Search Results
Results 401 - 450 of 1530
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Gilani Syed Mushtaq - - 2008
BACKGROUND: Nitrous oxide (N2O) has been used for about 150 years in clinical anaesthesia. Several recent reviews of the effect of nitrous oxide have concluded that there are certain contraindications to the use of this gas for general anaesthesia and its ecological effects, ozone depleting potential, immune depression and the ...
Fyneface-Ogan S - - 2008
BACKGROUND: Eclamptic patients undergoing caesarean delivery present extreme management problems for both obstetricians and anaesthetists. These problems reflect a poor maternal and perinatal outcome. OBJECTIVE: To determine outcomes following the use of infiltrative anaesthesia (gLA) compared with general anaesthesia (gGA) in eclamptic patients undergoing caesarean section. METHODS: Eclamptic patients scheduled ...
Lenz H - - 2008
BACKGROUND: COX-2 inhibitors have been claimed to have equal analgesic efficacy as non-selective nonsteroidal anti-inflammatory drugs, but this has been disputed in animal experiments. METHODS: One hundred thirty-three women scheduled for ambulatory, laparoscopic gynaecological surgery were included in this randomised, double-blind study. Group E received 120 mg etoricoxib orally as ...
KlamzyĊ„ska Beata - - 2008
Anaesthesia of a patient with myasthenia gravis requires special preoperative management and proper choice of intraoperative agents. The disease should be treated until surgery and some anaesthetics (e.g. barbiturates, benzodiazepines) eliminated. Moreover, the choice of opioids providing suitable intraoperative analgesia is relevant. We present a case of a 68-year-old male ...
Ebner F H - - 2008
AIM: The purpose of this study was to determine utility and efficacy of anesthesia with remifentanil in awakened and intubated patients in comparison with general anesthesia and routine shunting. METHODS: Hundred patients were randomized for general anesthesia (group A) or anesthesia with remifentanil (group B). The two groups were compared ...
Bekker Alex - - 2008
BACKGROUND: The perioperative course of patients undergoing intracranial surgery is frequently complicated by hypertensive episodes. Dexmedetomidine (DEX), an alpha-2 adrenoreceptor agonist, is gaining popularity in neuroanesthesia, because its sympatholytic and antinociceptive properties may improve hemodynamic stability at critical moments of surgery. We designed this study to assess the efficacy of ...
Willand Monika - - 2008
It has been suggested that analysis of the EEG signal using the fractal dimension method may be useful for assessment of depth of anaesthesia. Thirty ASA I and II patients, scheduled for elective surgery under general anaesthesia were induced with midazolam, fentanyl and propofol and paralyzed with rocuronium or cis-atracurium. ...
Vargo John - - 2009
BACKGROUND & AIMS: Recent increases in gastrointestinal endoscopic procedures and sedation options show a need for better sedation evaluation. This article describes the development and validation of 2 instruments: the Patient Satisfaction with Sedation Instrument (PSSI) and the Clinician Satisfaction with Sedation Instrument (CSSI) for assessing satisfaction in patients undergoing ...
Nakamura Kazuhiro - - 2008
CONCLUSION: Total intravenous anesthesia (TIVA) without intubation has the advantages of both conventional general anesthesia and local anesthesia. It is useful in laryngeal framework surgery because intraoperative voice monitoring while the patient remains awake is required. OBJECTIVE: In laryngeal framework surgery, it is desirable to monitor the voice during surgery. ...
Kang H - - 2008
This study compared emergence and recovery characteristics after either enflurane anaesthesia or crossover from enflurane to desflurane anaesthesia. At an estimated 1 h prior to the end of operation, enflurane was either reduced (group E, n = 23) or replaced with desflurane (group X, n = 23). At the end ...
Ryu Jung-Hee - - 2008
STUDY OBJECTIVE: To compare the efficacy of remifentanil-propofol with that of fentanyl-propofol for monitored anesthesia care during hysteroscopy. DESIGN: Prospective, randomized study. SETTING: Operating room and postanesthesia care unit of a university hospital. PATIENTS: 30 ASA physical status I and II adult patients undergoing hysteroscopic procedures. INTERVENTIONS: After propofol infusion, ...
Roessler Bernhard - - 2008
PURPOSE OF REVIEW: The demand for anaesthesia in brachytherapy is increasing. Patients often present with high-risk factors and multiple comorbidities. To achieve a stable position of the implants, immobility is often mandatory. Duration of brachytherapy varies greatly and may exceed the duration of single-shot regional anaesthesia. Transportation of anaesthetized patients ...
Wahjoeningsih, Sri
The purpose of this study was to evaluate the anaesthetic technique for Caesarean section which was appropriate for the clinical situation. This retrospective study was conducted on 240 patients undergoing Caesarean section with indications of foetal distress during a 3-year period (2002-2004). The data were reviewed from the patient's medical ...
Kallio H - - 2008
BACKGROUND: The surgical stress index (SSI), derived from a combination of heart rate (HR) and photoplethysmographic amplitude (PPGA) time series, is a novel method for continuous monitoring of intraoperative stress and has been validated in adults. The applicability of SSI and its constituents to monitoring children has not been previously ...
Chang D J - - 2008
Prolongation of the corrected QT (QTc) interval is associated with various anaesthetic drugs. The QTc prolongation may become more exacerbated during laryngoscopy and intubation, which is possibly caused by sympathetic stimulation. The aim of this study was to investigate the effects of fentanyl on the QTc interval during propofol induction ...
Massad Islam M - - 2008
OBJECTIVE: To study the effect of the venous occlusion duration using lidocaine on the incidence and severity of propofol induced pain. METHODS: A prospective double-blind randomized study was designed at Jordan University Hospital, Amman, Jordan between October 2007 and November 2007. One hundred and fifty patients aged 14-70 years, American ...
Muralidhar Kanchi - - 2008
Bispectral index (BIS) monitoring may assist reduction in utilisation of anaesthetic agents during general surgical procedures. This study was designed to test whether the use of BIS monitoring reduces the anaesthetic requirements during off-pump coronary artery bypass grafting (CABG). This prospective - clinical trial was conducted on 40 adult patients ...
Fatima Hala - - 2008
BACKGROUND: Limited data exist regarding the safety of nurse-administered propofol sedation (NAPS) for advanced endoscopy. AIMS: To evaluate the frequency of and the risk factors for complications associated with NAPS for upper endoscopic ultrasound (EUS). METHODS: Consecutive upper EUS examinations using NAPS were retrospectively identified. Clinical data and adverse events ...
Xue Fu-shan - - 2008
BACKGROUND: Because patients with scar contracture of the neck are at a high risk of loss of the airway control after anesthesia induction, awake intubation is usually recommended. This retrospective clinical study was designed to evaluate the possibility, safety and efficacy of airway management and tracheal intubation under general anesthesia ...
Chow Tam-Lin - - 2008
OBJECTIVE: To assess the feasibility and advantages of submandibular sialoadenectomy under local anesthesia. STUDY DESIGN: Retrospective clinical study. SUBJECTS AND METHODS: Twenty patients with benign submandibular masses underwent submandibular sialoadenectomy. The procedure was carried out under local anesthesia (LA) in 12 patients and general anesthesia (GA) in 8 patients. The ...
Katznelson Rita - - 2008
Introduction: Isocapnic Hyperpnoea (IH) is a method that increases alveolar ventilation while maintaining isocapnia. IH has been shown to accelerate awakening after short ambulatory anesthesia with isoflurane (1) and decrease recovery times in the operating room (OR) and post anesthesia care unit (PACU) after gynecological procedures with sevoflurane anesthesia. We ...
Lauwick S - - 2008
Introduction: We have recently shown that intraoperative administration of non-anesthetic adjuvants accelerates the recovery process.(1) Intravenous lidocaine has been shown to have significant an opioid sparing effect during the immediate recovery period and shortened hospital stay following major abdominal surgery. The purpose of this study was to determine whether lidocaine ...
Joo Hwan - - 2008
Introduction: The Glidescope(R) can be used for both routine and difficult airways. However, the efficacy of the Glidescope(R) may be lower in patients with difficult airways. Therefore, before attempting to electively induce anesthesia for endotracheal intubation in patients with potential or documented difficult airways, data is required on the likelihood ...
Sim Tiong Beng - - 2008
The objective of the report was to study the efficacy and safety of ketamine and midazolam combination in the procedural sedation of incision and drainage of abscesses in the adult emergency department (ED) patients. This prospective observational study enrolled patients aged 16-60 years (American Society of Anesthesiologists class I) requiring ...
Brouillette Geneviève - - 2008
Introduction: Respiratory complications, particularly cough, are frequent when an endotracheal tube (ETT) is removed(1). Studies demonstrate that fewer complications are present when the laryngeal mask airway (LMA) is used (2). However, the LMA is not appropriate for all surgeries. Our study was designed to determine if the incidence of cough ...
Khalid Asma A Department of Anesthesia, Surgical Intensive Care Unit & Pain Management, Dow University of Health Sciences, Karachi. - - 2008
To compare the recovery profile in terms of time of extubation, eye opening, orientation and mobility and frequency of Postoperative Nausea and Vomiting (PONV) between propofol and isoflurane based anesthesia in patients undergoing laparoscopic cholecystectomy with prophylactic antiemetic. Quasi-experimental study. Department of Anesthesia, Civil Hospital and Dow University of Health ...
Ledowski T - - 2008
BACKGROUND AND OBJECTIVE: Sevoflurane has been shown to distinctly reduce bronchial mucus transport velocity, an essential determinant of mucociliary clearance and pulmonary complications. However, sevoflurane is regarded as one of the least irritant volatile anaesthetics, especially when compared with desflurane. Hence, the aim of this double-blind, randomized, controlled trial was ...
Radu A D - - 2008
Sore throat and dysphonia are a significant source of postoperative discomfort for patients scheduled for breast surgery who have been intubated for general anaesthesia. The aim of this study was to compare the incidence of postoperative pharyngo-laryngeal pain and dysphonia in the use of the laryngeal mask airway (LMA) or ...
Erdurmus M - - 2008
PURPOSE: To determine the safety and efficacy of perioperative dexmedetomidine (Dex) sedation on patient comfort and surgeon satisfaction during cataract surgery under topical anesthesia. METHODS: Forty-four patients having routine clear corneal phacoemulsification surgery under topical anesthesia were included in the study. Patients were randomly divided into two groups: Dex group ...
Madan Atul K - - 2008
BACKGROUND: Although still controversial, upper endoscopy is frequently performed before bariatric surgery. This study investigated the hypothesis that morbidly obese patients would prefer anesthesiologist-monitored sedation (AMS) compared to surgeon-monitored sedation (SMS) during preoperative endoscopy. METHODS: All patients who underwent endoscopy before their bariatric surgery were given a post-procedure survey regarding ...
Lane Roni D - - 2008
BACKGROUND: Procedural sedation is increasingly more common in pediatric emergency departments. We report our experience with intranasal midazolam (INM) using a unique atomization delivery device, specifically the efficacy and safety of this method of sedation. METHODS: We performed a retrospective chart review of children who received INM sedation in the ...
Yurdakoc A - - 2008
BACKGROUND: In a rat closed head trauma model we examined both the time course of lipid peroxidation and the effects of halothane, isoflurane, and sevoflurane on it by analysis of malondialdehyde (MDA) formation. METHODS: Animals were divided randomly into five groups: sham-operated (SO), n=18; control-closed head trauma to left frontal ...
Lubrano Riccardo - - 2008
STUDY OBJECTIVE: To determine the effect of alpha-tocopherol in patients receiving hypotensive anesthesia with propofol-remifentanil. STUDY DESIGN: Prospective, randomized study. SETTING: University hospital. PATIENTS: 66 ASA physical status I and II patients, aged 32 to 56 years, scheduled for nasal polypectomy. INTERVENTIONS: Patients were allocated into two groups, the treatment ...
McQuaid Kenneth R - - 2008
BACKGROUND: Numerous agents are available for moderate sedation in endoscopy. OBJECTIVE: Our purpose was to compare efficacy, safety, and efficiency of agents used for moderate sedation in EGD or colonoscopy. DESIGN: Systematic review of computerized bibliographic databases for randomized trials of moderate sedation that compared 2 active regimens or 1 ...
Tremblay Marie-Hélène - - 2008
BACKGROUND: The GlideScope videolaryngoscope allows equal or superior glottic visualization compared with direct laryngoscopy, but predictive features for difficult GlideScope intubation have not been identified. We undertook this prospective study to identify patient characteristics associated with difficult GlideScope intubation. METHODS: Demographic and morphometric factors were recorded preoperatively for 400 patients ...
Mayer J - - 2008
The impact of anaesthesia using target-controlled infusion with propofol on intraoperative stability, recovery and cost compared to manually controlled infusion has been evaluated with inconsistent results. We studied a new device that allows more individual titration of propofol target-controlled infusion by using the effect-site concentration at the loss of eyelash ...
Martorano P P - - 2008
BACKGROUND: In a randomised, prospective multi-centre study, we compared the intraoperative and postoperative effects of two opioids: sufentanil and remifentanil, in combination with propofol in two groups of patients undergoing neurosurgery. METHODS: After Local Ethics Committee approval and informed consent obtaining, 69 patients undergoing neurosurgery for supratentorial tumours, between 18 ...
Routh Jonathan C - - 2008
OBJECTIVE: To examine the association between the duration of anaesthesia and non-urological complication (NUC) rates after surgery, as the increasing complexity of minimally invasive and laparoscopic procedures in urology has resulted in longer surgery and anaesthesia, and information on the effect of this on NUC rates is limited. PATIENTS AND ...
Balci Canan - - 2008
To identify the entropy levels that would correspond to bispectral index (BIS) levels in general anesthesia (GA) induction in patients who will undergo elective lumbar disc surgery (LDS). Thirty cases who underwent LDS under GA were included in our study after obtaining patient consent and approval of the Ethics Committee ...
Sinha Rajeev - - 2008
Laparoscopic abdominal surgery is conventionally done under general anesthesia. Spinal anesthesia is usually preferred in patients where general anesthesia is contraindicated. We present our experience using spinal anesthesia as the first choice for laparoscopic surgery for over 11 years with the contention that it is a good alterative to anesthesia. ...
Cok Oya Y - - 2008
OBJECTIVE: To compare the effects of fentanyl or remifentanil in combination with midazolam on hemodynamic parameters, pain, and satisfaction profile in cataract surgery. METHODS: This randomized, double blind, prospective study was conducted between 10 and 20th July 2005 at Kudret Eye Hospital, Ankara, Turkey. Patients scheduled for cataract surgery by ...
Licker M - - 2008
Delayed emergence from anaesthesia and neurological disturbances have been reported in patients undergoing parathyroidectomy who received methylene blue (MB) pre-operatively. We hypothesised that MB would decrease propofol requirements. The Bispectral index (BIS) and a target-controlled infusion of propofol were used in two groups of 11 matched patients. Patients in one ...
Maglinte Dean D T - - 2009
OBJECTIVE: To compare the safety and patient-reported effectiveness of two regimens for conscious sedation during enteroclysis. MATERIALS AND METHODS: We surveyed two groups of outpatients and retrospectively reviewed procedure records for conscious sedation and complications. Patients were divided into Group One (received sedative/amnesic diazepam), and Group Two, (received amnesic/sedative, midazolam ...
Ryu J-H - - 2008
BACKGROUND: This randomized, double-blind, prospective study was undertaken to evaluate the effects of magnesium sulphate on anaesthetic requirements and postoperative analgesia in patients undergoing total i.v. anaesthesia (TIVA). METHODS: Fifty patients who underwent gynaecological surgery were randomly divided into two groups. Before induction of anaesthesia, the magnesium group (Group M) ...
Shindo Maisie L - - 2008
OBJECTIVES: Minimally invasive parathyroidectomy (MIP) is generally performed under general anesthesia. This study evaluates the efficacy and safety of MIP performed under intravenous sedation with local anesthesia. STUDY DESIGN: Historical cohort study. SUBJECTS: One hundred eighty-six consecutive patients undergoing MIP using sedation with local anesthesia. METHODS: Two different targeted approaches ...
Dalal Priti G - - 2008
BACKGROUND: Pediatric patients undergoing anorectal manometry require ketamine anesthesia as other anesthetic agents affect the anorectal sphincter tone. The aim of this prospective observational audit was to evaluate our practice and report the occurrence of adverse events and behavioral reactions related to the use of ketamine, propofol, and midazolam combinations. ...
Canbay O - - 2008
BACKGROUND: Tracheal intubation is a foremost cause of trauma to the airway mucosa, resulting in postoperative sore throat (POST) with reported incidences of 21-65%. We compared the effectiveness of ketamine gargles with placebo in preventing POST after endotracheal intubation. METHODS: Forty-six, ASA I-II, patients undergoing elective surgery for septorhinoplasty under ...
Ali Shahriari - - 2008
OBJECTIVE: To compare the incidence of laryngospasm by using halothane-fentanyl anaesthesia and midazolam-remifentanil anaesthesia in paediatric patients undergoing eye surgery. METHODS: We enrolled 120 ASA physical status I children aged 7-12 years scheduled for eye surgery from March 2004 to February 2006 in this prospective clinical trial study. Children suffering ...
Hong J-Y - - 2008
BACKGROUND AND OBJECTIVE: A randomized and prospective study was performed to compare anaesthetic characteristics and stress hormone responses of two anaesthetic techniques. METHODS: Forty-two patients undergoing day case excisional biopsy of breast mass were randomly assigned to receive propofol-remifentanil or sevoflurane-N2O. Anaesthesia was induced and maintained either with sevoflurane and ...
Arendts G - - 2008
BACKGROUND: It is not known whether the choice of topical anaesthetic influences the likelihood of successful i.v. cannulation in the paediatric population. The null hypothesis of this study was that no difference exists in the initial success rate of cannulation between two commonly used topical anaesthetics. METHODS: A randomized double-blind ...
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