Journal of clinical anesthesia
-
Case Reports
Acute hemodynamic effects of indigo carmine in the presence of compromised cardiac function.
This report describes the acute hemodynamic effects of indigo carmine in a surgical patient with compromised cardiac function. A 68-year-old woman with stable but severe cardiac dysfunction and renal artery stenosis was scheduled for an elective aortorenal bypass procedure. ⋯ At that time, the patient experienced an acute increase in afterload, which resulted in acute left ventricular failure documented by a decrease in cardiac output (CO) and an increase in pulmonary artery pressure (PAP). Until further studies defining the mechanism for its hypertensive side effect are performed, indigo carmine should be used with caution in patients with severe cardiac dysfunction.
-
Letter Case Reports
A thoracic leiomyosarcoma producing tracheal obstruction.
-
Randomized Controlled Trial Clinical Trial
Effect of alfentanil on hypnotic and antinociceptive components of thiopental sodium anesthesia.
To determine the effects of alfentanil on the hypnotic and antinociceptive components of thiopental sodium anesthesia. ⋯ Alfentanil strengthened both the hypnotic and antinociceptive components of thiopental anesthesia, although to a different degree: the antinociceptive component more so than the hypnotic, possibly because each component of anesthesia has different underlying mechanisms.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Phenylephrine in the prevention of hypotension following spinal anesthesia for cesarean delivery.
Phenylephrine and ephedrine were compared in the prevention of maternal hypotension following spinal anesthesia for elective cesarean delivery. ⋯ Phenylephrine is as effective as ephedrine in the treatment of maternal hypotension, and when used in small incremental bolus injections, it appears to have no adverse neonatal effects in healthy, nonlaboring parturients.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Low-dose droperidol versus standard-dose droperidol for prevention of postoperative vomiting after pediatric strabismus surgery.
To determine whether a low dose of droperidol is as effective as a high dose in preventing vomiting after pediatric strabismus surgery. ⋯ Droperidol 20 microgram/kg is as effective as droperidol 75 microgram/kg in preventing vomiting after pediatric strabismus surgery. Because higher doses of droperidol may sedate some patients, the lowest effective dose should be used. In this study, however, there was no statistically significant difference with regard to length of recovery room stay.