SummaryPerineural dexamethasone has a ceiling dose of 4 mg for prolongation of analgesia duration after injection of long‐acting local anaesthetic for peripheral nerve block, but evidence for doses < 4 mg is lacking. This randomised controlled triple‐blind trial tested the hypothesis that increasing doses of perineural dexamethasone between 1 mg and 4 mg would prolong the duration of analgesia in a dose‐dependent manner. Eighty ASA physical status 1–2 patients scheduled for shoulder arthroscopy...
Thu Apr 11, 2019 13:43
SummaryLabouring women have been shown to have slower gastric emptying than non‐pregnant subjects, and this argument is sometimes used to recommend fasting guidelines such as nil‐by‐mouth during labour. We performed a parallel group, randomised non‐inferiority trial, comparing gastric emptying of 450 ml isocalorically‐adjusted maltodextrin, coffee with milk or pulp‐free orange juice, with 18 women in each group. The women were initially fasted for 2 h for clear fluids, 6 h for a light meal...
Thu Apr 11, 2019 13:43
SummaryAudio recording consent discussions, and giving a copy of the recording to the patient to keep, might improve the consent process and reduce the risk of misunderstandings, complaints or medicolegal claims. However, there may be concerns over confidentiality and how being recorded could affect the consent discussion. We ascertained the views of 50 postnatal women and 100 maternity staff (25 anaesthetists, 25 obstetricians and 50 midwives) on making audio recordings of consent discussions....
Thu Apr 11, 2019 13:42
Spinal epidural hematoma is a rare but serious complication of epidural anaesthesia and neurological impairment. Epidural hematoma usually becomes evident within a few hours of the procedure. Delayed clinical ...
Thu Apr 11, 2019 03:00
Pain is often observed in pediatric patients after craniotomy procedures, which could lead to some serious postoperative complications. However, the optimal formula for postoperative analgesia for pediatric ne...
Thu Apr 11, 2019 03:00
The dislocation rate of oral versus nasal airway exchange catheters (AEC) in the postoperative care unit (PACU) are unknown. Our aim was to establish dislocation rates and to assess the usefulness of waveform ...
Thu Apr 11, 2019 03:00
Abstract Purpose Palonosetron is the most recent 5-hydroxytryptamine-3 receptor antagonist, and its fixed dose of 0.075 mg is indicated for the prevention of postoperative nausea and vomiting. This study aimed to examine whether fixed dosing is more appropriate than body size-based dosing through the development of a population pharmacokinetic model and model-based simulations. ...
Thu Apr 11, 2019 03:00
Abstract Purpose While high body mass index (BMI) is a recognized risk factor for pulmonary complications in adults, its importance as a risk factor for complications following pediatric surgery is poorly described. We evaluated the association between BMI and severe pediatric perioperative pulmonary complications (PPCs). Methods In this retrospective cohort...
Thu Apr 11, 2019 03:00
Wed Apr 10, 2019 14:30
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,