Journal of clinical anesthesia
-
Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of total intravenous anesthesia and sevoflurane-fentanyl anesthesia for outpatient otorhinolaryngeal surgery.
To compare the recovery characteristics of two widely used anesthetic techniques: remifentanyl-propofol and sevoflurane-fentanyl in a standardized ambulatory population. ⋯ Early recovery times are comparable between total intravenous anesthesia and sevoflurane-based anesthesia. Even though patients in the TIVA group achieved home readiness criteria in a significantly shorter time, this technique does not shorten PACU length of stay, which depends instead on multiple nonmedical and administrative issues.
-
Randomized Controlled Trial Clinical Trial
Effects of combining midazolam and barbiturate on the response to tracheal intubation: changes in autonomic nervous system.
To investigate the effects on the autonomic nervous system of anesthesia induction with a combination of midazolam and barbiturate using plasma catecholamine concentration and heart rate (HR) variability in comparison with the induction with barbiturate alone. ⋯ Anesthesia induction with a combination of midazolam-thiopental was effective in reducing hemodynamic and cardiac autonomic nervous system responses to tracheal intubation in comparison with the conventional induction with thiopental alone.
-
Randomized Controlled Trial Clinical Trial
Learning by computer simulation does not lead to better test performance than textbook study in the diagnosis and treatment of dysrhythmias.
To compare computer-based learning with traditional learning methods in studying advanced cardiac life support (ACLS). ⋯ Studying ACLS with a hard-copy textbook may be more effective than computer simulation for acquiring simple information during a brief period. However, the difference in effectiveness is likely transient.
-
To determine the rate of unanticipated admissions and readmissions, and to characterize the associated reasons and costs. ⋯ At our teaching institution, approximately 1.5% of patients undergoing outpatient ambulatory surgery return within 30 days due to problems directly related to the original surgical procedure. Pain accounted for more than one third of return visits, incurring significant costs. Efforts to manage pain should focus not only on pain in the hospital but also anticipation of pain-related issues on discharge.
-
To determine the influence of head and neck elevation beyond the "sniffing position" during difficult direct laryngoscopy. ⋯ Elevation of the head and neck beyond the sniffing position may improve visualization of glottic structures in cases of difficult direct laryngoscopy, leading to better intubation performance.