Journal of clinical anesthesia
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Clinical Trial
Influence of pneumoperitoneum and patient positioning on respiratory system compliance.
To investigate the influence of pneumoperitoneum (PP) and posture on respiratory compliance and ventilation pressures. ⋯ Creation of PP at an IAP of 15 mmHg reduced respiratory system compliance, and increased peak inspiratory and mean airway pressures, which quickly returned to normal values after deflation. Head-down or head-up position did not further alter those parameters.
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Randomized Controlled Trial Comparative Study Clinical Trial
Commercial propofol solutions: is the more expensive also the more effective?
To compare the efficacy and safety of four commercial propofol solutions marketed in Israel. ⋯ Diprivan, Recofol, Diprofol, and Propofol Abbott are equally effective as anesthesia induction drugs for dilation and curettage, with a similar incidence of adverse effects. Because cost limitations have become a significant factor in medical care, the choice of drug in this group should be based solely on cost considerations.
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Randomized Controlled Trial Clinical Trial
Evaluation of the safety and efficacy of epidural ketamine combined with morphine for postoperative analgesia after major upper abdominal surgery.
To evaluate the efficacy of the combination of epidural ketamine and morphine compared with epidural morphine alone for postoperative pain relief following major upper abdominal surgery. ⋯ The addition of epidural ketamine 1 mg/kg to morphine 50 microg/kg improved analgesia after major upper abdominal surgery without increasing side effects.
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Randomized Controlled Trial Comparative Study Clinical Trial
Dose of prophylactic intravenous ephedrine during spinal anesthesia for cesarean section.
To compare the incidence of maternal hypotension associated with spinal anesthesia for cesarean section when 10-, 15-, or 20-mg prophylactic boluses of intravenous (IV) ephedrine are used. ⋯ In the conditions of this study, a single bolus of IV ephedrine with doses of either 15 or 20 mg decreased significantly the incidence of maternal hypotension as compared to a single 10-mg bolus of ephedrine.
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Randomized Controlled Trial Clinical Trial
Transcranial Doppler ultrasonography with induction of anesthesia and neuromuscular blockade in surgical patients.
To evaluate the cerebral vascular effects of cis-atracurium and rocuronium given after thiopental induction of anesthesia. ⋯ cis-Atracurium and rocuronium, administered after thiopental, do not produce clinically relevant changes in cerebral blood flow velocity.