Journal of clinical anesthesia
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Randomized Controlled Trial Clinical Trial
Interleukin balance and early recovery from anesthesia in elderly surgical patients exposed to beta-adrenergic antagonism.
To determine whether proinflammatory and antiinflammatory cytokines, as measured in blood specimens, would correlate with improved SF-36 physical composite scores observed in elderly surgical patients who were administered perioperative atenolol. ⋯ Perioperative administration of atenolol to elderly surgical patients markedly improves physical sense of well-being, which coincides with improved postoperative pain control and decreased analgesic requirements. This improvement experienced by patients receiving atenolol is not related to alterations in perioperative cytokine response.
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Randomized Controlled Trial Comparative Study Clinical Trial
Local anesthesia and midazolam versus spinal anesthesia in ambulatory pilonidal surgery.
To evaluate two anesthetic techniques, namely, local anesthesia with sedation, and spinal anesthesia, with respect to recovery times, postoperative side effects, pain scores, patient satisfaction, and hospital costs for ambulatory pilonidal disease surgery. ⋯ The use of local anesthesia-sedation for ambulatory anorectal surgery resulted in a shorter hospital time, lower hospital costs, and no side effects compared with spinal anesthesia.