Journal of anesthesia
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Journal of anesthesia · Apr 2010
GlideScope videolaryngoscope reduces the incidence of erroneous esophageal intubation by novice laryngoscopists.
The purpose of this study was to evaluate the performance of the GlideScope videolaryngoscope for tracheal intubation by novice laryngoscopists compared with that of the Macintosh laryngoscope. Under supervision by staff anesthetists, non-anesthesia residents performed tracheal intubation using either the GlideScope videolaryngoscope (n = 100) or Macintosh laryngoscope (n = 100). The time required for airway instrumentation, the number of attempts required until successful intubation, and erroneous esophageal intubation were investigated. ⋯ Fewer attempts until successful intubation were made with the GlideScope videolaryngoscope than with the Macintosh laryngoscope (p < 0.05). Erroneous esophageal intubation with the GlideScope videolaryngoscope was less frequent than with the Macintosh laryngoscope (p < 0.05). Compared to the Macintosh laryngoscope, the GlideScope videolaryngoscope reduces the incidence of erroneous esophageal intubation by less experienced laryngoscopists.
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Journal of anesthesia · Apr 2010
Randomized Controlled TrialEffectiveness of the timing principle with high-dose rocuronium during rapid sequence induction with lidocaine, remifentanil and propofol.
The main purpose of this study was to examine the effectiveness of the timing principle with 1 mg kg(-1) rocuronium for rapid sequence intubation. As secondary outcomes, propofol and lidocaine with or without remifentanil were examined to note their effects on the cardiovascular responses to laryngoscopy and intubation. ⋯ Application of the timing principle with 1 mg kg(-1) rocuronium is beneficial for rapid tracheal intubation. Co-administered lidocaine, remifentanil and propofol can definitely suppress cardiovascular responses during laryngoscopy and intubation.
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Journal of anesthesia · Apr 2010
Randomized Controlled TrialEffects of preoperative oral melatonin medication on postoperative analgesia, sleep quality, and sedation in patients undergoing elective prostatectomy: a randomized clinical trial.
Our intention was to assess the effectiveness of preoperative oral melatonin medication on sedation, sleep quality, and postoperative analgesia in patients undergoing elective prostatectomy. ⋯ Preoperative oral melatonin administration decreased pain scores and tramadol consumption and enhanced sleep quality, sedation scores, and subjective analgesic efficacy during the postoperative period.