Journal of clinical anesthesia
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Randomized Controlled Trial
Chloroprocaine may not affect epidural morphine for postcesarean delivery analgesia.
The purpose of this study is to assess the independent effect of epidural chloroprocaine on morphine used for pain relief after cesarean delivery. ⋯ We found that epidural chloroprocaine did not reduce the duration or effectiveness of postoperative analgesia from epidural morphine.
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Randomized Controlled Trial
Fentanyl or dexmedetomidine combined with desflurane for bariatric surgery.
Because fentanyl has ventilatory depressing effects, alternative methods for analgesia may be beneficial for management of bariatric surgery. We evaluated whether dexmedetomidine infusion could replace fentanyl for facilitation of open gastric bypass surgery. ⋯ Dexmedetomidine, when used to substitute for fentanyl during gastric bypass surgery, attenuates blood pressure and provides postoperative analgesia.
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Randomized Controlled Trial Comparative Study
Comparison of butorphanol and thiopentone vs fentanyl and thiopentone for laryngeal mask airway insertion.
To compare laryngeal mask airway (LMA) insertion conditions using a combination of butorphanol and thiopentone vs fentanyl and thiopentone. ⋯ The use of butorphanol and thiopentone as induction agents produced excellent LMA insertion conditions compared to fentanyl and thiopentone (98% vs 86% success rate with 92% vs 71% easy insertion).
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Randomized Controlled Trial
Efficacy and costs of 3 anesthetic regimens in the prevention of postoperative nausea and vomiting.
The aim of the study was to compare the antiemetic efficacy and costs associated with 3 different anesthesia regimens used in gynecologic laparoscopy. ⋯ We conclude that in gynecologic laparoscopy, propofol-air/O2 anesthesia alone, and isoflurane-N2O anesthesia combined with an oral 8-mg dose of ondansetron had similar efficacy and costs to prevent PONV. Isoflurane-N2O anesthesia without ondansetron was less expensive, but was also less efficacious.