Anesthesia and analgesia
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Anesthesia and analgesia · Jul 2011
Comparative StudyAllergic reactions to propofol in egg-allergic children.
Egg and/or soy allergy are often cited as contraindications to propofol administration. Our aim was to determine whether children with an immunoglobulin (Ig)E-mediated egg and/or soy allergy had an allergic reaction after propofol use. ⋯ Despite current Australian labeling warnings, propofol was frequently administered to egg-allergic children. Propofol is likely to be safe in the majority of egg-allergic children who do not have a history of egg anaphylaxis.
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Anesthesia and analgesia · Jul 2011
Randomized Controlled Trial Comparative StudyA comparison of desflurane versus propofol: the effects on early postoperative lung function in overweight patients.
In this study, we evaluated the influence of propofol versus desflurane anesthesia in overweight patients on postoperative lung function and pulse oximetry values. ⋯ We conclude that, for superficial surgical procedures of up to 120 minutes, maintenance of anesthesia with propofol impairs early postoperative lung function and pulse oximetry values more than with desflurane. Furthermore, increasing obesity decreases pulmonary function at 2 hours after propofol anesthesia but not after desflurane anesthesia.
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Anesthesia and analgesia · Jul 2011
Case ReportsPositioning an intraaortic balloon pump using intraoperative transesophageal echocardiogram guidance.
A 72-year-old man with an ejection fraction of 25% is scheduled to undergo elective coronary artery bypass graft using cardiopulmonary bypass. Because of the high-risk nature of the operation, the surgeon wants to insert an intraaortic balloon pump (IABP) before initiating cardiopulmonary bypass. An intraoperative transesophageal echocardiogram (TEE) is requested to ensure correct placement.
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Anesthesia and analgesia · Jul 2011
Randomized Controlled Trial Multicenter Study Comparative StudyThe volume of blood for epidural blood patch in obstetrics: a randomized, blinded clinical trial.
Our aim in this multinational, multicenter, randomized, blinded trial was to determine the optimum of 3 volumes of autologous blood for an epidural blood patch. ⋯ Although the optimum volume of blood remains to be determined, we believe these findings support an attempt to administer 20 mL of autologous blood when treating postdural puncture headache in obstetric patients after unintentional dural puncture.