Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
The effect of different lidocaine application methods on postoperative cough and sore throat.
To evaluate the efficacy of various ways of lidocaine application in reducing postoperative cough and sore throat. ⋯ Using lidocaine to inflate the ETT cuff or IV lidocaine at the end of surgery decreases the frequency of postoperative cough and sore throat and would provide better outcome for patients and the physician.
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Randomized Controlled Trial Comparative Study Clinical Trial
Low-dose dexamethasone reduces nausea and vomiting after epidural morphine: a comparison of metoclopramide with saline.
To compare the efficacy of a low dose of dexamethasone (5 mg) with metoclopramide 10 mg and saline in preventing nausea and vomiting after epidural morphine in posthysterectomy analgesia. ⋯ Dexamethasone 5 mg was more effective than metoclopramide or saline in the prevention of nausea and vomiting associated with epidural morphine for postoperative analgesia.
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Randomized Controlled Trial Clinical Trial
Intraoperative use of platelet-plasmapheresis in vascular surgery.
To determine, in a pilot study, whether pheresis of plasma and platelets before surgical blood loss, with reinfusion of the autologous plasma and platelets after completion of the aortic reconstruction, will result in decreased bleeding and decreased transfusion of allogenic blood components in patients undergoing elective aortic reconstruction. ⋯ Perioperative platelet plasmapheresis led to fewer allogenic platelet transfusions in patients undergoing elective aortic reconstruction. However, there was no decrease in blood loss and no reduction in transfusion of allogenic RBC or plasma. Perioperative platelet plasmapheresis is not recommended for routine use in elective aortic reconstruction.
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Randomized Controlled Trial Clinical Trial
Clonidine premedication prevents preoperative hypokalemia.
To test the hypothesis that clonidine premedication could prevent an increase of plasma epinephrine occurring as a result of anxiety, and a decrease of the serum potassium (K+) levels before the induction of anesthesia. ⋯ Clonidine premedication was effective in preventing hypokalemic episodes occurring before the induction of anesthesia.