Ugeskrift for laeger
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Ugeskrift for laeger · Nov 2015
Review[Clonidine can reduce opioid medication during post-operative pain].
Post-operative pain management can be a challenge, and one of the first choices seems to be opioids. However, opioids have undesirable side effects, and attention may lead to a multimodal analgesia. The use of clonidine is a part of this strategy. ⋯ Overall, there is a good effect of post-operative pain management. Side effects as hypotension and sedation are mentioned but not as a limitation. Many anaesthesiologists do already use clonidine in the management of post-operative pain, but more research about intravenous administration of clonidine is needed.
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Ugeskrift for laeger · Nov 2015
Review[When muscle relaxants have unexpected prolonged duration during anaesthesia].
Muscle relaxation facilitates tracheal intubation and improves surgical conditions during anaesthesia. However, unexpected prolonged muscle relaxation may occur. ⋯ Drug interactions, incomplete reversal, co-morbidity, inaccurate neuromuscular monitoring and critical illness may prolong the effect of muscle relaxants. The anaesthetist must titrate the muscle relaxants using objective neuromuscular monitoring and proper reversal of the blockade when needed.