Journal of anesthesia
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Journal of anesthesia · Aug 2024
Randomized Controlled Trial Comparative StudyA comparative study using gastric ultrasound to evaluate the safety of shortening the fasting time before pediatric echocardiography: a randomized controlled non-inferiority study.
The objective of this study was to demonstrate that the gastric cross-sectional area (CSA) in the right lateral decubitus position (RLDP) during a 2-h fasting period is not larger than that during a conventional 4-h fasting period prior to pediatric echocardiography. ⋯ Two-hour fasting in pediatric patients who need an echocardiography did not increase major and minor complications and CSA significantly.
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Journal of anesthesia · Aug 2024
Observational StudyEffectiveness of remimazolam in preventing postoperative delirium in elderly patients with proximal femoral fractures.
Elderly patients with proximal femoral fractures are known to be a high-risk group for postoperative delirium (POD). The aim of this study was to determine the association of the benzodiazepine drug remimazolam with POD in elderly patients with proximal femoral fractures. ⋯ This retrospective observational study showed that the use of remimazolam is independently associated with a reduced incidence of POD. Remimazolam may be considered as an option to reduce POD in elderly patients with proximal femoral fractures.
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Journal of anesthesia · Aug 2024
The combination of hydrogen gas and hydrogen-rich solution does not protect against ischemic spinal cord injury in rabbits.
This study aimed to determine whether the combination of H2 gas inhalation and administration of hydrogen-rich acetated Ringer's solution (HS) could protect against ischemic spinal cord injury in rabbits. ⋯ These results suggest that the combination of 1.2% H2 gas inhalation and administration of a hydrogen-rich solution does not protect against ischemic spinal cord injury and that the increase in H2 concentration in spinal cord tissue after administration of HS is very low compared to 1.2% H2 gas inhalation.