Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialAn analysis of time and staff utilization for open versus percutaneous tracheostomies.
We examined staff utilization and procedure length for percutaneous and open bedside tracheostomies in an intensive care setting. ⋯ There was no significant difference in procedure length, resident time, or staff time between the 2 procedures. Ancillary staff was occasionally used but was not thought to be necessary for the majority of procedures. Both procedures can be safely and expediently performed in the ICU.
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Otolaryngol Head Neck Surg · Mar 2002
Randomized Controlled Trial Clinical TrialDoes dexamethasone with preemptive analgesia improve pediatric tonsillectomy pain?
The study goal was to determine whether the combination of dexamethasone with preemptive analgesia has an additive effect in further improving recovery. ⋯ Dexamethasone does not significantly improve the morbidity of pediatric tonsillectomy when preemptive analgesia with ropivacaine and clonidine is used concurrently.
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Otolaryngol Head Neck Surg · Mar 2001
Randomized Controlled Trial Comparative Study Clinical TrialSmall doses of propofol, droperidol, and metoclopramide for the prevention of postoperative nausea and vomiting after thyroidectomy.
To evaluate the efficacy and safety of small doses of propofol, droperidol, and metoclopramide for the prevention of postoperative nausea and vomiting (PONV) after thyroidectomy. ⋯ Small dose (0.5 mg/kg) of propofol is more effective than droperidol or metoclopramide for the prevention of PONV after thyroidectomy.
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Otolaryngol Head Neck Surg · Feb 2000
Randomized Controlled Trial Comparative Study Clinical TrialRemifentanil-based anesthesia versus a propofol technique for otologic surgical procedures.
Otologic procedures require a still surgical field and are associated with a 50% incidence of emetic symptoms. Propofol reduces nausea and vomiting but not intraoperative movement. This study compares a remifentanil/propofol anesthetic to a propofol/fentanyl combination to determine which provides the best perioperative conditions for otologic microsurgery. ⋯ Postoperative pain was mild in both groups, but remifentanil patients had more than the propofol group. All other postoperative parameters were similar. Remifentanil-based anesthesia produces better hemodynamic stability, less movement, and faster emergence after otologic surgery, with propofol's antiemetic effect, for the same cost.
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Otolaryngol Head Neck Surg · Mar 1999
Randomized Controlled Trial Comparative Study Clinical TrialComparison of 3 different anesthetic techniques on 24-hour recovery after otologic surgical procedures.
Intravenous propofol anesthesia is better than inhalational anesthesia for otologic surgery, but cost and intraoperative movement make this technique prohibitive. This study compares a propofol sandwich anesthetic with a total propofol or inhalational anesthetic for otologic surgery to determine which produces the best perioperative conditions and least expense. One hundred twenty patients undergoing ear surgery were randomly chosen to receive an anesthetic with either isoflurane (INHAL), total propofol (TPROP), or propofol used in conjunction with isoflurane (PSAND). ⋯ The cost of the PSAND anesthetic was similar to that of INHAL, and both were less than TPROP. PSAND anesthesia may be similar to TPROP and better than INHAL for otologic procedures. PSAND was less expensive than TPROP and produced a similar recovery profile and antiemetic effect in the 24-hour period after surgery.