Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Comparative Study Clinical Trial
Patient-controlled analgesia with fentanyl provides effective analgesia for second trimester labour: a randomized controlled study.
To examine dose and lockout intervals for effective fentanyl patient-controlled analgesia (PCA) in second trimester genetic termination of pregnancy, and compare three different fentanyl PCA regimes with morphine PCA. ⋯ This study found PCA fentanyl 50 micro g with a lockout period of six minutes provided satisfactory analgesia for second trimester labour.
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Randomized Controlled Trial Clinical Trial
Neuromuscular block with vecuronium reduces the rapidly extracted auditory evoked potentials index during steady state anesthesia.
During clinical monitoring, vecuronium appeared to reduce the rapidly extracted auditory evoked potentials index (A-line ARX index or AAI) to some extent. A prospective and randomized study was designed to analyze this phenomenon. ⋯ Neuromuscular block with vecuronium reduces AAI in patients during steady state anesthesia without surgical stimuli, while BI(hx) is unaltered. The cut-off values of AAI for events should be determined according to the level of neuromuscular blockade when monitoring the depth of anesthesia/sedation.
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Randomized Controlled Trial Comparative Study Clinical Trial
Design of oxygen delivery systems influences both effectiveness and comfort in adult volunteers.
The aim of this investigation was to compare the efficiency of four oxygen delivery systems in healthy volunteers. ⋯ The results of our evaluation suggest that comfort and clinical performance should be considered when using oxygen delivery devices for patients who require oxygen supplementation.
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Randomized Controlled Trial Clinical Trial
Mini-dose (0.05 mg) intrathecal morphine provides effective analgesia after transurethral resection of the prostate.
To determine the optimal dose of intrathecal morphine that produces satisfactory analgesia with minimum side effects in elderly patients undergoing transurethral resection of the prostate (TURP). ⋯ A dose of 0.05 mg in intrathecal morphine with spinal anesthesia would be optimal for elderly patients undergoing TURP.
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Randomized Controlled Trial Clinical Trial
Prophylactic iv ondansetron reduces nausea, vomiting and pruritus following epidural morphine for postoperative pain control.
To evaluate the prophylactic effect of ondansetron on nausea and vomiting following epidural morphine for postoperative pain control. ⋯ We conclude that iv ondansetron 4 mg is effective in the prevention of nausea, vomiting, and pruritus following epidural morphine for postoperative pain control.