Journal of clinical anesthesia
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Randomized Controlled Trial Clinical Trial
Continuous intravenous diclofenac does not induce opioid-sparing or improve analgesia in geriatric patients undergoing major orthopedic surgery.
To assess the analgesic efficacy and perioperative opioid-sparing effects of adjuvant intravenous (IV) diclofenac. ⋯ Adjuvant IV diclofenac does not improve intraoperative stability or decrease postoperative opioid requirements in geriatric patients undergoing internal fixation of subcapital fracture of the femur.
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To examine the relationship between social adaptability, cognitive abilities, and other personality characteristics to perioperative anxiety. ⋯ Anesthesiologists need to pay close attention to the families of pediatric surgical children who are socially maladjusted, shy and inhibited, and have anxious parents.
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Comparative Study
An evaluation of a new continuous blood pressure monitoring system in critically ill patients.
To determine if the DxTek monitor, which is a device that measures blood pressure (BP) noninvasively and continuously by means of pulse velocity and wave shapes derived from the pulse oximeter optical plethysmograph and electrocardiogram is as accurate as an oscillometric cuff device when compared with intraarterial BP measurement. ⋯ The DxTek monitor provides continuous, noninvasive BP measurements with an accuracy comparable to oscillometric devices.
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Comparative Study
Comparison of lower extremity cutaneous temperature changes in patients receiving lumbar sympathetic ganglion blocks versus epidural anesthesia.
To investigate if paravertebral lumbar sympathetic ganglion block and lumbar epidural anesthesia result in comparable cutaneous temperature changes in the lower extremity. ⋯ The similar rate and magnitude of cutaneous temperature change in the distal lower extremity suggests the degree of sympathetic blockade is similar with lumbar sympathetic blockade and epidural anesthesia. Either technique should provide adequate sympathectomy for treating sympathetically maintained pain once the diagnosis has been confirmed using selective sympathetic blockade.
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To evaluate the usefulness in pediatric patients of the cuffed oropharyngeal airway (COPA), an airway device with an inflatable cuff around its distal portion, and which provides airway patency in the majority of anesthetized adult patients. ⋯ The results using the COPA in pediatric patients seem to parallel the experience of using larger sizes in adult patients.