Journal of anesthesia
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Journal of anesthesia · Feb 2010
Case ReportsGastric bleeding detected by transesophageal echocardiography during cardiopulmonary bypass.
Gastric bleeding during cardiopulmonary bypass (CPB) is a rare but life-threatening complication for patients undergoing cardiac surgery. We present a case of a patient undergoing coronary bypass grafting in whom we detected gastric bleeding by transesophageal echocardiography (TEE) during CPB. After separation from CPB, bleeding was stopped by endoscopic clipping of the mucosa. If a fluid deficit is noted and TEE reveals a hypoechoic space within the stomach, gastric bleeding might be suggested.
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Journal of anesthesia · Feb 2010
Letter Case ReportsSudden cardiac arrest in head and neck surgery: a case report.
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Journal of anesthesia · Feb 2010
Randomized Controlled Trial Comparative StudyComparison of 0.25% levobupivacaine and 0.25% bupivacaine for posterior approach interscalene brachial plexus block.
This study compares the onset time and quality of posterior approach interscalene brachial plexus block produced by 0.25% levobupivacaine and 0.25% bupivacaine. ⋯ We conclude that 0.25% levobupivacaine and 0.25% bupivacaine have similar motor and sensory block onset times and qualities when used in posterior approach interscalene brachial plexus block, and provide comfortable anesthesia and analgesia for shoulder surgery.
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Journal of anesthesia · Feb 2010
Randomized Controlled TrialDexamethasone before total laparoscopic hysterectomy: a randomized controlled dose-response study.
A prospective, randomized, double blind, placebo-controlled study was undertaken to evaluate the efficacy of a single preoperative dose of dexamethasone, in different dosages, in providing postoperative analgesia in patients undergoing total laparoscopic hysterectomy (TLH). ⋯ Dexamethasone at a dose of 8 mg given intravenously 2 h before induction, delays patient request for analgesia and reduces total fentanyl consumption and PONV in patients undergoing TLH.