European journal of anaesthesiology
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Randomized Controlled Trial Clinical Trial
Small doses of remifentanil or sufentanil for blunting cardiovascular changes induced by tracheal intubation: a double-blind comparison.
To compare the effects on cardiovascular changes induced by tracheal intubation when small doses of either remifentanil or sufentanil are used in the presence of midazolam. ⋯ In healthy normotensive patients without cardiovascular disease the use of a relatively small dose of either remifentanil or sufentanil after standard midazolam premedication results in a similar and clinically acceptable effectiveness in blunting the cardiovascular changes induced by tracheal intubation.
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Randomized Controlled Trial Clinical Trial
Intravenous ketamine attenuates arterial pressure changes during the induction of anaesthesia with propofol.
To investigate whether the administration of ketamine before induction with propofol produces a smaller decrease in arterial pressure. ⋯ Administration of ketamine before induction with propofol preserved haemodynamic stability compared with induction with propofol alone.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparative analysis of costs of total intravenous anaesthesia with propofol and remifentanil vs. balanced anaesthesia with isoflurane and fentanyl.
We evaluated the costs and benefits of total intravenous anaesthesia compared with a balanced anaesthesia regimen. ⋯ We conclude that propofol and remifentanil is more cost-effective than isoflurane/fentanyl due to its better recovery profile, reduced total direct costs and higher patient satisfaction.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of remifentanil and fentanyl in patients undergoing carotid endarterectomy.
We investigated the haemodynamic stability and emergence characteristics of isoflurane/nitrous oxide anaesthesia supplemented with remifentanil or fentanyl in patients undergoing carotid endarterectomy. ⋯ Remifentanil appears to be a comparable opioid to fentanyl when supplementing isoflurane/nitrous oxide anaesthesia for carotid endarterectomy.
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Randomized Controlled Trial Clinical Trial
Interscalene brachial plexus anaesthesia with small volumes of ropivacaine 0.75%: effects of the injection technique on the onset time of nerve blockade.
We evaluated the effect of the injection technique on the onset time and efficacy of interscalene brachial plexus anaesthesia. ⋯ We conclude that using a multiple injection technique shortened the preparation time and improved the quality of interscalene brachial plexus anaesthesia performed with small volumes of ropivacaine 0.75%.