changes in expired carbon dioxide tension correlate with the severity of venous air embolism (VAE) associated hemodynamic changes in humans. ⋯ Greater magnitude of decreases in EECO2 is associated with hemodynamically-significant VAE in mechanically-ventilated patients. However, the magnitude of changes may have limited utility to diagnose VAE or exclude the diagnosis of VAE in patients with unexplained intraoperative hypotension.