Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
The effects of alfentanil or remifentanil pretreatment on propofol injection pain.
To compare the efficacy of alfentanil, remifentanil, and saline in minimizing the propofol injection pain. ⋯ The remifentanil and alfentanil groups showed significantly less frequency and severity of pain than did the saline group. Remifentanil was effective in preventing propofol injection pain, and should be used at a dose of at least 0.02 mg for this purpose. Remifentanil may be an alternative drug for prevention of propofol injection pain.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Nasal versus oral fiberoptic intubation via a cuffed oropharyngeal airway (COPA) during spontaneous ventilation.
To compare the success rate of nasal versus oral fiberoptic intubation in anesthetized patients breathing spontaneously via the cuffed oropharyngeal airway (COPAtrade mark). ⋯ Nasal fiberoptic laryngoscopy is more successful and easy than the oral approach in anesthetized patients who are breathing spontaneously through the COPA.
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Randomized Controlled Trial Comparative Study Clinical Trial
Surgery on the affected upper extremity of patients with a history of complex regional pain syndrome: the use of intravenous regional anesthesia with clonidine.
To evaluate the efficacy of intravenous regional anesthesia (IVRA) with clonidine in patients with a previous history of complex regional pain syndrome (CRPS) who are undergoing upper extremity hand surgery. ⋯ Intraoperative IVRA with lidocaine and clonidine on patients with a history of CRPS can significantly reduce the recurrence rate of this disease process.
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Randomized Controlled Trial Comparative Study Clinical Trial
Postoperative analgesic effect of epidural neostigmine and plasma cortisol and IL-6 responses.
To examine whether epidural administration of neostigmine reduces the stress and inflammatory responses thereby improving postoperative pain status. ⋯ The preincisional epidural neostigmine transiently suppresses the stress responses during surgery and improves postoperative analgesia in patients undergoing lower open abdominal surgery.
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Randomized Controlled Trial Clinical Trial
Prophylactic nebulized lidocaine attenuates hyperdynamic response to abrupt mask inhalation of isoflurane in adults.
To examine whether prophylactic, atomized lidocaine blunts hyperdynamic responses and catecholamine release after an abrupt increase in volatile anesthetic administration. ⋯ Prophylactic ultrasonically nebulized lidocaine (2 mg/kg) obtunds the hyperdynamic responses to abrupt inhalation of 5% isoflurane but does not completely block catecholamine release.