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Randomized, controlled trial comparing the effects of anesthesiawith propofol…
Pain is the primary complaint and the main reason for prolonged recovery after laparoscopic cholecystectomy. The authors hypothesized that patients undergoing laparoscopic cholecystectomy will have less pain four hours after surgery when receiving maintenance of anesthesia with propofol when compared to isoflurane, desflurane, or sevoflurane
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Analysis of Infusion Patterns of Propofol and Remifentanil During Rigid Bronc…
We analyzed the dosage pattern of anesthetic drugs administered to maintain anesthesia during rigid bronchoscopy
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Inhalational Anaesthesia Versus Total Intravenous Anaesthesia During a Rigid …
General anaesthesia is routinely used for rigid bronchoscopy in paediatrics for different causes. Both methods of anaesthesia were used inhalational and total intravenous anaesthesia (TIVA
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Remifentanil-based total intravenous anesthesia for pediatric rigid bronchosc…
Laryngoscopy and stimuli inside the trachea cause an intense sympatho-adrenal response. Remifentanil seems to be the optimal opioid for rigid bronchoscopy due to its potent and short-acting properties. The purpose of this study was to compare bolus propofol and ketamine as an adjuvant to remifentanil-based total intravenous anesthesia for pediatric rigid bronchoscopy
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Use of Anesthesiology Services in Radiology
Technological advancements in imaging and intervention have allowed many disease processes to be treated outside of the operating room (OR). These advancements have provided alternative treatments to patients who are considered too high a risk or too unstable for traditional surgical procedures. As a result, there has been considerable increase in use of various levels of procedural sedation, i…
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Pediatric Anesthesiology Fellows’ Perception of Quality of Attending Superv…
Appropriate supervision has been shown to reduce medical errors in anesthesiology residents and other trainees across various specialties. Nonetheless, supervision of pediatric anesthesiology fellows has yet to be evaluated. The main objective of this survey investigation was to evaluate supervision of pediatric anesthesiology fellows in the United States. We hypothesized that there was an in…
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European Society of Anaesthesiology and European Board of Anaesthesiology gui…
Procedural sedation and analgesia (PSA) has become a widespread practice given the increasing demand to relieve anxiety, discomfort and pain during invasive diagnostic and therapeutic procedures. The role of, and credentialing required by, anaesthesiologists and practitioners performing PSA has been debated for years in different guidelines. For this reason, the European Society of Anaesthesiol…
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Changes in Concentrations of Free Propofol by Modification of the Solution
Because free propofol is thought to be responsible for pain on injection, we investigated the changes in concentrations of free propofol by modifying two kinds of propofol products in a medium- and long-chain triglyceride (MCT/LCT) emulsion and in an LCT emulsion. The techniques used in this study were 1) mixing 2% lidocaine (10:1), 2) mixing 5% dextrose in acetated Ringer’s solution to r…
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Avoiding propofol injection pain in children: a prospective, randomized, doub…
Pain on injection limits the use of propofol in children. The combination of lidocaine and propofol is widely used to reduce pain. A new solvent [medium-chain triglyceride (mct)/long-chain triglyceride (lct)] has been advocated to be less painful than standard (lct) propofol in adults, but no information is available of its usefulness in pre-school children. We designed a prospective, randomiz…
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Tracheal Intubation Practice and Safety Across International PICUs: A Report …
It is unknown if variation in tracheal intubation practice and outcomes exist across PICUs in different geographical regions. We hypothesized there would be differences in the process of care and adverse outcomes for tracheal intubation across PICUs in six different geographical regions (New Zealand, Japan, Singapore, Germany, India, and North America
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