Journal of clinical anesthesia
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We present here a case of a common problem for the anesthesiologist, i.e., difficulty in placing a Laryngeal Mask Airway (LMA). One solution is the use of the Yodfat technique to facilitate placement of the LMA.
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Case Reports
Unilateral Horner's syndrome and brachial plexus anesthesia during lumbar epidural blockade.
Horner's syndrome is a rare side effect of epidural analgesia. In association with ipsilateral brachial plexus block, it has only been reported once before, in French. Unilateral blockade has also been reported, although its etiology is unclear and may be multifactorial. The patient described here experienced an asymmetrical epidural blockade with a unilateral Horner's syndrome and ipsilateral brachial plexus block.
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Comparative Study
A comparison of Internet usage between two residency programs in the United Kingdom and the United States.
To survey the pattern of use and availability of the Internet among anesthesia residents. ⋯ If the reported survey results are representative of Internet use among anesthesia residents in the United States and UK, Internet access at work is associated with greater Internet use for medical purposes, perhaps in part because residents perceive it to be a convenient and accurate resource.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of total intravenous anesthesia and sevoflurane-fentanyl anesthesia for outpatient otorhinolaryngeal surgery.
To compare the recovery characteristics of two widely used anesthetic techniques: remifentanyl-propofol and sevoflurane-fentanyl in a standardized ambulatory population. ⋯ Early recovery times are comparable between total intravenous anesthesia and sevoflurane-based anesthesia. Even though patients in the TIVA group achieved home readiness criteria in a significantly shorter time, this technique does not shorten PACU length of stay, which depends instead on multiple nonmedical and administrative issues.
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Randomized Controlled Trial Clinical Trial
Learning by computer simulation does not lead to better test performance than textbook study in the diagnosis and treatment of dysrhythmias.
To compare computer-based learning with traditional learning methods in studying advanced cardiac life support (ACLS). ⋯ Studying ACLS with a hard-copy textbook may be more effective than computer simulation for acquiring simple information during a brief period. However, the difference in effectiveness is likely transient.