Anaesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
Sevoflurane vs. isoflurane: a clinical comparison in day surgery.
Discharge times after ambulatory surgery are determined by postoperative complications and in particular by the presence and severity of nausea and vomiting. Sevoflurane has become a popular agent for day-case surgery despite little evidence of clear advantages over current alternatives. We compared this agent with isoflurane in day-case patients undergoing knee arthroscopy in order to quantify the incidence of complications associated with each agent. ⋯ There was a significantly higher incidence of complications in the sevoflurane group. These included the presence of nausea and vomiting, and cardiovascular and respiratory complications. We found nothing to commend the routine use of sevoflurane rather than isoflurane in the context of day case anaesthesia.
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Comment Letter Case Reports
Posterior tracheal wall perforation with the Blue Rhino tracheostomy set.