Purpose: Sugammadex rapidly reverses muscle relaxation compared to acetylcholinesterase inhibitors. The long-term outcomes of sugammadex, however, are not well known. We 30-day postoperative following sugammadex and inhibitor use in colorectal surgery patients. Patients methods: Colorectal surgical patients older than 21 were included this retrospective study, dichotomized according reversal agents, (group S), A). assessed outcomes, including total length hospital stay, readmission rate,...

We aimed to evaluate the usefulness of neutrophil-to-lymphocyte (N/L) and platelet (N/LP) ratios in predicting late mortality patients with trauma who underwent emergency surgery.We retrospectively evaluated older than 19 y surgery at our level I center. Blood count-based (N/L N/LP days 1, 3, 7 hospitalization) scores were analyzed. Statistical analysis was performed using univariable logistic regression receiver operating curves.A total 209 evaluated. day 7, N/L Trauma Injury Severity...

High-flow nasal oxygenation is an oxygen delivery method by which high concentrations of heated humidified are supplied via the cavity. This study aimed to investigate effect high-flow on gastric volume change in adult patients undergoing laryngeal microsurgery under tubeless general anesthesia with neuromuscular blockade.Patients aged 19-80 years American Society Anesthesiologists physical status 1 or 2 who were scheduled undergo laryngoscopic surgery recruited. Patients received therapy at...

Objective Tracheal intubation using a direct laryngoscope is difficult to teach. The McGrath videolaryngoscope, Macintosh-like device with camera, can be used as educate novices under supervision the screen. We compared effect on Macintosh laryngoscopy skills following training videolaryngoscope versus indirect laryngoscope. Methods Thirty-seven participants were randomized into and groups according method videolaryngoscope. Participants attempted in normal airway scenarios. primary endpoint...

Abstract Background The aim of this study was to compare tracheal intubation performance regarding the time intubation, glottic view, difficulty, and dental click, by novices using McGrath videolaryngoscope (VL), Pentax Airway Scope (AWS) Macintosh laryngoscope in normal cervical immobilized manikin models. Methods Thirty-five anesthesia nurses without previous experience were recruited. Participants performed endotracheal a model at two simulated neck positions (normal fixed via...

Several reports indicate that early plasma transfusion may promote survival and reduce the incidence of traumatic coagulopathy in situations massive bleeding. Consequently, it is recommended to maintain a RBC ratio between 1 : 2 at start admission. This retrospective study examined effect an high on mortality rates by adopting protocol (MTP) forced rapid issue products. Patients who received transfusions single trauma center January 2014 May 2020 were included study. A new was established...

Background Pentax Airway Scope (AWS) is a recently developed videolaryngoscope for use in both normal and difficult airways, yet its paediatric patients has not been established. The purpose of this study was to evaluate the efficacy AWS regarding intubation time, laryngeal view ease with airway, compared Macintosh laryngoscope. Method A total 136 aged 1‐10 American Society Anaesthesiologists physical status I or II undergoing general anaesthesia were randomly allocated into two groups:...

Spinal anesthesia induces sympatholysis and is usually combined with dexmedetomidine or propofol which induce different hemodynamic changes. The purpose of this study was to compare the effect on autonomic nervous system between spinal anesthesia. Patients aged 20-65 undergoing elective surgery under were randomly assigned group. Heart rate variability (HRV) variables measured at four time points: T0, baseline; T1, 10 min after anesthesia; T2, sedative administration; T3, 20 administration....

Abstract Deep neuromuscular block (NMB) has been increasingly utilized, but its role in reducing intraoperative opioid requirement yet to be investigated. Surgical pleth index (SPI) quantifies nociception. We investigated the effects of deep NMB on SPI-guided remifentanil administration laparoscopic herniorrhaphy. Total 128 patients undergoing inguinal herniorrhaphy were randomly allocated two groups NMB: (n = 64) and moderate 64). The dose was assessed during intubation, from skin incision...

Videolaryngoscopy in nasotracheal intubation has been reported to be better than direct laryngoscopy. The most suitable type of videolaryngoscope remains unknown. This study aimed compare two videolaryngoscopes (McGrath MAC and Pentax AWS) with a Macintosh laryngoscope during intubation.Overall, 123 patients older 18 normal airways who needed were randomly allocated into three groups: (n=41), McGrath (n=41). Intubation time was the primary outcome subdivided steps: nose oropharynx,...

Multimodal prophylaxis for postoperative nausea and vomiting (PONV) has been recommended, even in low-risk patients. Midazolam is known to have antiemetic properties. We researched the effects of adding midazolam dual ondansetron dexamethasone on PONV after gynecologic laparoscopy. In this prospective, randomized, double-blinded trial, 144 patients undergoing gynecological laparoscopic surgery under sevoflurane anesthesia were randomized receive either normal saline (control group, n = 72)...

Perioperative cerebral hypoperfusion/ischemia is considered to play a pivotal role in the development of secondary traumatic brain injury (TBI). This prospective randomized, double-blind, controlled study investigated whether magnesium sulfate (MgSO4) infusion was associated with neuroprotection maintaining regional oxygen saturation (rSO2) values patients mild TBI undergoing general anesthesia. Immediately after intubation, we randomly assigned receive either intravenous MgSO4 (30 mg/kg for...

Palpation during intubation could be used as an ancillary method of providing real-time information the endotracheal tube (ETT) placement before manual ventilation. This study aimed to evaluate ability discriminate ETT location using a modified palpation with preloaded stylet intubation.The examiner performing placed three fingers on lateral sides trachea between sternal notch and thyroid cartilage determine if was successful. Endotracheal confirmed by auscultation quantitative carbon...

The effect of ketamine on intubation condition, when used as an induction agent with low-dose rocuronium, is unknown. This study aimed to compare the effects three doses 0.3 mg/kg rocuronium and 1 µg/kg fentanyl conditions in children undergoing short elective surgery.The was performed a prospective, randomized double-blind clinical trial. A total 60 aged 2 12 years, who were scheduled for inguinal herniorrhaphy under general anesthesia, randomly allocated into groups basis dose: (Group K1,...

Abstract Background After prehospital insertion of i-gel, a popular supraglottic airway (SGA), fiberoptic-guided intubation through i-gel is often required to switch the definitive for anticipated difficult airway. The Aintree catheter (AIC) was developed this purpose yet it requires many procedural steps during which maintenance adequate ventilation difficult. We custom-made long endotracheal tube (LET) may facilitate procedure and compared efficacy AIC LET in cervical immobilized manikin....