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Anghelescu Doralina L DL Division of Anesthesiology, St. Jude Children's Research Hospital, Memphis, TN 38105-2794, USA. - - 2008
To determine the incidence of anesthesia-related complications in children undergoing radiotherapy and the associated risk factors. We retrospectively investigated the incidence and types of anesthesia-related complications and examined their association with age, weight, oncology diagnosis, type of anesthetic (propofol vs. propofol and adjuncts), total propofol dose, anesthetic duration, type of ...
Elvan E G - - 2008
BACKGROUND: Post-anaesthetic shivering is one of the most common complications, occurring in 5-65% of patients recovering from general anaesthesia and 33% of patients receiving epidural anaesthesia. Our objective was to investigate the efficacy of intraoperative dexmedetomidine infusion on postoperative shivering. METHODS: Ninety female patients, ASA I-II, 35-60 yr old, scheduled ...
Mustafa Sadegi
This randomized controlled double-blind trial was designed to compare the presence of Airway-Circulatory Reflexes to tracheal extubation in groups administering IV alfentanil or lidocaine, in 150 patients undergoing cesarean surgery receiving a standardized anesthetic protocol. At the end of surgery, after return of spontaneous ventilation, patients received either alfentanil 15 ...
Mohammad-Esmaiel Darabi
Laryngoscopes are the potential cause of cross-contamination between patients. A considerable way to prevent this problem is to use of disposable laryngoscope`s blades. This study was designed to evaluate laryngoscopic conditions in pediatrics with disposable and metallic Miller blades. One hundred and fifty two children scheduled for elective surgery aged ...
M. Parish
While age increases, some procedures such as cataract are needed to be done as outpatient. Anesthesia should be such that the turn over of discharge is rapid. The objective of this study is to change recovery discharge method in elderly undergoing cataract surgery by TIVA in our hospital. Nightly patients ...
S. Atashkhoyi
Shivering during spinal anesthesia in obstetric patients is one of the leading causes of discomfort for those patients. Tramadol is effective in the prevention and treatment of shivering after general anesthesia. The aim of this placebo-controlled study, was to investigate whether 1 mg kg&lt;SUP&gt;-1&lt;/SUP&gt; tramadol i.v. administered after spinal anesthesia ...
M. Akhlaghi
&lt;p&gt;The main purpose of this study was to assess the effect of intramuscular midazolam on postoperative pain and to test our hypothesis that the patients are more comfortable and suffering less pain after operation. Eighty male patients with ASA class (I, II), aged 15-60 years whom were scheduled for elective ...
Mounis A. Abosedira
This prospective, randomized, double blind, placebo controlled study was designed to examine the safety and impact of extended esmolol infusion on plasma choline esterase (PChE) activity and mivacurium neuromuscular blockade and cardiovascular profile. Forty adult ASA I/II adult patients undergoing elective endo-urological surgery were included. Patients were randomly assigned to ...
Schad Christine A - - 2008
Antihistamines are used frequently in adult and pediatric patients as first-line treatment for both allergic rhinitis and urticaria. There are several different antihistamines on the market, generally divided into first- and second-generation products. Although many of these show efficacy, there are significant differences in the side effect profiles of these ...
Chia Yuan-Yi - - 2008
The insertion of a laryngeal mask airway (LMA) may result in postoperative sore throat. The choice of induction drug on airway morbidity after LMA insertion may be important. We performed this study to compare the incidence of postoperative pharyngeal morbidity after the insertion of a LMA in 340 patients administered ...
Phan Hanna - - 2008
Dexmedetomidine is being used off-label as an adjunctive agent for sedation and analgesia in pediatric patients in the critical care unit and for sedation during non-invasive procedures in radiology. It also has a potential role as part of anesthesia care to prevent emergence delirium and postanesthesia shivering. Dexmedetomidine is currently ...
Yen Kimberly G - - 2008
PURPOSE: To compare the morbidity of general anesthesia versus periocular anesthesia with monitored intravenous sedation for enucleation of the eye. METHODS: A retrospective study of 39 patients who underwent enucleation. RESULTS: For anesthesia during enucleation, 21 patients received periocular anesthesia with monitored intravenous sedation and 18 patients received general anesthesia. ...
Suárez Alejo - - 2008
Falls are a major problem in the elderly population, but few communications address the influence of anesthesia on balance control. This study reports how a general balanced anesthesia (GBA) and a spinal anesthesia (SA) affect balance control in the elderly. We divided into three groups, according to electronystagmography findings and ...
Kezerashvili Anna - - 2008
AIMS: Primary: to determine the safety and efficacy of intravenous sedation for cardiac procedures administered by non-anesthesia personnel. Secondary: to assess cost effectiveness of such sedation. METHODS: Anesthesiologists trained non-anesthesia personnel, and established our sedation protocol, which was then used in 9,558 patients who had cardiac procedures with sedation by ...
Sandberg Warren S - - 2008
INTRODUCTION: The quality of electronic anesthesia documentation is important for downstream communication and to demonstrate appropriate diligence to care. Documentation quality will also impact the success of reimbursement contracts that require timely and complete documentation of specific interventions. We implemented a system to improve completeness of clinical documentation and evaluated ...
Inabnet William B - - 2008
BACKGROUND: The thyroid gland is one of the most vascular organs in the body and surgical resection mandates meticulous surgical technique and hemostasis. The aim of this study was to assess the safety and efficacy of the electrothermal bipolar vessel sealing system in permitting ambulatory thyroid surgery under local anesthesia. ...
Ahmed S M - - 2008
A PAXpress (Vital Signs Inc., Barnham, UK) airway device was placed in 50 adult ASA grade I and II patients undergoing elective surgery under general anaesthesia. The alignment of the PAXpress to the larynx was scored fibreoptically. The patients were then intubated blindly through the PAXpress and the adjusting manoeuvres ...
Taghinia Amir H AH Division of Plastic Surgery, Beth Israel-Deaconess Medical Center and Harvard Medical School, Boston, Mass, - - 2008
Dexmedetomidine is an alpha2-agonist anesthetic with several properties that are advantageous in aesthetic facial surgery. By attenuating sympathetic nervous system activity, it induces sedation and analgesia while lowering blood pressure and preventing pain-induced hemodynamic fluctuations. It spares the respiratory drive and decreases the need for supplemental oxygen, thus reducing the ...
Yun M J - - 2008
BACKGROUND: Patient-controlled sedation (PCS) with propofol has been used successfully in various conditions, but controversies exist about its use in sedation of elderly patients for cataract surgery. This study evaluates the efficacy of anaesthetic nurse-controlled sedation (ACS) compared with PCS using the same device and the drug. METHODS: All of ...
Nguyen Nam Q - - 2008
OBJECTIVE: To evaluate the effects of sedation with morphine and midazolam (M&M) versus propofol on gastric emptying in critically ill patients. DESIGN: Descriptive study. SETTING: Mixed medical and surgical intensive care unit. PATIENTS: Thirty-six unselected, mechanically ventilated, critically ill patients. INTERVENTIONS: Gastric scintigraphic data were analysed retrospectively according to whether ...
Gruenewald M - - 2007
Seventy-two patients undergoing routine surgical procedures under propofol-remifentanil anaesthesia were randomly assigned to receive either standard clinical practice (n = 35) or standard practice plus monitoring of depth of anaesthesia with M-Entropy (n = 37). Patients in the standard practice group received more propofol than the entropy group (mean (SD) ...
Tannenbaum E - - 2007
BACKGROUND: Physiotherapists sometimes use elective surgical procedures for children with cystic fibrosis as an opportunity to perform physiotherapy treatments during anesthesia. These treatments theoretically facilitate direct endotracheal airway clearance and compensate for any post-operative respiratory deterioration related to the anaesthetic and surgery. MATERIALS, PATIENTS, AND METHODS: Children were randomized either ...
Komatsu R - - 2007
We performed a quantitative systematic review of randomised, controlled trials that compared remifentanil to short-acting opioids (fentanyl, alfentanil, or sufentanil) for general anaesthesia. Eighty-five trials were identified and these included a total of 13 057 patients. Intra-operatively, remifentanil was associated with clinical signs of deeper analgesia and anaesthesia, such as ...
Gilchrist F - - 2007
The aim of this study was to assess the use of intranasal midazolam in paediatric dental patients requiring extractions or simple surgical procedures who may otherwise have required a general anaesthetic. Twenty children aged between 2-9 years who required simple surgical procedures were given 0.25 mg.kg(-1) midazolam, administered using a ...
Sharieff Ghazala Q - - 2007
OBJECTIVES: To evaluate the time of onset and recovery from and the efficacy and safety of intravenous ketamine-propofol sedation for reduction of forearm fractures in the pediatric emergency department setting. STUDY DESIGN: Prospective, observational pilot study. METHODS: Children presenting to an urban pediatric emergency department requiring sedation for closed reduction ...
Vespasiano Michael - - 2007
OBJECTIVE: The objective of this study was to determine the safety profile of propofol as a deep-sedation agent in a primarily outpatient program consisting of pediatric critical care physicians and specifically trained nurses with oversight provided by anesthesiology. One hypothesis was investigated: adverse events and/or airway interventions are more likely ...
Martin-Castro C - - 2008
BACKGROUND AND OBJECTIVE: The flexible laryngeal mask airway has been mostly used in spontaneous ventilated children during short procedures to avoid the risk of kinking; little information has been reported about its airway morbidity. The aim of the study was to compare this airway device with the reinforced tracheal tube ...
Yüksel Osman - - 2007
BACKGROUND AND OBJECTIVE: No consensus exists for the safest and most effective agent and for optimal drug doses for sedation during endoscopic retrograde cholangiopancreatography (ERCP). We aimed to compare the efficacy of midazolam with that of midazolam+meperidine, which provided comfort for the patient during ERCP. MATERIALS AND METHODS: The patients ...
Gupta N - - 2007
We studied 45 ASA I/II children aged between 2 and 13 years scheduled for elective strabismus surgery, randomly allocated to receive either a peribulbar block or topical lidocaine 2% combined with general anaesthesia, or general anaesthesia alone. The incidence and severity of the occulocardiac reflex, the requirement for atropine, the ...
Lindegaard C - - 2007
REASON FOR PERFORMING STUDY: Endoscopy of the upper airways of horses is used as a diagnostic tool and at purchase examinations. On some occasions it is necessary to use sedation during the procedure and it is often speculated that the result of the examination might be influenced due to the ...
Ahmed Aliya - - 2007
OBJECTIVE: Intraoperative comfort and patient satisfaction during surgical procedures under regional anaesthesia can be improved with the use of supplemental intravenous sedation. The authors conducted a study to compare two sedation techniques for surgical procedures performed under regional anaesthesia, i.e., midazolam and pethidine combination compared with midazolam and tramadol combination. ...
Lahtinen Pasi - - 2008
OBJECTIVE: Remifentanil is being used increasingly during fast-track cardiac surgery. Postoperative hyperalgesia and opioid tolerance have been reported in volunteer studies and in patients after major abdominal surgery with remifentanil infusion. In the present study, the authors evaluated whether high-dose remifentanil infusion induces opioid tolerance in 90 patients undergoing coronary ...
Fujii Yoshitaka - - 2008
We did a prospective, randomised, double-blind study to evaluate the efficacy and safety of a small dose of propofol alone, and propofol combined with dexamethasone, for the prevention of postoperative nausea and vomiting in adult Japanese patients listed for third molars extractions. One hundred and twenty patients, 55 men and ...
Bassett Ken - - 2007
BACKGROUND: We studied whether a new model of nurse-provision of conscious sedation for cataract surgery maintained patient satisfaction and safety. METHODS: We prospectively and non-randomly studied 106 patients who had outpatient cataract surgery on a day when an anaesthetist was present at the UBC, Vancouver Hospital Eye Care Centre, and ...
Wood Charene - - 2007
OBJECTIVES: To determine if use of nurse practitioners (NPs) for procedural sedation and analgesia (PSA) compared with physicians (MDs) decreased overall length of stay (LOS) in the pediatric emergency department (PED). METHODS: Retrospective chart review was conducted on all children (age <21 years) undergoing procedural sedation and analgesia (PSA) for ...
Magni Giuseppina - - 2007
This prospective study was performed to compare the incidence of complications occurring after neurosurgical procedures in patients anesthetized with either sevoflurane-fentanyl or propofol-remifentanil anesthesia. We enrolled 162 American Society of Anesthesiologists (ASA) I to III patients (82 females and 80 males, Glasgow 15) undergoing elective neurosurgical procedures. Anesthesia was conducted ...
Weaver Christopher S - - 2007
OBJECTIVE: We conducted a study to assess the correlation of bispectral index (BIS) to 2 clinical sedation scales. METHODS: This was a prospective, observational study. The BIS number was recorded at baseline and every 30 seconds. One investigator separately monitored the patients for depth of sedation using the Observer's Assessment ...
Lopes Patrice - - 2008
OBJECTIVE: The contraceptive efficacy of hysteroscopic sterilization is well documented. The objective of this study was to compare procedure success, patient tolerance, and procedure time of Essure micro-insert hysteroscopic sterilization with or without anesthesia. STUDY DESIGN: Between February 2002 and May 2005, one operator performed 140 sterilization procedures in this ...
Hohlrieder M - - 2007
In a randomised double blind prospective study, we tested the hypothesis that postoperative pain is lower in patients who receive an ProSeal LMA laryngeal mask airway compared with a tracheal tube. One hundred consecutive female patients (ASA I-II, 18-75 years) undergoing laparoscopic gynaecological surgery were divided into two equal-sized groups ...
Ong W C - - 2007
BACKGROUND AND AIMS: Endoscopic retrograde cholangiopancreatography (ERCP) requires adequate patient sedation in order to carry out the procedure successfully. Propofol sedation is being increasingly used during ERCP. There are limited data to evaluate the efficacy of synergistic agents with propofol for sedation during ERCP. The aims of the current study ...
Heard Christopher M B - - 2007
BACKGROUND: The aim of this review was to determine whether dexmedetomidine alone provided satisfactory conditions for children undergoing magnetice resonance imaging (MRI). METHODS: A retrospective review of 21 patients was undertaken, (age range: 1-8 years, weight 10-27 kg) who received dexmedetomidine to provide deep sedation for an MRI procedure. RESULTS: ...
Andrade Chittaranjan - - 2007
BACKGROUND: Awareness under anesthesia can be a frightening experience for patients receiving electroconvulsive therapy (ECT). CASE REPORT: We present a 19-year-old, 62-kg, bipolar woman who was prescribed right unilateral ECT for a treatment-refractory major depressive episode. Her premedication comprised thiopentone sodium (200 mg) and succinylcholine (30 mg). She received 3 ...
Yang Ya-Ling - - 2007
BACKGROUND: Anesthesiologist-directed anesthetic preoperative evaluation clinic (APEC) is used to prepare patients to receive anesthesia for surgery. Studies have shown that APEC can reduce preoperative tests, consultations, surgery delays and cancellations. APEC with video-teaching has been purposed as a medium to provide comprehensive information about the process of anesthesia but ...
Faytrouny Mahmoud - - 2007
AIM: This study compared the effect of two different dosages of hydroxyzine supported by 50% nitrous oxide inhalation sedation in child patients. SUBJECTS AND METHODS: Thirty uncooperative healthy children with an age range of 31-120 months were included in this study. Patients were randomly assigned into two groups. The patients ...
Celebi Nalan - - 2007
OBJECTIVE: To compare the effects of esmolol and remifentanil, used as adjuncts for induced hypotension on surgical conditions and short-term cognitive functions, during tympanoplasty. METHODS: The study was conducted in Hacettepe University, School of Medicine, Ankara, Turkey between January 2005 and December 2006 following Institutional Ethical Committee approval, 40 ASA ...
Hernández-Gancedo Carmen - - 2007
OBJECTIVE: ENTROPY is a new anesthetic depth monitor based on the analysis of the EEG signal. Our aim has been to evaluate sedation of intubated surgical critically ill patients by means of the Ramsay sedation score, the Bispectral index and ENTROPY, and to analyse the correlation between these variables. METHODS: ...
Li Wei-yan - - 2007
BACKGROUND: Epinephrine infiltration of the nasal mucosa causes hypotension during functional endoscopic sinus surgery (FESS) under general anesthesia. A prospective randomized-controlled study was designed to determine whether relatively light general anesthesia is superior to fluid expansion in reducing epinephrine-induced hypotension during FESS. METHODS: Ninety patients undergoing elective FESS under general ...
Li Y - - 2007
BACKGROUND: Different fluid regimens are often adopted for elderly patients, but it is not known whether they handle infused fluids differently during the induction of anesthesia than young patients. METHODS: Mean arterial pressure (MAP), plasma dilution (based on hemoglobin) and volume kinetics were assessed during an intravenous (i.v.) infusion of ...
Yoshida Harushi - - 2007
The gag reflex is a somatic natural response in which the body attempts to eliminate instruments or agents from the oral cavity by muscle contraction. Some patients suffered from such severe retching that behavioral techniques did not sufficiently reduce gagging in dentistry. In these patients, pharmacological management was thought to ...
Hohlrieder M - - 2007
BACKGROUND: The effects of total intravenous anaesthesia (TIVA) and balanced anaesthesia (BAL) on coughing during emergence from the general anaesthesia have not yet been compared. METHODS: Fifty patients, aged 18-60 yr, undergoing elective lumbar disk surgery were randomly allocated to undergo TIVA (propofol-remifentanil) or BAL (fentanyl-nitrous oxide-sevoflurane). Extubation was performed ...
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