Anesthesia and analgesia
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Anesthesia and analgesia · May 1991
Letter Case ReportsFiberoptic intubation facilitated by a rigid laryngoscope.
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Anesthesia and analgesia · May 1991
Comparative StudyComparison of intravenous sedative-analgesic techniques for outpatient immersion lithotripsy.
Fifty-three unpremedicated outpatients undergoing elective extracorporeal shock wave lithotripsy using an unmodified Dornier HM-3 lithotriptor received one of two different intravenous sedation-analgesia techniques. Both intravenous midazolam-alfentanil and fentanyl-propofol techniques produced conditions comparable to those achieved with epidural anesthesia during immersion lithotripsy. ⋯ Compared with a standard epidural anesthesia technique, the mean anesthesia and recovery times were significantly shorter with the two intravenous sedation-analgesia techniques (57-62 min vs 105 min and 143-147 min vs 199 min, respectively). These data suggest that combinations of either midazolam and alfentanil or fentanyl and propofol are viable alternatives to epidural anesthesia for outpatient immersion lithotripsy.